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Help Me Please, I need some assistance if possible.

Hello,
I recently had a needle stick injury from work.  I am a nurse, the protocol is to receive the necessary lab work to rule out blood bourne viruses etc.
I am scared to ask my doctor and/or fellow staff members what my results indicate.
They are as follows:
HBSAB          Reactive

and as for the HCAB
Hep C Virus Screen   NON REACTIVE
HCV Ratio:  0.12     to the right of it, is the normal range which is 0.00-0.99
I know I am withing the normal range, but shouldn't it be at 0.0?  I don't want to get hep c, do my results mean the virus is present? Someone please help me I wont be able to eat or sleep until I get answers.
Thankyou :0)


This discussion is related to Hepatits.
4 Responses
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87972 tn?1322661239
Okay, and good luck. Here’s a link to HCV antibody results; they use ‘signal to cut-off ratios’ to help discern between false positive results; they are different for each test protocol. I think this might further reassure you; I can’t cut and paste due to formatting difficulties here:

http://www.cdc.gov/ncidod/diseases/hepatitis/c/sc_ratios.htm

Best of luck to you—

Bill
Helpful - 0
Avatar universal
Hello Bill,
First of all, I wanted to tell you thankyou for responding to me.  I was very concerned about the way the HCV RATIO had appeared on my lab report and I began to be concerned.

So, the level of 0.12 isn't an indicator of a possibly increasing ratio? That is wonderful. It makes sense to me now.
As for the HIV Prophylaxis, I opted not to get it due to other medical problems and how the side effects of it would interfere with current medications and what not I am taking.

I hope I do not regret my decision, the ER doctor actually suggested I do not receive vaccination due to the resident in which I received the needle-stick injury from.  She was an 85 year, CHF patient.
Although, but anything if possible.  I am just praying the HIV comes back negative as well.  
Again, thankyou.
Melissa
Helpful - 0
87972 tn?1322661239
Oops, I might have spoken prematurely when I said “no further action required on your part”. Depending on the time frame of exposure, further serology might required; a test window exists for both HIV and HCV.

Bill
Helpful - 0
87972 tn?1322661239
Hi Melissa,

You are not reactive/positive for HCV (Hep C Virus); the results indicate that you haven’t developed antibodies, and most likely were never exposed to this virus. The test doesn’t go to zero; the focus should be on the term ‘non-reactive’. There are no further actions required on your part, IMHO.

Regarding the HBSAB reactive, this probably means that you have developed immunity via vaccine; the full serology report for immunity due to vaccine should read:

HBsAg    Negative
anti-HBc  Negative
anti-HBs  Postive

http://www.cdc.gov/hepatitis/HBV/HBVfaq.htm

Hopefully they also tested for HIV; and if this was reported as an injury, did they consider Post Exposure Prophylaxis?

Good luck—

Bill
Helpful - 0
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