Fast Five Quiz: Liver Disease

B.S. Anand, MD

Disclosures

August 16, 2019

The AASLD/IDSA recommend the following for initial HCV testing and follow-up:

  • Initial HCV testing: HCV antibody test is recommended. If the result is positive, confirm current infection with a sensitive HCV RNA test.

  • Negative HCV antibody test but clinical suspicion of liver disease: Test for HCV RNA or perform follow-up testing for HCV antibody if HCV exposure occurred within the past 6 months; consider testing for HCV RNA in immunocompromised individuals.

  • Reinfection after previous spontaneous or treatment-related viral clearance: Obtain initial HCV RNA testing (because an HCV antibody test result is expected to be positive).

  • Before initiation of antiviral therapy: Obtain quantitative HCV RNA testing to document baseline viral load.

  • Selection of most appropriate antiviral regimen: Use HCV genotype testing for guidance.

  • Positive HCV antibody test with negative HCV RNA by PCR: Inform patients they do not have evidence of current (active) HCV infection.

Read more on the workup of HCV infection.

Comments

3090D553-9492-4563-8681-AD288FA52ACE
Comments on Medscape are moderated and should be professional in tone and on topic. You must declare any conflicts of interest related to your comments and responses. Please see our Commenting Guide for further information. We reserve the right to remove posts at our sole discretion.
Post as:

processing....