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Hepatitis B testing and vaccination - Online Doctor Chats

Date : 13-Jan-2012
User rating for this question
Excellent Posted in: Liver and Gall Bladder
Answered by

General & Family Physician
Practicing since : 2005
Answered : 2408 Questions
User :   Hi, may I answer your h
Doctor :   Hi
User :   Hi Doc
Doctor :  

User :   I did the HEB screening test yesterday ( Hep B surface Ab, HBsAg Screen, Hep B Core Ab, Igm )
Doctor :   Ok

User :   I got the result today but i couldnt understand the result, would you help me to understand it more clearly ?
Doctor :  
Sure
Doctor :  
Proceed with it
User :   TEST Result FLAG UNIT REFERENCE INTERVAL

Hep B Surface Ab 10.82 High Index Value 0.00-0.99
Status of Immunity Anti-HBs Level
-------------------------- --------------------
Inconsistent with Immunity 0.00 - 0.99
Consistent with Immunity >0.99
An Index Value of 1.00 is equivalent to 10 mIU/mL.
However the magnitude of the Index Value is not
indicate of the total amount of antibody present.

HBsAg Screen Negative Negative

Hep B Core Ab, IgM Negative Negative
User :   sorry
User :   let me make it more clearly
User :   How do i put it in here ?
Doctor :  
Not required
Doctor :  
I am reading the old one
Doctor :   It is indicating that antibodies are present in your blood against HepB

Doctor :  
meaning a past infection
Doctor :  
and now since the other parameters are negative
User :   i remember i have the vaccine back in High School, its just that im not sure i finish all the 3 shots yet
Doctor :  
It suggests that you are no more infected
User :   which mean i dont have any HEB right ?
Doctor :  
Yes, even vaccine produces the same result as past infection
Doctor :   Yes, you do not have it

User :   what about the vaccine level ?
Doctor :   It is quite sufficient since you are having antibodies

Doctor :   3 shots are quite sufficient

User :   what is it mean antibodies
Doctor :  
Boosters are recommended every 5 years
Doctor :  
but not authenticated in studies
User :   Hep B Surface Ab 10.82 High
Doctor :  
antibodies is that even if you contract a hepatitis b viral infection
Doctor :  
it will be cleared as your body has antibodies ready to act
Doctor :  
and will kill the virus
User :   Oh i see, its mean that i am healthy right ?
Doctor :  
Yes, AAAAAAA you are not having Hepatitis B infection
User :   what is the level of number of Hep B Surface Ab consider as normal
Doctor :   I shall tell you that

User :   So the Hep B Surface Ab means Hepatitis B surface Antibodies and what is other two stand for ? HBsAg Screen and Hep B Core Ab, IgM
Doctor :   The other antibodies are seen only on infections with the actual virus

Doctor :  
and not with the vaccine
Doctor :  
it is not a part of vaccination
Doctor :  
and not required also
User :   So if i have the HEB virus then what would the result will show ?
Doctor :   the HBsAg will be positive

User :   I see
Doctor :   Yes proceed with other doubts
User :   So would you recommened me to get the booster ?
Doctor :  
No
Doctor :  
if levels of the antibody are over 10 IU/mL, the person is probably protected for life from infection by HBV
Doctor :   so you do not need one booster now

User :   oh so i have 10.82
User :   like i said i couldnt remember if i finish all the 3 shots
Doctor :  
yes more than the prescribedlimit
Doctor :  
Ok
Doctor :  
But still since the antibodies are there
User :   so i just want to make sure i finish all the 3 shots and protected
Doctor :  
vaccination is sufficient
Doctor :  
and no worries for now
User :   oh i see, so what is the level of amount number for a person to indicate as normal and healthy
Doctor :   10 is the limit

Doctor :   and anything above that is safe
User :   The reason i am worry because my girlfriend is a chronic HVB carrier from her mother, but her doctor said that her virus is currently not active and does not need any treatment or anything as long her immunize system is healthy and stay as healthy
Doctor :  
Ok
User :   what does it mean
User :   not active
Doctor :  
Yes, it is risky to have sex with her
Doctor :  
since you are protected it is fine
Doctor :  
It means that she does not suffer from the infection
Doctor :  
but can transmit the same
User :   we always have protected sex
Doctor :  
that is better
User :   its about the kiss that im worry
Doctor :   It is not that safe
Doctor :  
but you are protected
Doctor :  
and you can afford it
User :   oh i see..even im expose to her then i still be fine right ?
User :   i see
Doctor :   Yes, you are fine even now

