What does a positive hepatitis B e-antibody (HBeAb) test result mean?

Generally, a positive hepatitis B e-antibody (HBeAb) test typically reflects a state following hepatitis B virus infection. However, its specific significance needs to be determined comprehensively based on other hepatitis B markers and related examinations. Detailed analysis is as follows:

A positive HBeAb result is a serological manifestation of hepatitis B virus infection, suggesting that viral replication activity may have decreased and the infectivity is generally weaker compared to when the virus is actively replicating. However, this indicator alone cannot serve as the basis for diagnosing the condition. It should be interpreted in combination with other test results such as hepatitis B surface antigen (HBsAg), hepatitis B core antibody (HBcAb), hepatitis B virus DNA quantitative testing, and liver function tests to comprehensively assess the status of the virus and liver health. In some cases, viral mutations may still occur, so vigilance is necessary.

Routinely, patients should regularly return to a reputable hospital for follow-up tests and closely monitor any changes in their condition. They should maintain a regular lifestyle and avoid excessive fatigue and staying up late. Dietary balance is important, including reduced intake of spicy and greasy foods. Alcohol consumption must be strictly avoided to prevent additional stress on the liver. Patients should not take any medications or health products that may damage the liver without medical advice and should seek timely medical attention if any physical discomfort occurs, following the guidance of qualified physicians.