The Hepatitis A, B, & C Profile Blood Test is designed to screen, diagnose, and differentiate between infections caused by hepatitis A virus (HAV), hepatitis B virus (HBV), and hepatitis C virus (HCV). These tests are commonly used to assess liver function, confirm exposure to these viruses, and determine whether the infection is acute, chronic, or resolved. Each type of hepatitis has its own mode of transmission, disease course, and management, and the profile typically includes multiple tests to give a complete picture of the infection status.

Key Tests in Hepatitis A, B, & C Profile:

1. Hepatitis A Testing (HAV)

  • Purpose: Diagnoses recent or past exposure to hepatitis A, which is typically transmitted through contaminated food or water.
  • Tests Included:
    • HAV IgM Antibody:
      • Purpose: Detects IgM antibodies, indicating a recent or acute infection with hepatitis A.
      • Why It’s Important: HAV IgM is present in the early phase of the infection and confirms an active or recent hepatitis A infection.
    • HAV IgG Antibody:
      • Purpose: Detects IgG antibodies, indicating past infection or immunity from vaccination.
      • Why It’s Important: HAV IgG shows past exposure to the virus or successful vaccination, confirming immunity.

2. Hepatitis B Testing (HBV)

  • Purpose: Diagnoses hepatitis B infection and differentiates between acute, chronic, or resolved infection. It also helps monitor recovery or immunity.
  • Tests Included:
    • HBsAg (Hepatitis B Surface Antigen):
      • Purpose: Indicates active hepatitis B infection. If HBsAg is present, it means the virus is currently circulating in the blood, indicating acute or chronic infection.
      • Why It’s Important: The presence of HBsAg suggests that the individual is infectious and needs further testing to differentiate acute from chronic infection.
    • Anti-HBs (Hepatitis B Surface Antibody):
      • Purpose: Detects antibodies produced in response to the surface antigen, indicating recovery from hepatitis B or immunity due to vaccination.
      • Why It’s Important: A positive anti-HBs result suggests that the person is immune to hepatitis B, either from a previous infection or from vaccination.
    • Anti-HBc (Hepatitis B Core Antibody):
      • IgM Anti-HBc: Indicates recent or acute infection.
      • IgG Anti-HBc: Indicates past infection or ongoing chronic hepatitis B.
      • Why It’s Important: Differentiates between acute and chronic HBV infection and indicates prior exposure.

3. Hepatitis C Testing (HCV)

  • Purpose: Diagnoses hepatitis C infection, particularly in high-risk individuals, and differentiates between acute and chronic infection.
  • Tests Included:
    • HCV Antibody (Anti-HCV):
      • Purpose: Detects antibodies to the hepatitis C virus, indicating exposure to the virus.
      • Why It’s Important: A positive anti-HCV result suggests either current or past infection with HCV. Since the presence of antibodies doesn’t differentiate between active and resolved infection, further testing (like HCV RNA) is often needed.

4. Liver Function Tests (LFTs)

  • Purpose: Measures various enzymes and proteins produced by the liver to assess liver function and damage, which can be affected by hepatitis infections.
  • Tests Included:
    • Alanine Aminotransferase (ALT): An enzyme that, when elevated, indicates liver damage or inflammation, which is common in hepatitis infections.
    • Aspartate Aminotransferase (AST): Another liver enzyme that, along with ALT, signals liver inflammation or damage.
    • Alkaline Phosphatase (ALP): A less specific marker but may be elevated in cases of liver or bile duct disease.
    • Bilirubin: Elevated levels of bilirubin can cause jaundice and indicate impaired liver function due to hepatitis.
    • Albumin: A protein made by the liver; low levels may indicate chronic liver disease.
  • Why It’s Important: LFTs help assess the extent of liver damage or inflammation caused by hepatitis A, B, or C infections and are useful for monitoring liver function during and after treatment.

Clinical Uses of Hepatitis A, B, & C Profile Blood Test:

  • Diagnosing Acute Infections: This profile helps diagnose active infections for hepatitis A, B, and C, particularly in symptomatic patients presenting with jaundice, fatigue, abdominal pain, or elevated liver enzymes.
  • Determining Chronic Infection: Especially for hepatitis B and C, this profile can differentiate between acute and chronic infections, which is critical for guiding long-term management and treatment.
  • Assessing Immunity: Tests for antibodies (HAV IgG, anti-HBs) determine whether an individual is immune to hepatitis A or B, either from past infection or vaccination.
  • Evaluating Exposure Risk: In individuals with risk factors such as IV drug use, sexual contact with an infected person, or blood transfusion before hepatitis C screening was implemented, this test profile helps assess the risk of infection.
  • Monitoring Treatment: For hepatitis B and C, these tests are used to monitor viral loads and assess the effectiveness of antiviral therapies.

Conclusion:

The Hepatitis A, B, & C Profile Blood Test is a comprehensive diagnostic tool used to detect and differentiate between hepatitis A, B, and C infections. This profile helps identify the stage of the infection, monitor liver function, and assess immunity. Early and accurate diagnosis of these viral infections is critical for initiating appropriate treatment, managing liver health, and preventing further transmission.

Results – 4 hours from Laboratory receiving sample