Your Hepatitis B Test Results: Immunity Explained - Family Medicine

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Hepatitis B


Dear Doctor,
Regarding my health check report, it states that Hepatitis B surface antigen is 0.084 (negative) and Hepatitis B surface antibody is 1.067 (positive).
The report mentions, "Hepatitis B antibodies are present, indicating immunity."
Could you please clarify what this means? Does it mean that I already have antibodies and will not be infected again, or do I still need to receive a vaccination?
Thank you for your assistance.

Ji Wa Wa, 10~19 year old female. Ask Date: 2005/01/31

Dr. Huang Jianling reply Family Medicine


Hello, if the hepatitis B virus infection can be cleared by the immune system, resulting in the production of surface antibodies (anti-HBs), it indicates that the individual has recovered and has permanent immunity, thus no further vaccination is needed.
If the virus cannot be cleared, the surface antigen (HBsAg) will persist, and no anti-HBs will be produced, leading to a chronic carrier state.
Your report likely indicates that you are HBsAg negative and anti-HBs positive, which means you have immunity and do not require further vaccination.
This response is provided by Dr.
Chen Zhi-Ping, a specialist in hepatobiliary and gastroenterology.

Reply Date: 2005/01/31

More Info


Understanding your Hepatitis B test results is crucial for assessing your immunity against the virus. Based on the information you've provided, your test results indicate that you have a negative Hepatitis B surface antigen (HBsAg) and a positive Hepatitis B surface antibody (anti-HBs). This combination of results is significant in determining your immune status regarding Hepatitis B.

1. Negative HBsAg (0.084): This result indicates that you are not currently infected with the Hepatitis B virus. HBsAg is a marker for active infection, and a negative result means that there is no detectable virus in your bloodstream at this time.

2. Positive anti-HBs (1.067): This result shows that you have antibodies against the Hepatitis B virus. The presence of these antibodies typically indicates that you have either recovered from a past infection or have been vaccinated against Hepatitis B. Since you have a positive anti-HBs result, it suggests that you have developed immunity to the virus.


Interpretation of Your Results
Given your test results, it can be concluded that you have immunity to Hepatitis B. This immunity can arise from two primary scenarios:
- Past Infection: If you had a previous infection with Hepatitis B, your body has successfully cleared the virus, and you have developed antibodies as a result. This means you are no longer at risk of active infection.

- Vaccination: If you have been vaccinated against Hepatitis B, your body has produced antibodies in response to the vaccine, providing you with immunity.


Implications of Your Results
Since your report states that you have "已具B型肝炎抗體" (you already have Hepatitis B antibodies), it confirms that you possess immunity. This means you are protected against future infections with the Hepatitis B virus. Therefore, you do not need to receive the Hepatitis B vaccine again unless advised by your healthcare provider for specific reasons, such as if your antibody levels were to drop significantly over time or if you are at high risk for exposure.


Monitoring and Follow-Up
While your current results indicate immunity, it is still essential to maintain regular health check-ups, especially if you are at risk for other liver diseases or if you have any underlying health conditions. If you have any concerns about your liver health or if you experience symptoms such as fatigue, jaundice, or abdominal pain, you should consult your healthcare provider for further evaluation.

In summary, your test results indicate that you have immunity against Hepatitis B, and you are not at risk of being infected with the virus at this time. It is always a good practice to discuss your results with your healthcare provider for personalized advice and recommendations based on your health history and lifestyle.

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