|Monday||09.00am - 17.00pm|
|Tuesday||09.00am - 17.00pm|
|Wednesday||09.00am - 17.00pm|
|Thursday||09.00am - 17.00pm|
|Friday||09.00am - 17.00pm|
The department offers a late booking for Antenatal patients for HIV and Hepatitis B (in 1 hr) and Syphilis (with 24 hr).
This on-call service is available:
If there is a significant clinical need for any other specific test, please contact the on-call microbiology consultant for further information.
The on-call service is available:
This is a guide to the range of tests available forHepatitis serology. If you have any specific queries about the testing methods please contact the serology team on 01332 788 224.
If your question is regarding a specific patient and clinical advice is required, contact on the on-call microbiology consultant via switchboard 01332 340 131.
If you require a screening test for Hepatitis A, B, C or E please send a clotted blood sample (red top). If a hepatitis B DNA is required please send a clotted blood sample (red top). If the patient has had a positive screening test for Hepatitis C and requires a viral load or genotype please send an EDTA sample (purple top). For turnaround times please see the test database.
Hepatitis A or infectious jaundice is caused by hepatitis A virus (HAV transmitted by the faecal-oral route, often associated with ingestion of raw or partially cooked contaminated food. Several large outbreaks have occurred in injecting drug users (IUDs) and among men who have sex with men.
Hepatitis A total antibody (IgM and IgG)
Hepatitis A IgM antibodies
Hepatitis B virus can cause both acute and chronic hepatitis. Methods of transmission include blood (blood transfusion, now rare), intravenous drug use, equipment used for tattooing, sexually or via mother to child. Shaving accessories such as razor blades, or touching wounds on infected persons with exposed broken skin has also been link to transmission of the virus. It is a notifiable disease.
Hepatitis B surface antigen
Hepatitis B surface antibody
Hepatitis B core total antibodies (IgM and IgG)
Hepatitis B e antigen
Hepatitis C can be transmitted through contact with blood (IVDU) and can also cross the placenta. Hepatitis C usually leads to chronic hepatitis, culminating in cirrhosis in some people. It usually remains asymptomatic for decades.
Hepatitis C antibodies
Hepatitis C RNA PCR
Hepatitis C genotyping
HEV is transmitted by the faecal-oral route and is common in Asia, Africa and Central America, particularly where sanitation is poor. HEV usually produces mild disease but in rare cases it can prove fatal, particularly in pregnant women. It is a relatively uncommon cause of viral hepatitis in the United Kingdom.
Hepatitis E IgG antibodies
Hepatitis E IgM antibodies
Infections (I°) which may present with a “rash” illness in pregnant females in the UK include:
IMN (EBV or CMV rarely)
Streptococcus ) Not considered in this guidance as
Meningococcus ) rash as specific and different guidelines/protocol
A range of other I° not endemic within the UK and need to be considered if thee is a history of recent travel to an endemic area (eg, Dengue).
At booking, the Midwife (MW) should:
Enquire if the patient has previously had chicken pox (CPox) or shingles. If not, make urgent contact if she either has contact with CPox or shingles or develops CPox type vesicles.
Inform her MW, GP or Obstetrician if she has “contact” in pregnancy with someone who has a rash or if she develops rash in pregnancy.
Being in the same room (eg, house or classroom or 2-4 bed hospital bays for a period of 15 minutes or more or face to face contact.
When calling the Microbiologist, please state whether it is:
Significant contact or not
Period of gestation
Date of contact
Description of rash on the index patient or diagnosis