CIHR Canadian HIV Trials Network Coinfection and Concurrent Diseases Core Research Group: 2016 Updated Canadian HIV/Hepatitis C Adult Guidelines for Management and Treatment
Table 2
Baseline assessment of coinfected patients.
Test
Comment
Viral hepatitis screens
HCV antibody
Quantitative HCV RNA
HCV genotype
Hepatitis B surface antigen
Chronic HBV infection
Hepatitis B surface antibody
Immunity to HBV
Hepatitis B core antibody
Hepatitis A IgG
If negative, indicates need for HAV vaccine
Liver-related
Complete blood count
Thrombocytopenia may indicate advanced liver disease
ALT, AST
ALP, GGT
Albumin, INR, and total bilirubin
Abnormalities suggest advanced liver disease
Ultrasound
Fibroscan
Screens for other chronic conditions of liver disease
Alpha-1-antitrypsin
Alpha-1 antitrypsin deficiency
Antinuclear antibody, anti-smooth muscle antibody
Autoimmune hepatitis
Anti-mitochondrial antibody
Primary biliary cholangitis
Ceruloplasmin
Wilson’s disease
Iron saturation
Hemochromatosis
Lipid Profile
Fatty liver disease
TSH
Autoimmune thyroiditis
Immunoglobulins A, G, and M
Autoimmune hepatitis, primary biliary cholangitis, and alcoholic liver disease