The Anti-HCV Total test detects both IgM and IgG antibodies produced by the immune system in response to infection by the Hepatitis C virus
₹199₹935
79% OFF
Anti Hepatitis C Virus (HCV) - Total
Anti Hepatitis C Virus (HCV) - Total
Why is it done?
Detects antibodies produced in response to hepatitis C virus infection to determine if an individual has been exposed to or infected with HCV
Primary screening test used in patients with suspected hepatitis C or those at risk for HCV exposure
Routine screening for blood and organ donors, healthcare workers, and patients with liver disease
Evaluation of patients with unexplained elevated liver enzymes or chronic liver disease
Assessment in patients with risk factors including history of intravenous drug use, sexual exposure to HCV-positive individuals, or occupational exposure
Monitoring and confirmation following a positive rapid HCV test or exposure incident
Normal Range
Negative Result: No detectable anti-HCV antibodies; typically reported as "Negative", "Non-reactive", or "Not detected"
Positive Result: Anti-HCV antibodies detected; typically reported as "Positive", "Reactive", or as a numerical value (S/CO or sample-to-cutoff ratio > 1.0)
Units: S/CO (Sample-to-Cutoff ratio) for quantitative results, or qualitative as Positive/Negative
Interpretation: Negative indicates no prior exposure to HCV or absence of infection. Positive indicates exposure to HCV and requires confirmatory testing
Interpretation
Negative Result: No evidence of HCV infection or exposure. However, results may be negative during early infection (window period of 1-10 weeks before antibodies develop)
Positive Result: Indicates past or present HCV infection; confirms exposure to the virus. Does not differentiate between active infection and cleared infection (spontaneous or treatment-induced)
Borderline/Equivocal Result: Result near cutoff value; requires repeat testing or confirmatory test (HCV RNA by PCR, recombinant immunoblot assay, or supplemental antibody test)
Factors Affecting Results: Early infection (window period), immunocompromised states (may have false negatives), chronic kidney disease patients on hemodialysis, and liver transplant recipients
Clinical Significance: Positive anti-HCV antibodies warrant HCV RNA PCR testing to determine if active infection is present and to assess viral load for treatment decisions
Associated Organs
Primary Organ: Liver - HCV directly infects and replicates within hepatocytes, causing inflammation and potential cirrhosis
Complications: Liver failure, variceal bleeding, ascites, hepatic encephalopathy, renal dysfunction, and increased risk of infection
Follow-up Tests
Confirmatory Testing (if Positive): HCV RNA PCR (qualitative and/or quantitative) to confirm active infection and determine viral load
HCV Genotyping: Determine HCV strain to guide treatment decisions and predict treatment response
Liver Function Tests: AST, ALT, alkaline phosphatase, bilirubin, albumin to assess liver injury and synthetic function
Liver Fibrosis Assessment: FIB-4 index, AST-to-platelet ratio index (APRI), transient elastography (FibroScan), or liver biopsy to stage fibrosis
HCV Core Antigen: May be used as alternative confirmatory test or for monitoring viral replication
Hepatitis A and B Serology: Screen for co-infections with other hepatitis viruses
HIV and Human T-cell Leukemia Virus (HTLV) Testing: Screen for concurrent blood-borne infections in at-risk patients
Post-Treatment Monitoring: HCV RNA PCR at 12 weeks after completion of direct-acting antiviral therapy (SVR12) or 24 weeks (SVR24) to confirm viral clearance
Fasting Required?
Fasting: No
Special Instructions: No fasting is required for this test. Patient may eat and drink normally. Blood can be drawn at any time of day
Medications: No medications need to be withheld for this test; all regular medications may be taken as prescribed
Specimen Collection: Standard venipuncture with serum separator tube (SST) or equivalent collection tube; approximately 5-10 mL of blood
Pre-Test Preparation: No specific preparation needed; patient should remain seated for 5 minutes before blood draw to ensure proper blood pressure and fluid distribution