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Hbsag quantative test in Europe

Hello,

Since we don't have this test in USA. I'm planing to do it in Italy while visiting Europe next month and I have the following questions:

1) where in Rome I can do the test?
2) how much will it cost me ( hbsag quantity, genotype etc...)
3) do I need an appointment or I can walk in?
4) do they speak English I hope
Best Answer
Avatar universal
the best place to have it is private labs like synlab because in public hospitals it may be difficult to get access

1) where in Rome I can do the test?
there is a very small lab in rome collecting samples and shipping to main sylab laboratory.it is ll ok but not in the rome center, getting there by public transport very messy, you ll have to take a taxi
all public hospitals and many other private labs have hbsag quant but i dont know if you have access

a very good lab i know in civitavecchia (which is 30-45min train from rome) have both hbsag quan and nagalase test available

synlab is everywhere in the north with their own labs,milan is full of their labs, verona, florence, forli, cattolica too

2 hbsag at synlab is about 50€, i dont know for genotype and other tests.email them, they also have ip10 and other research tests available, oxidative stress tests and so on.hbsag in public hospitals is 8€ for italians and free for italian chronic carriers

3 no appointment but you have to explain carefully the type of test because they dont know it at reception (while public hospitals know the test) and confuse that with hbsag qualitative, hbsab quantitative or hbvdna
they have roches elecsys

4 i guess they do, better email them and have appointment so they dont make the wrong test

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Avatar universal
Is the number 223.70 iu/ml from eclia reliable? I never done hbsag in the past so I'm clueless. Also why my hbvdna pcr is 38200 iu/ml and when measured in USA last month showed 1128 iu/ml?
Helpful - 0
Avatar universal
hbvdna is not the same number for every machine, it changes with machines used and may also change day by day according to host/virus reactions.my sister found more than 1log difference using different labs ad then machines

ask the lab which machine was used for hbsag quant, eclia is the qualitative test but maybe they just wrote uncorrect things.anyway i would have done that in italy, healthcare cannot make mistakes here because you can sue for huge amounts

abbott architect is chemiluminescence method
roches elecsys is CMIA method (synlab italy has elecsys)
eclia is qualitative, i don t know if there is a method to do it quantitatively

http://www.ncbi.nlm.nih.gov/pubmed/23967740
Helpful - 0
Avatar universal
also check lower level sensibility cut off, architect and elecsys have 0.05iu/ml

better get things very clear, if the result is wrong going for peg with values >1500iu/ml might be a waste of money and also severe sides effects for nothing
Helpful - 0
Avatar universal
Here is what the paper say please let me know what you think:

Hbsagq HBs-Ag (quant.) (ECLIA)  223.70 iu/ml    +   < 0.05
Helpful - 0
Avatar universal
sorry, i checked my synlab hbsag test and it sayd eclia too, so that is perfectly correct.so they used elecsys roches like in italy and your results are very correct


Helpful - 0
Avatar universal
http://www.medhelp.org/posts/Hepatitis-B/After-16-week-with-Interferron--Simvastatin/show/1680711

this is otan experience, of course it makes no statistics one person, but these are ideas on how to manage our treatment with peg.while the fact of almost certain response with such a low hbsag is a scientific fact
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