Most likely you have never been infected. To be sure, you should test the status of HbsAg to see whether it is positive (reactive) or not. If it is negative (non-reactive), then you have never been infected. It may be a good idea to get vaccinated.
What concerns me is that it appears from what I have read on the internet
that it is not possible to tell whether I am infected or not simply by having the
Hep core B antibody showing as a negative. Is this your understanding also.?
If so I am at a loss to understand why they have not also supplied a HbsAg result also.
The standard test to see if you are currently infected with HBV is the the HBsAg test. If you test negative for HBsAg but positive for HBcAb, there is a very small chance that you may have what they call occult HBV, i.e., HBsAg is negative but hbvdna is detectable (usually very low). Whether occult hbv is clinically significant or not is still an open question.
So is it safe to say that with the negative Hep B core antibody result (up until three months prior to the sample being taken) I was not infected. I received this reply from them
I have reviewed your m=notes and discussed your case with our Lead Consultant.
The test which we ran to screen you for evidence of Hep B infection was the Hep B core Antibody test. This is the best test to use as a marker for infection. If Hep B core antibody is negative, antigen results will also be negative. The only time we would screen for surface antigen is if the patient is immunocompromised (HIV positive) as sometimes they will not produce antibody due to their immunocompromised status.
Please feel reassured we have screened you appropriately in light of the history you presented to us with.
The Content on this Site is presented in a summary fashion, and is intended to be used for educational and entertainment purposes only. It is not intended to be and should not be interpreted as medical advice or a diagnosis of any health or fitness problem, condition or disease; or a recommendation for a specific test, doctor, care provider, procedure, treatment plan, product, or course of action. Med Help International, Inc. is not a medical or healthcare provider and your use of this Site does not create a doctor / patient relationship. We disclaim all responsibility for the professional qualifications and licensing of, and services provided by, any physician or other health providers posting on or otherwise referred to on this Site and/or any Third Party Site. Never disregard the medical advice of your physician or health professional, or delay in seeking such advice, because of something you read on this Site. We offer this Site AS IS and without any warranties. By using this Site you agree to the following Terms and Conditions. If you think you may have a medical emergency, call your physician or 911 immediately.