{"id":10051,"date":"2025-07-14T16:55:32","date_gmt":"2025-07-14T13:55:32","guid":{"rendered":"https:\/\/medilab.km.ua\/?p=10051"},"modified":"2026-04-20T18:53:38","modified_gmt":"2026-04-20T15:53:38","slug":"who-needs-analysis-and-what-to-show-for-its-implementation","status":"publish","type":"post","link":"https:\/\/medilab.km.ua\/en\/who-needs-analysis-and-what-to-show-for-its-implementation\/","title":{"rendered":"Hepatitis D: what is it, who needs the test and what are the indications for it?"},"content":{"rendered":"<p data-start=\"217\" data-end=\"570\">Hepatitis D is an infectious disease caused by the Hepatitis D Virus (HDV). This virus is unique in that it cannot multiply without the simultaneous presence of the hepatitis B virus. Because of this, HDV infection always develops together with hepatitis B, complicating the course of the disease and increasing the risk of developing cirrhosis and liver failure.<\/p>\n<p data-start=\"572\" data-end=\"809\">Hepatitis D is particularly dangerous for people with chronic hepatitis B, as HDV often causes rapid deterioration in their condition. Timely diagnosis allows you to avoid serious complications and correctly adjust the treatment.<\/p>\n<p data-start=\"811\" data-end=\"908\">You can find out more about diagnostic methods on the laboratory website:<br data-start=\"882\" data-end=\"885\" \/><a class=\"\" href=\"https:\/\/medilab.km.ua\/en\/\" target=\"_new\" rel=\"noopener\" data-start=\"885\" data-end=\"906\">https:\/\/medilab.km.ua<\/a><\/p>\n<p data-start=\"910\" data-end=\"1031\">To take a PCR test for hepatitis D or get a consultation, follow the link:<br data-start=\"997\" data-end=\"1000\" \/><a class=\"cursor-pointer\" target=\"_new\" rel=\"noopener\" data-start=\"1000\" data-end=\"1029\">https:\/\/medilab.km.ua\/analizy<\/a><\/p>\n<h2 data-start=\"1038\" data-end=\"1067\">How is hepatitis D transmitted?<\/h2>\n<p data-start=\"1069\" data-end=\"1291\">Hepatitis D virus is transmitted mainly through blood - during medical procedures, blood transfusions, injections with unsterile instruments. Less commonly, infection is possible through sexual contact or from mother to child during childbirth.<\/p>\n<div class=\"_tableContainer_80l1q_1\">\n<div class=\"_tableWrapper_80l1q_14 group flex w-fit flex-col-reverse\" tabindex=\"-1\">\n<table class=\"w-fit min-w-(--thread-content-width)\" data-start=\"1293\" data-end=\"1601\">\n<thead data-start=\"1293\" data-end=\"1334\">\n<tr data-start=\"1293\" data-end=\"1334\">\n<th data-start=\"1293\" data-end=\"1321\" data-col-size=\"sm\">Ways of transmission of hepatitis D<\/th>\n<th data-start=\"1321\" data-end=\"1334\" data-col-size=\"md\">Explanation<\/th>\n<\/tr>\n<\/thead>\n<tbody data-start=\"1379\" data-end=\"1601\">\n<tr data-start=\"1379\" data-end=\"1461\">\n<td data-start=\"1379\" data-end=\"1409\" data-col-size=\"sm\">Parenteral (through blood)<\/td>\n<td data-col-size=\"md\" data-start=\"1409\" data-end=\"1461\">Blood transfusions, injections, medical procedures<\/td>\n<\/tr>\n<tr data-start=\"1462\" data-end=\"1534\">\n<td data-start=\"1462\" data-end=\"1500\" data-col-size=\"sm\">Vertical (from mother to child)<\/td>\n<td data-col-size=\"md\" data-start=\"1500\" data-end=\"1534\">During childbirth or pregnancy<\/td>\n<\/tr>\n<tr data-start=\"1535\" data-end=\"1601\">\n<td data-start=\"1535\" data-end=\"1551\" data-col-size=\"sm\">Sexual path<\/td>\n<td data-col-size=\"md\" data-start=\"1551\" data-end=\"1601\">Possible but less common mode of transmission<\/td>\n<\/tr>\n<\/tbody>\n<\/table>\n<div class=\"sticky