User :   so what would you recommend me to do the HVB screening again
Doctor :   will the exposure
Doctor :   Even if you get the virus, it will be dealt by your immune system
User :   so the level of antibody will get lower everytime if i get the virus from her or the number lower everytime by times ?
Doctor :   No

User :   What would you recommend me to do the test again to make sure im above 10.0
Doctor :  
It does not happen like that
Doctor :  
Your girl friend is immune
Doctor :  
so she is not affected
Doctor :  
You are also immune
Doctor :  
and hence the virus can be killed
Doctor :   whatever the no. of entries
Doctor :   the antibody level does not lower
User :   my gf is immune ? so a person can also have the HVB but meantime immune ?
Doctor :   She is immune in the sense

Doctor :  
not getting affected by it
Doctor :   otherwise she would have suffered from it
Doctor :  
since she has antibodies it has not manifested
User :   oh i see..im sorry to have all the questions, its just i do not know anything about the HVB
Doctor :   It is a bit complicated for medical personnel only
Doctor :  
so it is a bit confusing for you
Doctor :  
Not an easy subject for interpretation
User :   so basically she can carry a HVB in her system but her body is immune and does not affected by it but also can transmit to other people if they are not well have antibody vaccine
Doctor :   Yes

Doctor :  
that is right
Doctor :  
and enough for practical purposes for you right now
User :   yes
Doctor :   Is there any thing else I can help you with?

User :   just one more personal question
Doctor :   Sure
Doctor :  
Proceed with it
User :   we are planning to marry soon and have a baby
User :   if we do, then we might have sex unprotected
User :   will i get the virus from her
Doctor :   I shall advise you to consult a Gastroenterologist for this

Doctor :  
as the risk is exposed to the fetus as well
Doctor :  
so get suitable advise and then proceed with it
Doctor :  
till then, hold on
User :   i see
Doctor :  
It is a delicate matter
User :   like i thought, i have the antibody and immune to it but doesnt mean its 100% protected
User :   so just be safe right
Doctor :   It is protective
Doctor :  
but again a risk
Doctor :   it is like wearing a helmet and falling
Doctor :  
though head has protection
Doctor :  
it is a risk
User :   i see..
Doctor :  
vague example just to put it simple
User :   more clearly
User :   to put that way
User :   so should i do the HVB again in next 6 months
Doctor :   No

User :   to make sure i still have enought of level
Doctor :  
That is not the solution
Doctor :  
you are having the sufficient level for your lifetime
User :   so what is recommend me to do the HVB screening again to make sure im still safe
User :   oh i see
User :   lifetime.
Doctor :  
Yes
User :   you mentioned above, every person should get boosters every 5 years.
Doctor :   that is not supported by studies

Doctor :  
that is what I meant
Doctor :  
3 doses are enough for lifetime
User :   oh i see
Doctor :  
and it is confirmed by your antibody levels as well
User :   so you meant that i already 3 doses ? as long i have 3 doses then im happy with it, its just im worry because i couldnt remember if i have all 3 doses or not
Doctor :   Yes

User :   ok
User :   thanks alot
Doctor :  
NO WORRIES
User :   :)
Doctor :  
Relax
Doctor :  
Do consult the Gastroenterologist regarding your future plans
User :   Thank you
Doctor :  
and act as per his/her advice
User :   but just incase like if the accident happen like me and her having sex unprotected then i would be well protective from her virus right
User :   like wearing the helmet
Doctor :   yes

User :   but it doesnt mean it is safe
User :   its still a risk
User :   ok got it
Doctor :   you are safe
Doctor :  
but still exposing yourself every now and then is of concern
Doctor :  
Get further guidance from a Gastroenterologist
Doctor :   Thanks for consulting HealthcareMagic. Bye for now. Please refer your friends to our service.

User :   ok
User :   thanks
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