
What does a Hep C viral load test mean?
This happens in more than 90% of people who get the recommended treatments. High viral load: This is when your count is more than 800,000 IU/mL. If your viral count is …
How is Hep C treated if my viral load is low?
· A hepatitis C viral load can indicate if people have contracted an active hepatitis C infection or whether treatment is reducing levels of the …
What is the meaning of IU in hepatitis C viral load?
· A viral load of less than 615 IU/mL means there’s no detectable HCV, or it’s too low to detect. During treatment, a falling viral load is an …
Is it necessary to check the viral load repeatedly during treatment?
· An undetectable HCV viral load 10-12 weeks after hepatitis C is completed is associated with a cure. The quantitative HCV RNA test is used to monitor a patient who is currently on treatment. The response to treatment is considered good when the quantitative HCV RNA measurement drops and the virus eventually becomes completely undetectable. Other …

How often check HCV viral load after treatment?
Quantitative HCV viral load testing is recommended 12 or more weeks after completion of therapy to document sustained virologic response (SVR), which is consistent with cure of chronic HCV infection.
When do you treat hep C viral load?
For treatment-naïve noncirrhotic patients, with chronic HCV and a viral load below 6 million international units/mL (IU/mL), treatment duration is generally 8 weeks. However, with a viral load above 6 million IU/mL or with cirrhosis, ledispasvir/sofosbuvir is given for 12 weeks.
How is hep C viral load measured?
The quantitative HCV RNA tests measure the amount of hepatitis C virus in the blood. The result will be an exact number, such as "1,215,422 IU/L." Many people refer to the quantitative measurement as the hepatitis C "viral load."
What is hepatitis viral load test?
The hepatitis B virus DNA quantification, also known as the viral load test, is a blood test that measures the amount of hepatitis B virus DNA (viral load) in the blood of chronically infected patients. The blood is tested using a Polymerase Chain Reaction (PCR) technique.
What are the requirements for hep C treatment?
Hepatitis C infection is treated with antiviral medications intended to clear the virus from your body. Your doctor may recommend one medication or a combination of two to three medications to be taken for 12 – 24 weeks or longer.
What is a low hep C viral load?
Low viral load: This is a count below 800,000 IU/mL. Your odds that treatment will make all or most of your HCV go away are better than with a high viral load.
How do you read HCV test results?
A positive result means that a person has the hepatitis C virus. A negative result means that the body has cleared the virus without treatment. The second test is the hep C RNA quantitative test. The result of this test is given as a number rather than a positive or negative.
Does hep C viral load fluctuate?
Fluctuations in viral load (HCV RNA) are relatively insignificant in untreated patients with chronic HCV infection.
What is the normal range of HCV RNA?
Provides information to assist in interpretation of the test results. This assay has a result range of 15 to 100,000,000 IU/mL (1.18 log to 8.00 log IU/mL) for quantification of hepatitis C virus (HCV) RNA in serum.
What does a viral load of 5000 mean?
A rise from 50,000 to 100,000 may not be significant, but a rise from 5000 to 25,000 is likely to be significant. This result suggests your viral load is five times the level it was at your last viral load test. Your doctor will probably want to confirm this trend with a repeat test.
Can hep C antibodies but no virus?
Antibody test If the test shows you have hepatitis C antibodies in your blood, this means you were infected with hepatitis C at some point in your life, but it does not always mean the virus is still active in your body. You can have a negative or a positive result for the antibodies test.
Why is viral load testing important?
Viral load testing is important because it shows whether someone has an active hepatitis C infection or not. People can have antibodies in their blood from previous exposure to hepatitis C, but they may not have an active infection.
What is viral load?
Viral load refers to the amount of virus present in the bloodstream. Doctors use it as an indicator of whether a treatment is working to reduce virus levels. An undetected viral load suggests a successful treatment of hepatitis C. With treatment, doctors can cure over 90% of hepatitis C cases.
What is an antibody test for HCV?
