[MCOH-EH] Hep B and Non Responder Status

[Swift, Melanie D., M.D.]

You should complete 6 doses then check sAb 4-8 weeks after dose #6, and if negative rule out chronic infection, before you deem someone a nonresponder.

Sent from my iPhone

On Sep 22, 2017, at 2:04 PM, Lisa Dyrdahl <Lisa_Dyrdahl at Valleymed.org<mailto:Lisa_Dyrdahl at Valleymed.org>> wrote:

I have a question about Hep B and Non Responder Status:

I cannot find the citation but I read that HCWs can be considered Non Responders in one of two ways

·         After the 4th Hep B Challenge dose is given and the Hep B Titer and HBSAG are negative

·         Or, you can continue the 2nd series of Hep B through dose #6 and consider Non Responder if the Titer and HBSAG are negative

I cannot  find where I read this now.  Do we have to give the Hep B series twice, (6 doses) before declaring Non Responder, or, do we have an option to do this after the 4th Hep B Booster/Challenge dose and the titer and HBSAB are negative?

Thanks
Lisa Dyrdahl, RN, BSN
Employee Health Nurse
Lisa_Dyrdahl at Valleymed.org<mailto:Lisa_Dyrdahl at Valleymed.org>
Ph: 425-228-3440 X5720
Fax: 425-656-5066
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