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Test & Collection Guide

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PLEASE NOTE: Recent changes have been made to this Test


 Recent changes for Hepatitis B serology

Recent changes for Hepatitis B serology

Date
Field
Changed From
Changed To
19th March 2025
Alternative names

core IgM, e markers, Hep B e serology, Hep B serology

core IgM, e markers, Hep B e serology, Hep B serology, HBVL

Hepatitis B serology

Ordering information:

Tests available for: diagnosis of acute Hepatitis B (surface antigen, core IgM); Hep B immune status (surface antibody); Hepatitis B monitoring (viral load, quantitative surface antigen, Hep B "e" antigen/antibody)

Alternate names:
core IgM, e markers, HBVL, Hep B e serology, Hep B serology
Laboratory:
Biochemistry
Test Code:
See below
Specimen types:
Serum
Container types:
Serum tube with gelSerum tube with gel
Collection Instructions:

Hepatitis B viral load requires a separate dedicated serum tube.

Please request each specific antigen and/or antibody required. Please supply history of illness and history of contacts/variations

Notes:

Incubation period - 1-6 months.

HBsAg (hepatitis B surface antigen)

Occurs 2-6 weeks before onset of symptoms

If HBsAg detected, request HBcIgM (hepatitis B core IgM antibody - usually present at onset of symptoms).

Hepatitis B vaccination

Check HBsAb (Anti-HBs, hepatitis B surface antibody)

Timing: 4 weeks after 3rd vaccination

If negative, consider checking for HBsAg (hepatitis B surface antigen) carriage

Possible hepatitis B ‘carrier’ (chronic hepatitis B infection)

Check HBsAg

If HBsAg detected then check

- HBeAg and HBeAb (Anti-HBe)
- HBV DNA

 

Glossary:

HBsAg Hepatitis B surface antigen; Indicates virus present (acute infection or chronic ‘carrier’ state
HBsAb/Anti-HBs Hepatitis B surface antibody; Immune to Hepatitis B, post-vaccination or post-infection
HBcIgM/Anti-HBcIgM Hepatitis B core IgM; Recent hepatitis B infection
HBcAb/Anti-HBc Hepatitis B core antibody; Past hepatitis B infection or chronic infection/’carrier’ if HBsAg + . (If recent infection suspected, request HBcIgM).
HBeAg Hepatitis B e antigen; Relatively more infectious
HBeAb/Anti-HBe Hepatitis B e antibody; Less infectious
HBV DNA Hepatitis B viral DNA; Marker of infectivity, used for planning and monitoring treatment

 

 

Frequency:
Daily
Laboratory Use Only

  

Accessing Results

EMR: Pathology results are available via EMR.

Auscare: If EMR is unavailable, results can be accessed through Auscare. Don’t have an Auscare login? Complete the Auscare User Form.

To access Auscare, see instructions.

 

Forms & Collection Guides

Consent Form – Non-Medicare Tests
For tests not covered by Medicare. Download Form  

Pathology Request Form
Printable referral form for submitting pathology requests. Download Form.

Microbiology Swab Collection Guide 
Step-by-step instructions for correct swab collection. Download Guide.

Preferred Order of Draw
Instructions to ensure accurate blood collection and results. View Instructions 

 

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