An HCV antibody test detects antibodies in the blood that the immune system has created to respond to an HCV infection.
What does hepatitis C show?
The hepatitis C viral load shows the amount of virus in a person’s bloodstream. This screening shows if an individual has an active HCV infection and whether they have a high or low viral load.
What does a HCV RNA test show?
An HCV RNA test shows whether people have an active hepatitis C infection or not. An HCV RNA test checks for the viral load to indicate the amount of the virus in the blood.
What does a high viral load mean?
A high viral load indicates high virus levels, while a low viral load indicates lower amounts. The viral load levels do not relate to other effects of hepatitis C, such as liver condition.
Why do we need to test for HCV?
Testing is also crucial to determine if the therapy has cured hepatitis C.
What is viral load testing?
the need for a liver transplant. Once the proper course of treatment is determined, viral load testing can be used to monitor its success and guide future healthcare decisions.
How long does it take for HCV to be detected?
At the end of the planned course of treatment, which is generally 8 to 12 weeks. Trusted Source. , an undetectable viral load means that treatment can be stopped. A sustained virologic response is when the most sensitive tests find no trace of HCV 12 weeks after stopping treatment.
How is HCV transmitted?
The most common methods of HCV transmission are: sharing needles and syringes used for injecting drugs. a mother with hepatitis C transferring HCV to her child during childbirth. Occasionally HCV is transmitted through: having sex with someone who has hepatitis C.
What is the HCV RNA test?
The HCV RNA qualitative test can tell the difference between past and current infections. This test measures the amount of virus in your blood. A third test, viral genotyping, can zero in on the specific HCV in your body. There are several different types of HCV.
What is an antibody test for hepatitis C?
Hepatitis C virus antibody test. An HCV antibody test is a simple blood test used for screening purposes. While this test can detect that HCV has been in your bloodstream, it can’t tell the difference between a previous infection and an active one.
What is considered a high viral load?
High viral load. A viral load of more than 800,000 IU/mL is considered high. This can make successful treatment more challenging.
How long does hepatitis C last?
In fact, in a small number of people, the infection resolves on its own. However, a hepatitis C infection can last anywhere from a few weeks to a lifetime. The illness can lead to: liver damage. liver cancer. the need for a liver transplant.
Why do you need a viral load test?
Viral load tests are used to confirm active hepatitis C infection and are used during treatment to help determine response. If you have lower levels of virus in your blood when you start treatment, you may have a better chance of getting rid of the virus.
How many IU/L is a viral load?
For each patient, the result can be described as either a "high" viral load, which is usually >800,000 IU/L, or a "low" viral load, which is usually <800,000 IU/L. It's not uncommon to have a viral load in the millions. Today's hepatitis C treatments are very effective with both high and low viral loads. An undetectable HCV viral load 10-12 weeks after hepatitis C is completed is associated with a cure.
What is the IU/L of hepatitis C?
Hepatitis C. The viral load of hepatitis C refers to the amount of virus present in the bloodstream. The quantitative HCV RNA tests measure the amount of hepatitis C virus in the blood. The result will be an exact number, such as "1,215,422 IU/L.". Many people refer to the quantitative measurement as the hepatitis C "viral load.".
How long does it take for hepatitis C to cure?
Today's hepatitis C treatments are very effective with both high and low viral loads. An undetectable HCV viral load 10-12 weeks after hepatitis C is completed is associated with a cure.
Is it necessary to check viral load?
It is not necessary to check the viral load repeatedly during treatment. If a quantitative HCV RNA result is reported as "<15 IU/L," this means that the quantitative test cannot measure the hepatitis C virus.
Does viral load tell you anything?
The viral load measurement does not tell us anything about the severity of a patient's liver disease or the degree of fibrosis (scarring). For that information, the patient would need additional testing. It is not necessary to check the viral load repeatedly during treatment.
Is HCV RNA undetectable?
