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Anti Hepatitis C Virus (HCV) - Total

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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

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🧪 Anti-Hepatitis C Virus (HCV) – Total Antibody Test

Parameter

Details

Full Name

Anti-Hepatitis C Virus Antibody – Total (IgM + IgG)

Sample Type

Blood (Serum)

Fasting Required

❌ No

Test Method

ELISA / CLIA (Enzyme-linked or Chemiluminescent Immunoassay)

🔬 What Is It?

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.

  • IgM antibodies appear early in infection.
  • IgG antibodies persist for years (possibly for life).
  • This test does not differentiate between IgM and IgG — it shows whether a person has ever been exposed to the HCV virus.

🧠 Organs Involved

Organ/System

Role

Liver

Target of Hepatitis C virus; chronic infection can cause liver damage, cirrhosis, or cancer

Immune System

Produces antibodies (IgM, IgG) in response to HCV infection

🎯 Why Is This Test Done?

Use Case

Purpose

🦠 Detect past or current HCV infection

Especially in asymptomatic individuals

💉 Pre-blood transfusion or organ donation

Prevents transmission via blood products

👩‍⚕️ High-risk groups (IV drug users, healthcare workers)

Routine screening and surveillance

🔄 Evaluate chronic liver disease cause

Rule in or out HCV as a contributor to liver damage

📊 Test Interpretation

Result

Interpretation

Next Steps

Positive

Exposure to HCV (past or current)

Confirm with HCV RNA PCR to check active infection

Negative

No antibodies to HCV detected

If recently exposed, repeat test in 6–12 weeks

⚠️ Key Points to Understand

  • A positive Anti-HCV Total test does not confirm active infection.
  • Up to 25–30% of individuals clear the virus on their own but still test positive.
  • Only HCV RNA (PCR) confirms active viral replication.

🔬 Recommended Additional Tests

Test

Why It’s Important

HCV RNA PCR

Confirms current infection and viral load

HCV Genotype

Guides treatment choice and duration

Liver Function Tests (LFTs)

Checks extent of liver damage or inflammation

FibroScan / Liver biopsy

Assesses liver fibrosis/cirrhosis if chronic infection is confirmed

HIV / HBV serology

Co-infections are common; must be ruled out

🧬 Timeline of Marker Appearance

Marker

Timeframe Post-Infection

HCV RNA

1–2 weeks

Anti-HCV IgM/IgG

6–8 weeks

✅ Summary Table

Test

Anti-HCV Total (IgM + IgG)

Used For

Detecting exposure to Hepatitis C Virus

Positive Result Means

Past or current infection

Confirmatory Test Required

✅ Yes – HCV RNA PCR

Sample Type

Blood (serum)

Fasting Required

❌ No

🔄 Interpretation Workflow

  1. Anti-HCV Total: Positive
  2. → Test HCV RNA (PCR)
    • If positive: Active infection → Treat
    • If negative: Past infection or resolved naturally

How our test process works!

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