Viral Hepatitis

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Hepatitis C Virus Antibody Screening Flow Chart

for Health Care Providers

Hepatitis C Virus Antibody Screening Flow Chart

Hepatitis C Virus Antibody Screening Flow Chart

Outline Version

History of positive test for hepatitis C virus antibody:

  • Perform confirmatory test for viremia.
    • If positive: Individual patient care decisions regarding counseling, further testing and potential treatment options are necessary. These should be based upon current literature or performed within approved research protocols.
    • If negative: Patient unlikely to have chronic hepatitis C. Consider RIBA to rule out false positive for Ab.

No history of positive test for hepatitis C virus antibody:

  • Presence or history of risk factors listed in the VA HCV Antibody Screening Guidelines
    • If none: low priority for HCV antibody screening; not recommended unless at patient's request
    • If present: recommend:
      1) Counseling for risk behaviors
      2) Screening for HCV antibody (eg EIA)
      3) Measure ALT if not yet done
      • If HCV Positive: Perform confirmatory test for viremia
        • If positive: Individual patient care decisions regarding counseling, further testing and potential treatment options are necessary. These should be based upon current literature or performed within approved research protocols.
        • If negative: Patient unlikely to have chronic hepatitis C. Consider RIBA to rule out false positive for Ab.
      • If HCV Negative: Patient unlikely to have chronic hepatitis C.