The response to treatment is considered good when the quantitative HCV RNA measurement drops and the virus eventually becomes completely undetectable.
How much viral load is hepatitis C?
Insofar as viral hepatitis C is concerned, a high viral load is usually over 800,000 IU/L, while a low viral load is under 800,000 IU/L. This range can vary significantly, however, based on what is considered average in a specific region or population.
How many viral load results are needed to assess treatment efficacy?
At least two viral load results are needed to assess treatment efficacy. A significantly reduced viral load, like a 100-fold decrease in viral actively, generally means that treatment is working.
What is viral load?
A viral load is simply the measurement of the amount of virus in your blood. Viral load measurements are commonly used to monitor chronic viral diseases such as HIV, hepatitis B (HBV), and hepatitis C (HCV) . BSIP / UIG / Getty Images. In the case of HCV, a test called a quantitative HCV RNA assay is used to measure the virus's genetic material ...
What is the test used to detect the RNA of a virus?
BSIP / UIG / Getty Images. In the case of HCV, a test called a quantitative HCV RNA assay is used to measure the virus's genetic material (RNA) detected in a milliliter of blood. 1 Other technologies can be also used to monitor viral activity, most of which do so by detecting either viral DNA or RNA.
Why is viral load important?
Why Viral Load Is Important. Doctors use your viral load to determine how well you're responding to anti-viral treatment. Typically your viral load will be tested before you start therapy (for hepatitis C, for instance) and then repeated periodically to measure how you are responding.
How long does it take for a virus to be undetectable?
However, if you are able to sustain an undetectable viral load for a period of 24 weeks (and now experts think even just 12 weeks) the likelihood of the virus reappearing (rebounding) is considered extremely low.
What does 800,000 IU mean?
Rather, it means that the lab has determined there are 800,000 international units (IU) in a liter of blood. An IU is a standard measurement used by pathologists to ensure consistency from lab to lab ...
What is viral load?
Your viral load is the amount of viruses present in a given volume of your blood (usually 1 millilitre = 1 cubic centimeter). More precisely, it means that the amount of hepC genetic material found in your blood corresponds to as many hep C viruses as the given number says. Therefore the given number denotes ‘viral equivalents’ (abbreviated: eq ).
What is the first diagnosis of hepatitis C?
The first diagnosis of your hepatitis C was probably made due to the result of an (relatively cheap) antibody test such as ELISA or similar. The result of this test was ‘ positive ‘, and that means that your body at some time has come into contact with the hepatitis C virus and that the immune system of your body developed antibodies ...
What does IU mean in hepatitis C?
The IU = International Unit for the hepatitis C viral load is a unit more or less arbitrarily fixed. Labs now can take part in international comparison tests using a calibrated sample and thereby normalize their results to an international standard. So, in the future results from different laboratories should be directly comparable.
How many hepC viruses are there in a milliliter?
The viral load can range from ‘not detected’ to hundreds of millions hepC viruses per milliliter, or up to near a hundred million IUs (International Units) per milliliter.
How sensitive is the HCV RNA test?
The quantitative HCV RNA test via *PCR* is often somewhat less sensitive – a detection limit of 200eq/ml in the case of the laboratory, to which I go. But as the name says: It measures the quantity of viruses in your blood. It has the advantage to give you a number for the viral load. – There is also a cheaper *bDNA* test. But its much less sensitive, with its detection limit being at approximately 200,000eq/ml.
How many viruses are in IU?
For converting numbers from eq to IU and vice versa, different labs use different conversion factors, in the range from 2 to 5 viruses per IU. If you do not know the factor that your lab uses, using a factor of three might be reasonable. That means: Viral loads given in eq/ml have to be divided by three to get the viral load in IU/ml. And, viral loads given in IU/ml have to be multiplied by three to get the result in eq/ml.
How many Eq/ml is negative for hepatitis C?
– In clinical trials, ‘ negative ‘ nowadays normally is defined as less than 100 Eq/ml.
