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Test Code HBSAG Hepatitis B Surface Antigen

Infectious

Additional Codes

EPIC LAB4122

Clinical Significance

Viral hepatitis is a major public health problem of global importance with an estimated 300 million persistent carriers of hepatitis B virus (HBV) worldwide. Infection with HBV results in a wide spectrum of acute and chronic liver diseases that may lead to cirrhosis and hepatocellular carcinoma.

 

Viral hepatitis is a disease of the liver that is caused by a number of well-characterized viruses including HBV. Transmission of HBV occurs by percutaneous exposure to blood products and contaminated instruments, sexual contact and perinatally from HBV-infected mothers to their unborn child. HBV infection produces an array of unique antigens and antibody responses that, in general, follow distinct serological pattersn. Hepatitis B surface antigen (HBsAg), derived from the viral envelope, is the first antigen to appear following infection and can be detected serologically as an aid in the laboratory diagnosis of acute HBV infection.

 

Source: Vitros ECiQ, HBsAg IFU. Pub. No. GEM1201 Version 11.0

Methodology

Immunometric immunoassay (Vitros ECiQ)

Sample Type

Preferred Sample Type
Yellow top - Serum

 

Acceptable Sample Type(s)
Red top - Serum
Light green top - Plasma

Centrifuge: Yes

Specimen Minimum Volume

0.5 mL

Specimen Stability

Temperature Time
Ambient (18-25°C) 8 hours
Refrigerated (2-8°C) (store) 48 hours
Frozen (-15 to -20°C) 1 month*

Separate serum or plasma from cells ASAP.

*Thaw only once.

Reference Ranges

Assay (1st Run) Normalized Signal Interpretation Assay Repeat (2nd/3rd Run) Normalized Signal Interpretation
HBsAg <0.90 Negative (N) HBsAg <1.00 Negative (N)
≥0.90 and ≤5.00 Retest ≥1.00 and ≤5.00 Reactive (VRE)*
>5.00 Positive (P) >5.00 Positive (P)

*Repeat values that are Reactive (>1 and <5) will reflex the mayo sendout HBAG for confirmation.

Rejection Criteria

Hemolysis N/A
Icterus N/A
Lipemia 1+ or greater, ultracentrifuge

 

Availability

Performed STAT
24/7 Yes

 

Performing Laboratory

MultiCare Yakima Memorial Hospital Laboratory

Lab Department

Chemistry

CPT Code

87340

LOINC

5196-1 HBV Surface Ag IA (QI)

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