Overview

Hepatitis C screening usually begins with antibody testing. A positive antibody test may require RNA testing to confirm current infection.

What it detects

Hepatitis C antibodies and, when indicated, viral RNA.

Sample type

Blood sample.

When it may be appropriate

Routine screening in risk groups, abnormal liver tests or partner questions.

Window period considerations

Antibodies take time to develop; RNA may detect infection earlier.

Test limitations

Antibody positivity does not always mean current infection.

Interpretation basics

Positive antibody with positive RNA suggests current infection; positive antibody alone may indicate past or resolved infection.

Follow-up recommendations

Confirm with RNA, assess liver status and discuss treatment if infected.

Key points

  • Antibody then RNA confirmation
  • Blood-based
  • Curable with treatment
  • Risk-based screening

When to seek care

  • Routine risk screening
  • Abnormal liver tests
  • Partner questions