Hepatitis antibodies
At the beginning of this year, I had a one-night stand with someone who is a carrier of hepatitis B.
In December of last year, I underwent a health check-up, which showed that my hepatitis B surface antigen was negative (-) and my hepatitis B surface antibody was positive (+).
Do I have a chance of being infected with hepatitis B? Or should I not worry because I have the hepatitis B antibodies? I read online that it is related to the concentration of the antibodies, but my health report only indicates positive without specifying the concentration.
How can I know if the concentration is sufficient? I have received the hepatitis B vaccine, and as long as the antibody test is positive, does that mean I am immune to hepatitis B?
Mr. Ye, 30~39 year old female. Ask Date: 2017/02/17
Dr. Cai Anshun reply Gastroenterology and Hepatology
Hello: Having antibodies means there is immunity and a reduced risk of infection; however, if the antibody titer is too low, it can indeed diminish the protective effect of the antibodies.
If you are unsure whether your antibody titer is sufficient, you can visit a gastroenterologist, who can arrange for a blood test to check.
Changhua Hospital cares about your health.
Dr.
Tsai An-shun.
Reply Date: 2017/02/17
More Info
Based on your inquiry regarding Hepatitis B and your recent health check-up results, it appears that you have a solid understanding of your current status. Let’s break down the key points to clarify your situation and address your concerns.
1. Understanding Your Test Results: Your test results indicate that you are HBsAg negative (which means you do not currently have an active Hepatitis B infection) and HBsAb positive (indicating that you have antibodies against Hepatitis B). This is a reassuring sign, as it suggests that you have either been vaccinated against Hepatitis B or have cleared a past infection, and you are likely immune to the virus.
2. Risk of Infection: Since you have HBsAb positive, you are generally considered protected against Hepatitis B infection. The presence of antibodies means that your immune system has responded to either vaccination or a previous infection, providing you with immunity. Therefore, the risk of contracting Hepatitis B from a partner who is a carrier is significantly reduced. However, it is important to note that the effectiveness of this immunity can depend on the antibody levels, which are not specified in your report.
3. Antibody Levels: While your report indicates that you are positive for Hepatitis B surface antibodies, it does not provide the quantitative level of these antibodies. Generally, a level of 10 mIU/mL or higher is considered protective. If you are concerned about whether your antibody levels are sufficient, you can request a quantitative HBsAb test from your healthcare provider. This will give you a clearer picture of your immunity status.
4. Vaccination History: If you have received the Hepatitis B vaccine in the past, it is expected that your body would produce antibodies. The presence of these antibodies indicates that your immune system has successfully responded to the vaccine. If you were previously infected and have cleared the virus, your body would also produce antibodies as part of the recovery process.
5. Follow-Up and Monitoring: While your current results are encouraging, it is wise to maintain regular follow-ups with your healthcare provider. They may recommend periodic testing to monitor your antibody levels, especially if you have had potential exposure to Hepatitis B. This is particularly important if you have any changes in your health status or if you engage in activities that may increase your risk of exposure.
6. General Precautions: Even with a positive antibody status, it is always prudent to practice safe behaviors, especially in sexual encounters. Using protection can help prevent the transmission of other sexually transmitted infections (STIs) and provide an additional layer of safety.
In summary, your current test results indicate that you are likely immune to Hepatitis B, and the risk of infection from a carrier is low. However, if you have any lingering concerns or if your lifestyle changes, consider discussing further testing or vaccination with your healthcare provider to ensure continued protection. Regular monitoring and safe practices will help maintain your health and peace of mind.
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