| 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.
|