Hepatitis B Five Report Only hepatitis B Core Is Positive Need Treatment

Only the positive core antibody of hepatitis B in the Five Items Report of hepatitis B usually does not need treatment, but it needs to be comprehensively evaluated in combination with other examinations. Positive hepatitis B core antibody may indicate past infection or concealed infection. It is suggested to improve hepatitis B virus DNA test, liver function and other tests to clarify the condition.

When hepatitis B core antibody is positive and other indicators are negative, most of them belong to the recovery state after previous infection. The human immune system has cleared the virus, leaving only antibody markers. At this point, the virus has no replication ability, normal liver function, and extremely low infectivity. Some individuals may develop a simple positive core antibody due to vaccination, which is considered a normal immune response. This kind of situation does not need medication intervention, but it is recommended to recheck the liver function and five items of hepatitis B every 6-12 months, and observe the changes of indicators.

In a few cases, positive core antibody may be accompanied by occult hepatitis B virus infection. Virus DNA testing can detect low-level replication, and there may be slight inflammatory damage to the liver. If there are elevated transaminase levels, abnormal liver ultrasound, or abnormal liver fibrosis indicators at the same time, antiviral therapy should be considered. When pregnant women show a simple positive core antibody, the risk of mother to child transmission should be ruled out through high-precision DNA testing. Individuals with low immune function may experience viral reactivation and require close monitoring of viral load.

It is necessary to avoid drinking alcohol and reduce high-fat diet in daily life to alleviate the burden on the liver. Pay attention to storing personal items separately to prevent potential transmission. When symptoms such as fatigue, decreased appetite, and discomfort in the liver area occur, timely follow-up examinations should be conducted. All persons infected with hepatitis B virus should avoid sharing razors, toothbrushes and other objects that may contact with blood with others, and take protective measures during sexual contact.