CDC Hepatitis C Virus Infection Case Definition (Past or Present)
Most HCV-infected persons are asymptomatic. However, many have chronic liver disease, which can range from mild to severe including cirrhosis and liver cancer.
Laboratory criteria for diagnosis:
Anti-HCV positive (repeat reactive) by EIA, verified by an additional more specific assay (e.g., RIBA for anti-HCV or nucleic acid testing for HCV RNA),
Confirmed: a case that is laboratory confirmed and that does not meet the case definition for acute hepatitis C.
Probable: a case that is anti-HCV positive (repeat reactive) by EIA and has ALT or SGPT values above the upper limit of normal, but the anti-HCV EIA result has not been verified by an additional more specific assay or the signal to cutoff ratio is unknown.
Abbreviations: CDC, Centers for Disease Control and Prevention; HCV, hepatitis C virus; EIA, enzyme immunoassay; RIBA, recombinant immunoblot assay; RNA, ribonucleic acid; ALT or SGPT, alanine aminotranferase.
SOURCE: CDC, 2009a.