[MCOH-EH] Hep B and Non Responder Status

[Kathy.Dayvault at dekalbmedical.org]

You can find this in the "Pink Book" Epidemiology and Prevention of 
Vaccine preventable diseases. You can access the information through the 
CDC and download chapters without having to buy the book.

2 Complete series, retiter 30 days after 6th vaccination( last one of the 
second series) and if negative draw HBsAg.

We refer if HBsAg is positive; if negative, we consider a non responder.

Thanks, 

Kathy Dayvault, RN, BSN, MPH
 Manager, Occupational Health and Safety 
 WorksWell Onsite
 Dekalb Medical  2701 North Decatur Road
 Decatur, GA 30033
ph: 404.501.4972 Fax:404-501-2045
kathy.dayvault at dekalbmedical.org




From:   Lisa Dyrdahl <Lisa_Dyrdahl at Valleymed.org>
To:     MCOH/EH <mcoh-eh at mylist.net>, 
Date:   09/22/2017 03:05 PM
Subject:        [MCOH-EH] Hep B and Non Responder Status
Sent by:        "MCOH-EH" <mcoh-eh-bounces at mylist.net>



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
Ph: 425-228-3440 X5720
Fax: 425-656-5066
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