end-(--thread-content-margin) h-0 self-end select-none\">\n<div class=\"absolute end-0 flex items-end\"><\/div>\n<\/div>\n<\/div>\n<\/div>\n<hr data-start=\"1603\" data-end=\"1606\" \/>\n<h2 data-start=\"1608\" data-end=\"1651\">Forms of infection and clinical features<\/h2>\n<p data-start=\"1653\" data-end=\"1712\"><a class=\"wpil_keyword_link\" href=\"https:\/\/medilab.km.ua\/en\/analysis\/infectious-disease-panel\/gepatyty\/gepatyt-d-hdv\/gepatyt-d-hdv-real-time-pcr-kilkisne-vyznachennya\/\"   title=\"Hepatitis D (HDV): Real-time PCR-quantitative determination\" data-wpil-keyword-link=\"linked\"  data-wpil-monitor-id=\"126\">Hepatitis D<\/a> can occur in two main clinical forms:<\/p>\n<div class=\"_tableContainer_80l1q_1\">\n<div class=\"_tableWrapper_80l1q_14 group flex w-fit flex-col-reverse\" tabindex=\"-1\">\n<table class=\"w-fit min-w-(--thread-content-width)\" data-start=\"1714\" data-end=\"1917\">\n<thead data-start=\"1714\" data-end=\"1746\">\n<tr data-start=\"1714\" data-end=\"1746\">\n<th data-start=\"1714\" data-end=\"1732\" data-col-size=\"sm\">Form of infection<\/th>\n<th data-start=\"1732\" data-end=\"1746\" data-col-size=\"md\">What is this?<\/th>\n<\/tr>\n<\/thead>\n<tbody data-start=\"1780\" data-end=\"1917\">\n<tr data-start=\"1780\" data-end=\"1840\">\n<td data-start=\"1780\" data-end=\"1793\" data-col-size=\"sm\">Coinfection<\/td>\n<td data-col-size=\"md\" data-start=\"1793\" data-end=\"1840\">Simultaneous infection with hepatitis B and D viruses<\/td>\n<\/tr>\n<tr data-start=\"1841\" data-end=\"1917\">\n<td data-start=\"1841\" data-end=\"1857\" data-col-size=\"sm\">Superinfection<\/td>\n<td data-col-size=\"md\" data-start=\"1857\" data-end=\"1917\">HDV infection on the background of pre-existing chronic hepatitis B<\/td>\n<\/tr>\n<\/tbody>\n<\/table>\n<div class=\"sticky end-(--thread-content-margin) h-0 self-end select-none\">\n<div class=\"absolute end-0 flex items-end\"><\/div>\n<\/div>\n<\/div>\n<\/div>\n<p data-start=\"1919\" data-end=\"2151\"><strong data-start=\"1919\" data-end=\"1933\">Coinfection<\/strong> often leads to severe acute hepatitis with a high risk of developing acute liver failure.<br data-start=\"2049\" data-end=\"2052\" \/><strong data-start=\"2052\" data-end=\"2069\">Superinfection<\/strong> threatens patients with chronic hepatitis B and often accelerates the development of cirrhosis.<\/p>\n<h2 data-start=\"2158\" data-end=\"2204\">What symptoms may indicate an infection?<\/h2>\n<p data-start=\"2206\" data-end=\"2296\">Hepatitis D can remain asymptomatic for a long time. But over time, it manifests itself with the following signs:<\/p>\n<ul data-start=\"2298\" data-end=\"2520\">\n<li data-start=\"2298\" data-end=\"2333\">\n<p data-start=\"2300\" data-end=\"2333\">enlarged liver and spleen<\/p>\n<\/li>\n<li data-start=\"2334\" data-end=\"2358\">\n<p data-start=\"2336\" data-end=\"2358\">rapid fatigue<\/p>\n<\/li>\n<li data-start=\"2359\" data-end=\"2387\">\n<p data-start=\"2361\" data-end=\"2387\">nausea, decreased appetite<\/p>\n<\/li>\n<li data-start=\"2388\" data-end=\"2439\">\n<p data-start=\"2390\" data-end=\"2439\">feeling of heaviness or pain in the right hypochondrium<\/p>\n<\/li>\n<li data-start=\"2440\" data-end=\"2469\">\n<p data-start=\"2442\" data-end=\"2469\">joint and muscle pain<\/p>\n<\/li>\n<li data-start=\"2470\" data-end=\"2485\">\n<p data-start=\"2472\" data-end=\"2485\">weight loss<\/p>\n<\/li>\n<li data-start=\"2486\" data-end=\"2499\">\n<p data-start=\"2488\" data-end=\"2499\">jaundice<\/p>\n<\/li>\n<li data-start=\"2500\" data-end=\"2520\">\n<p data-start=\"2502\" data-end=\"2520\">skin rashes<\/p>\n<\/li>\n<\/ul>\n<h2 data-start=\"2527\" data-end=\"2570\">When should you get tested for hepatitis D?