[MCOH-EH] Hep B and Non Responder Status

[Abhijay Karandikar]

Taking this a little further, is anyone administering high dose (dialysis dose) vaccines or intradermal doses to non responders? If yes, what has been your conversion rate? How do you "sell" these approaches to your employees (show them PubMed articles, other research, etc.)?
Abhijay

Abhijay P. Karandikar, MD, MPH, FACOEMMedical Director - Occupational Medicine & Employee Health Clinic


      From: "Hanna, Raye Nell" <HANNAR1 at covhs.org>
 To: MCOH/EH <mcoh-eh at mylist.net> 
 Sent: Friday, September 22, 2017 3:11 PM
 Subject: Re: [MCOH-EH] Hep B and Non Responder Status
   
#yiv0272941542 #yiv0272941542 -- _filtered #yiv0272941542 {font-family:Calibri;panose-1:2 15 5 2 2 2 4 3 2 4;} _filtered #yiv0272941542 {font-family:Tahoma;panose-1:2 11 6 4 3 5 4 4 2 4;} _filtered #yiv0272941542 {font-family:Consolas;panose-1:2 11 6 9 2 2 4 3 2 4;}#yiv0272941542 #yiv0272941542 p.yiv0272941542MsoNormal, #yiv0272941542 li.yiv0272941542MsoNormal, #yiv0272941542 div.yiv0272941542MsoNormal {margin:0in;margin-bottom:.0001pt;font-size:11.0pt;}#yiv0272941542 a:link, #yiv0272941542 span.yiv0272941542MsoHyperlink {color:blue;text-decoration:underline;}#yiv0272941542 a:visited, #yiv0272941542 span.yiv0272941542MsoHyperlinkFollowed {color:purple;text-decoration:underline;}#yiv0272941542 pre {margin:0in;margin-bottom:.0001pt;font-size:10.0pt;}#yiv0272941542 p.yiv0272941542MsoListParagraph, #yiv0272941542 li.yiv0272941542MsoListParagraph, #yiv0272941542 div.yiv0272941542MsoListParagraph {margin-top:0in;margin-right:0in;margin-bottom:0in;margin-left:.5in;margin-bottom:.0001pt;font-size:11.0pt;}#yiv0272941542 p.yiv0272941542msonormal0, #yiv0272941542 li.yiv0272941542msonormal0, #yiv0272941542 div.yiv0272941542msonormal0 {margin-right:0in;margin-left:0in;font-size:12.0pt;}#yiv0272941542 span.yiv0272941542EmailStyle19 {color:windowtext;}#yiv0272941542 span.yiv0272941542EmailStyle20 {color:#44546A;font-weight:normal;font-style:normal;text-decoration:none none;}#yiv0272941542 span.yiv0272941542EmailStyle21 {color:#1F497D;}#yiv0272941542 span.yiv0272941542EmailStyle22 {color:windowtext;}#yiv0272941542 span.yiv0272941542HTMLPreformattedChar {}#yiv0272941542 span.yiv0272941542EmailStyle25 {color:#1F497D;}#yiv0272941542 .yiv0272941542MsoChpDefault {font-size:10.0pt;} _filtered #yiv0272941542 {margin:1.0in 1.0in 1.0in 1.0in;}#yiv0272941542 div.yiv0272941542WordSection1 {}#yiv0272941542 We give 6 vaccines and a negative HBSAB before we call them a non-responder.    Raye Nell     Raye Nell Hanna, RN, MPH, COHN-S Manager Employee Health Covenant Health 3606 19th St Lubbock, TX 79410 Phone (806) 725-0098    From: MCOH-EH [mailto:mcoh-eh-bounces at mylist.net]On Behalf Of Lisa Dyrdahl
Sent: Friday, September 22, 2017 2:04 PM
To: MCOH/EH
Subject: [MCOH-EH] Hep B and Non Responder Status    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 diately notify us by return email, and delete this message from your computer. DISCLAIMER: This message is confidential, intended only for the named recipient(s) and may contain information that is privileged or exempt from disclosure under applicable law. If you are not the intended recipient(s), you are notified that the dissemination, distribution or copying of this information is strictly prohibited. If you received this message in error, please notify the sender then delete this message. ---------------------------------------
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