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How to read the five-item report form for hepatitis B

2025-11-07 14:19:33 Mother and baby

How to read the five-item report form for hepatitis B

The five-item report form for hepatitis B is an important basis for detecting hepatitis B virus infection, but for ordinary people, the indicators and data on the report form are often difficult to understand. This article will explain in detail the indicators of the five-item hepatitis B report card and help you quickly master the reading method of the report card.

1. What items are included in the five-item hepatitis B examination?

How to read the five-item report form for hepatitis B

The five hepatitis B indicators, also known as hepatitis B two and a half, mainly include the following five indicators:

Project nameEnglish abbreviationclinical significance
Hepatitis B surface antigenHBsAgDetermine whether you are infected with hepatitis B virus
Hepatitis B surface antibodyHBsAbDetermine if you have immunity
Hepatitis B e antigenHBsADetermine the activity of virus replication
Hepatitis B e antibodyHBDetermine whether virus replication has weakened
Hepatitis B core antibodyHBcAbDetermine whether you have been infected with hepatitis B virus

2. Interpretation of common results of the five-item hepatitis B report form

The result combinations of the five-item hepatitis B report card are diverse. The following are several common results and their clinical significance:

result combinationclinical significance
HBsAg(-), HBsAb(+), HBeAg(-), HBeAb(-), HBcAb(-)Immunity developed after vaccination with hepatitis B vaccine
HBsAg(+), HBsAb(-), HBeAg(+), HBeAb(-), HBcAb(+)Acute or chronic hepatitis B infection with active viral replication
HBsAg(+), HBsAb(-), HBeAg(-), HBeAb(+), HBcAb(+)Hepatitis B virus infection, weakened virus replication
HBsAg(-), HBsAb(-), HBeAg(-), HBeAb(-), HBcAb(+)Previously infected with hepatitis B virus and recovered
HBsAg(-), HBsAb(-), HBeAg(-), HBeAb(-), HBcAb(-)Not infected with hepatitis B virus and have no immunity

3. Precautions for five hepatitis B tests

1.Fasting test:Fasting is usually not required for the five hepatitis B tests, but if liver function tests are also performed at the same time, it is recommended to fast for 8-12 hours.

2.Check frequency:It is recommended that healthy people should be checked every 1-2 years; hepatitis B virus carriers or high-risk groups should be checked every 3-6 months.

3.Interpretation of results:The five results of hepatitis B need to be comprehensively judged in conjunction with other tests such as liver function and HBV-DNA. It is recommended to consult a professional doctor.

4. Frequently asked questions about five hepatitis B tests

Q1: What does hepatitis B surface antibody positivity mean?

A positive hepatitis B surface antibody indicates the presence of protective antibodies in the body, which may be due to immunity after vaccination or recovery from hepatitis B virus infection.

Q2: Does hepatitis B core antibody positivity require treatment?

Simple hepatitis B core antibody positivity usually does not require treatment, but it needs to be combined with other indicators to determine whether it is latent hepatitis B infection.

Q3: Can the five hepatitis B tests be used to determine infectivity?

The five hepatitis B tests can initially determine the infectivity, but the accurate judgment needs to be combined with the HBV-DNA test results.

5. How to prevent hepatitis B virus infection?

1.Get vaccinated:Hepatitis B vaccine is the most effective way to prevent hepatitis B. It is recommended that newborns be vaccinated within 24 hours after birth.

2.Avoid high-risk behaviors:Such as unclean injections, unprotected sex, etc.

3.Regular inspection:High-risk groups should undergo five hepatitis B examinations and liver function tests regularly.

Through the interpretation of this article, I believe you will have a clearer understanding of the five-item hepatitis B report card. If the test results are abnormal, please seek medical treatment promptly and follow the doctor's instructions for further examination and treatment.

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