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Hepatitis and HIV CoinfectionHepatitis and HIV Coinfection
           
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Which labs to be drawn
Oct 29, 2005

My partner recently tested positive for Hep B and Hep C. Before we became sexually active, I was tested for STDs with the following results: All other tests were negative. Hep B Surface Antigen (ELISA) Positive (Reactive screening test) Hep B Surface Antigent (Neutralization) Negative Antibody to Hepatitis B Core Antigen (by ELISA) negative The accompanying paper work included the following: An additional test for antibody to Hepatitis B core is negative. These test results are usually associated with False Positive reactions for the HBV. The results are not suggestive of HBV infection.

I have not been vaccinated. We have been monogomous and have had unprotected sex. 1.What do these results really mean. 2. Is there a chance I might been vaccinated from a prior exposure to Hep B. (ER Nurse years ago) 3. What tests should I be sure are included to ensure a complete evaluation of my health status?

Response from Dr. McGovern

I would get a hepatitis B surface antibody and if that is negative, you were never vaccinated or lost protective antibodies over time and should get immunized.

I also would not have unprotected sex until your immunizations are in order.

Your partner may want to also clarify if he had past exposure to hepatitis B or is a chronic carrier. He may also want counseling as to whether HIV testing is warranted. Dr. M



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