<\/h2>\n<div class=\"_tableContainer_80l1q_1\">\n<div class=\"_tableWrapper_80l1q_14 group flex w-fit flex-col-reverse\" tabindex=\"-1\">\n<table class=\"w-fit min-w-(--thread-content-width)\" data-start=\"2572\" data-end=\"3016\">\n<thead data-start=\"2572\" data-end=\"2622\">\n<tr data-start=\"2572\" data-end=\"2622\">\n<th data-start=\"2572\" data-end=\"2599\" data-col-size=\"md\">Indications for PCR analysis<\/th>\n<th data-start=\"2599\" data-end=\"2622\" data-col-size=\"sm\">Who is recommended?<\/th>\n<\/tr>\n<\/thead>\n<tbody data-start=\"2675\" data-end=\"3016\">\n<tr data-start=\"2675\" data-end=\"2737\">\n<td data-start=\"2675\" data-end=\"2703\" data-col-size=\"md\">Diagnosis by symptoms<\/td>\n<td data-col-size=\"sm\" data-start=\"2703\" data-end=\"2737\">Patients with hepatitis symptoms<\/td>\n<\/tr>\n<tr data-start=\"2738\" data-end=\"2809\">\n<td data-start=\"2738\" data-end=\"2773\" data-col-size=\"md\">In patients with chronic hepatitis B<\/td>\n<td data-col-size=\"sm\" data-start=\"2773\" data-end=\"2809\">To rule out HDV superinfection<\/td>\n<\/tr>\n<tr data-start=\"2810\" data-end=\"2892\">\n<td data-start=\"2810\" data-end=\"2859\" data-col-size=\"md\">Confirmation of immunological test results<\/td>\n<td data-col-size=\"sm\" data-start=\"2859\" data-end=\"2892\">If antibodies to HDV are detected<\/td>\n<\/tr>\n<tr data-start=\"2893\" data-end=\"2960\">\n<td data-start=\"2893\" data-end=\"2923\" data-col-size=\"md\">Monitoring the course of the disease<\/td>\n<td data-col-size=\"sm\" data-start=\"2923\" data-end=\"2960\">To assess viral load<\/td>\n<\/tr>\n<tr data-start=\"2961\" data-end=\"3016\">\n<td data-start=\"2961\" data-end=\"2993\" data-col-size=\"md\">Evaluation of treatment effectiveness<\/td>\n<td data-col-size=\"sm\" data-start=\"2993\" data-end=\"3016\">After a course of therapy<\/td>\n<\/tr>\n<\/tbody>\n<\/table>\n<div class=\"sticky end-(--thread-content-margin) h-0 self-end select-none\">\n<div class=\"absolute end-0 flex items-end\"><\/div>\n<\/div>\n<\/div>\n<\/div>\n<h2 data-start=\"3023\" data-end=\"3066\">Why is it important to undergo PCR diagnostics?<\/h2>\n<p data-start=\"3068\" data-end=\"3226\">Polymerase chain reaction (PCR) is a highly sensitive laboratory diagnostic method that can detect viral RNA as early as 14 days after infection.<\/p>\n<p data-start=\"3228\" data-end=\"3251\">Advantages of PCR analysis:<\/p>\n<ul data-start=\"3252\" data-end=\"3393\">\n<li data-start=\"3252\" data-end=\"3288\">\n<p data-start=\"3254\" data-end=\"3288\">detection of the virus at an early stage<\/p>\n<\/li>\n<li data-start=\"3289\" data-end=\"3319\">\n<p data-start=\"3291\" data-end=\"3319\">high sensitivity (93\u201395%)<\/p>\n<\/li>\n<li data-start=\"3320\" data-end=\"3344\">\n<p data-start=\"3322\" data-end=\"3344\">accuracy of results<\/p>\n<\/li>\n<li data-start=\"3345\" data-end=\"3393\">\n<p data-start=\"3347\" data-end=\"3393\">ability to control viral load<\/p>\n<\/li>\n<\/ul>\n<h2 data-start=\"3400\" data-end=\"3440\">What do the results of the PCR analysis mean?<\/h2>\n<div class=\"_tableContainer_80l1q_1\">\n<div class=\"_tableWrapper_80l1q_14 group flex w-fit flex-col-reverse\" tabindex=\"-1\">\n<table class=\"w-fit min-w-(--thread-content-width)\" data-start=\"3442\" data-end=\"3652\">\n<thead data-start=\"3442\" data-end=\"3468\">\n<tr data-start=\"3442\" data-end=\"3468\">\n<th data-start=\"3442\" data-end=\"3454\" data-col-size=\"sm\">Result<\/th>\n<th data-start=\"3454\" data-end=\"3468\" data-col-size=\"md\">What does it mean?