- Hepatitis C- Quick reference guide for primary care in Northern Ireland
- Hepatitis C positive PCR positive - Clinicians Fact sheet
- Hepatitis C positive - What now - Patient result fact sheet
- Film: Detecting and managing Hepatitis C in primary care
Anyone at risk of hepatitis C should be offered a test, this includes:
- Anyone who has ever injected drugs
- Recipients of unscreened blood transfusion or blood products
- People from countries where hepatitis C is endemic
- People who may have had unsterile medical or dental procedures abroad
- People involved in high risk sexual practices with a person who is HCV positive
- People who may have had ear piercing, body piercing, tattooing or acupuncture with unsterile equipment
- Children born to mothers with HCV who are HCV RNA positive
- Consider for any patient with abnormal liver function tests (LFT), especially elevated alanine aminotransferase (ALT)
Sample required for diagnosis: a clotted blood (2-6ml) sample should be sent to your local laboratory for antibody testing. If positive, tests to detect viral RNA will be performed and a second sample will be required for confirmation.
Further testing will be required if the last exposure risk occurred in the preceding three month 'window period'.