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Appendix Table 1. Results of Screening Tests for Hepatitis C Virus and Usual Interpretation*

ELISA Results RIBA Results PCR Results Interpretation
Positive Positive or indeterminate Positive Active or chronic HCV infection
Positive Positive Negative Cleared HCV infection if PCR persistently negative
Positive Negative, intermediate, or not performed Negative Cleared HCV infection or false-positive results on ELISA
Positive Negative Not usually done if RIBA results are negative False-positive results on ELISA
Negative Not performed if ELISA results are negative Not usually done if ELISA results are negative (unless suspicion for acute infection is high) No evidence of past exposure to HCV
Negative Not performed if ELISA results are negative Positive (test is not usually done in clinical settings unless suspicion for infection is high) Early (<7-8 wk) HCV infection or false-negative results

* ELISA = enzyme-linked immunoassay; HCV = hepatitis C virus; PCR = polymerase chain reaction; RIBA = recombinant immunoblot assay.

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