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Guideline serological hepatitis diagnostics for medical assistant staff

Rational hepatitis A diagnostics

  • Hepatitis A serology comprises only parameters anti-HAV-IgG and anti-HAV-IgM.
  • On suspicion of an acute infection, IgG and IgM should be requested!
  • For immunity checks, IgG is sufficient.

Rational hepatitis B diagnostics

  • HBs-antigen is the outer surface antigen of HBV. It is a marker for infectivity.
  • Anti-HBc is produced at any contact with the virus, but not after vaccination!
  • Anti-HBs is the marker for immunity, it is aimed against the HBs-antigen. It is the only positive parameter after vaccination.
  • HBe-antigen and anti-HBe are additional markers for the estimation of infectivity.

Rational hepatitis C and hepatitis D diagnostics

Conclusion: For screening of hepatitis B infection, HBs-antigen, anti-HBs and anti-HBc should be tested, for checks following vaccination only anti-HBs (serum for each test).

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Ways of transmitting laboratory results

Our standardized way of sending results is in written format. You will receive a structured compilation of findings, sometimes even in graphic format.

Within the catchment area of our house-own courier service labcar-owl, the results will usually be delivered by the same courier that collects your new samples, the next working day after determination of the findings.  At the same time all required collection-material that you may have requested will be delivered.

Outside of the catchment area of the courier service, you will receive the results by mail within the normal delivery times of the “Deutsche Post”.

Telefax

We transmit results electronically directly after validation to your practice by telefax. Please be aware that the nominated fax machine should always be ready to receive (even outside of your working hours or opening times).

Telephone

Highly pathological results will be telephoned through without due delay.

Remote Data Transfer

In case of remote data transfer, the results in LDT format will be put into a mailbox as soon as they are ready.

The display of the results on the IT system may differ from the printed version. This is dependent on the individual systems used in each practice. Data is collected by the practice as and when required and as technical set-up allows:

  • By modem via the telephone connection- analog or by ISDN
  • By Client via the internet, made available by the laboratory free of cost, encrypted
  • Via the web-portal as LDT-file

The latter ensures that results will be available directly in your practice system as quickly as possible. We will be happy to assist with the implementation of the installation.

Web-portal

The required results can also be viewed or printed by you via the commonly used internet-browsers, such as Internet Explorer, Mozilla Firefox, Chrome etc. This also allows the production of PDF-prints. Of course, data security of patient information is imperative to us and therefore secured by up-to-date security- and encryption mechanisms.

iPhone/Android App

If you have a smart phone, you can access your laboratory results at any time online by using our free mobile client on our iPhone or android App for up to one year.

As with all our services, data protection of patient information is secured by modern security- and encryption mechanisms. To guarantee this, your connection will automatically be disconnected after a time of inactivity with no remaining memory traces of the retrieved data on your smartphone. This means best possible data protection, even in case of the loss of your smartphone.

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You can find our app in the AppStore or in the PlayStore.

 

by
in
For Doctors
on
15. March 2016
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