Hepatitis B Testing Guidelines

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Questions and Answers

What is the significance of testing for anti-HBc Ab when HBs Ag becomes negative?

It determines whether past hepatitis B infection has occurred, guiding blood donation safety.

What does a positive anti-HBs Ab and negative anti-HBc Ab indicate regarding blood donation?

It indicates that the donor should be deferred from donation.

What are the AABB recommendations concerning the anti-HBc antibody?

Any donor with a positive anti-HBc antibody should be deferred.

How is safe blood determined according to the WHO guidelines in the context of anti-HBs and anti-HBc antibodies?

<p>Safe blood is determined by a negative result for both anti-HBs Ab and anti-HBc Ab.</p> Signup and view all the answers

In what scenario is blood from a donor with positive anti-HBs Ab considered safe?

<p>Blood is considered safe if the anti-HBs Ab is positive and anti-HBc Ab is also positive at &gt;100 IU/L.</p> Signup and view all the answers

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Study Notes

WHO Recommendations on Hepatitis B Testing

  • Essential to test for anti-HBc Ab when HBs Ag becomes negative in patients with a history of HBV.
  • Evaluation of the anti-HBs Ab and anti-HBc Ab combinations is crucial for determining blood safety.

Anti-HBs and Anti-HBc Antibody Interpretation

  • Positive Anti-HBs Ab and Positive Anti-HBc Ab: Safe for blood donation if > 100 IU/L.
  • Positive Anti-HBs Ab and Negative Anti-HBc Ab: Blood donation deferred.
  • Negative Anti-HBs Ab and Positive Anti-HBc Ab: Blood donation deferred.
  • Negative Anti-HBs Ab and Negative Anti-HBc Ab: Safe for blood donation.

AABB Recommendations

  • All donors with positive anti-HBc antibody should be deferred from donating blood to ensure safety.

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