|Pos Ab, Neg RNA What Next?
May 29, 2005
Dear Doctor, I am writing from Beijing, China where I am currently working.
My girlfriend recently went for HCV testing. From what she can remember her (only) possible exposure was having unprotected sex twice with her ex-boyfriend, six months before the tests were carried out.
Her results were as follows:
HCV-Ab 1.33 (positive is >= 1.0) HCVRNAFQ < 500 copies/ml ALT 14 U/L (test range 0 40)
The following CDC documents:
appear to suggest a further RIBA test is necessary to confirm her status. However from reading postings on your site I am not sure. Could you please tell me should she get a RIBA test for confirmation or can she and I rest easy in the knowledge that she does not have the virus, or at least have it in a state that is still potentially harmful to her or myself?
Hope you can help out, it is a little difficult for me to find an understanding doctor here and the past couple of weeks have been quite stressful. Thanks.
| Response from Dr. McGovern
If her only possible exposure is the route you describe, I would pursue testing with RIBA since I am not sure that this is a true positive or not.
If it is positive by RIBA, I would only pursue one more testing of HCV RNA again to be certain that no detectable virus is present.
If it is negative by RIBA then testing is complete.
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