<\/th>\n<\/tr>\n<\/thead>\n<tbody data-start=\"3497\" data-end=\"3652\">\n<tr data-start=\"3497\" data-end=\"3567\">\n<td data-start=\"3497\" data-end=\"3510\" data-col-size=\"sm\">Positive<\/td>\n<td data-col-size=\"md\" data-start=\"3510\" data-end=\"3567\">Confirmation of disease, active viral replication<\/td>\n<\/tr>\n<tr data-start=\"3568\" data-end=\"3652\">\n<td data-start=\"3568\" data-end=\"3581\" data-col-size=\"sm\">Negative<\/td>\n<td data-col-size=\"md\" data-start=\"3581\" data-end=\"3652\">Absence of infection, carriage without virus replication, or recovery<\/td>\n<\/tr>\n<\/tbody>\n<\/table>\n<div class=\"sticky end-(--thread-content-margin) h-0 self-end select-none\">\n<div class=\"absolute end-0 flex items-end\"><\/div>\n<\/div>\n<\/div>\n<\/div>\n<h2 data-start=\"3659\" data-end=\"3702\">Why are additional tests prescribed?<\/h2>\n<p data-start=\"3704\" data-end=\"3741\">Along with PCR, the doctor may prescribe:<\/p>\n<ul data-start=\"3742\" data-end=\"3851\">\n<li data-start=\"3742\" data-end=\"3783\">\n<p data-start=\"3744\" data-end=\"3783\">Determination of specific antibodies to HDV<\/p>\n<\/li>\n<li data-start=\"3784\" data-end=\"3851\">\n<p data-start=\"3786\" data-end=\"3851\">Detection of immunoglobulins G and M to assess the stage of the disease<\/p>\n<\/li>\n<\/ul>\n<p data-start=\"3853\" data-end=\"3954\">This allows for a comprehensive assessment of the course of the disease, determining the active phase of the infection or the stage of recovery.<\/p>\n<p data-start=\"3976\" data-end=\"4215\">Hepatitis D is a dangerous disease that always accompanies hepatitis B and can significantly complicate its course. Timely PCR diagnostics allows you to detect the infection at an early stage, determine the activity of the virus and monitor treatment.<\/p>\n<p data-start=\"4217\" data-end=\"4341\">Contact the laboratory <strong data-start=\"4244\" data-end=\"4260\">Medilab Plus<\/strong> \u2014 we guarantee accurate results and an individual approach to each patient.<\/p>","protected":false},"excerpt":{"rendered":"<p>Hepatitis D is an infectious disease caused by the Hepatitis D Virus (HDV). This virus is unique in that it is unable to<\/p>","protected":false},"author":97,"featured_media":10052,"comment_status":"open","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[1],"tags":[],"class_list":["post-10051","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-blog"],"_links":{"self":[{"href":"https:\/\/medilab.km.ua\/en\/wp-json\/wp\/v2\/posts\/10051","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/medilab.km.ua\/en\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/medilab.km.ua\/en\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/medilab.km.ua\/en\/wp-json\/wp\/v2\/users\/97"}],"replies":[{"embeddable":true,"href":"https:\/\/medilab.km.ua\/en\/wp-json\/wp\/v2\/comments?post=10051"}],"version-history":[{"count":0,"href":"https:\/\/medilab.km.ua\/en\/wp-json\/wp\/v2\/posts\/10051\/revisions"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/medilab.km.ua\/en\/wp-json\/wp\/v2\/media\/10052"}],"wp:attachment":[{"href":"https:\/\/medilab.km.ua\/en\/wp-json\/wp\/v2\/media?parent=10051"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/medilab.km.ua\/en\/wp-json\/wp\/v2\/categories?post=10051"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/medilab.km.ua\/en\/wp-json\/wp\/v2\/tags?post=10051"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}