Diseases 

Viral hepatitis by fecal-oral transmission 

Organisms 

Hepatitis A virus 

Test Method 

Chemiluminescent Immunoassay (CLIA) 

2 assays available: 

  • Total hepatitis A antibodies (IgG and IgM): Used for the detection of recent or previous exposure or immunity to hepatitis A  
  • Hepatitis A IgM only: Used for the diagnosis of acute or recent hepatitis A infection. 

Availability

Specimen type 

Serum  

  • Minimum volume required: 0.75mL 
  • Blood collected in a serum separator tube (SST) is recommended   

Specimen collection instructions 

  1. Collect the blood aseptically by venipuncture in SST and centrifuge from red blood cells within 2 hours
  2. Store spun SST frozen at <-20°C to stage for shipping.  Self-defrosting freezers are not recommended for sample storage. 
  3. Indicate date shipped and date frozen on the Fairbanks Lab Request Form. 

Storage and transport  

Ship on dry ice or many frozen cold packs. 

  • Ambient temperature shipping is not recommended per reagent manufacturer guidelines.  
  • Refrigerated specimens are also not recommended due to manufacturer limitations on completing testing within 7 days (including transit time) if stored at 2-8°C. 
  • Samples received warm, grossly hemolyzed, highly lipemic or turbid, or collected in other collection devices may be rejected.   

Ship to: Fairbanks Public Health Laboratory, ATTN: Clinical Virology   

Results  

  • Hepatitis A Total Antibody: Negative, Positive, Equivocal 
  • Hepatitis A IgM Antibody: Negative, Reactive, Equivocal 

For Hepatitis A Total Antibody for vaccinated individuals or those that have recovered from previous infection, a normal result is positive.

A normal result for HAV IgM is negative. 

Interpretation: Clinical Screening and Diagnosis for Hepatitis A

Turnaround time  

1-4 days

CPT code and fee

86708 

ASPHL Fee Agreement Form

Resources

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