[MCOH-EH] Incompletely Vaccinated HepB & Immunity Titers

[Therese Bovee-McKelvey]

Greetings;

CDC states that healthcare workers must have documentation of 3 valid HepB vaccinations followed by titer to determine immunity.

Clinician Consultation Center states " If exposed person is known to be immune (e.g., they were told they had a positive response to a complete HBV vaccine series, indicated by post-vaccination HBsAb titer ...), they are considered to have lifelong immunity and need no hepatitis B testing or post-exposure treatment.


Many healthcare workers come in with no or partial documentation of completing a HBV vaccine series but most have documentation of a positive HBsAb titer.  Does your facility accept documentation of completed HBV series and/or HBsAb titer to confirm immunity?  Or so you require documentation for both?

If worker (History as above) later has exposure to positive HBV source patient how do you follow-up with them?  Do you follow the Clinician Consultation Center Recommendations for Post-Exposure Prophylaxis After HBV Exposure under the category of "Unvaccinated or Incompletely Vaccinated" and follow-up for 6 months ?  Or would you do another HBsAb titer?


Thanks for any responses, it all helps.

Therese
Therese Bovee McKelvey, MN, RN  Sr. Employee Health Nurse - Employee Health
425.899.2278 (P)  |  425.899.2277 (F)  | TMBoveeMcKelvey at evergreenhealth.com<mailto:TMBoveeMcKelvey at evergreenhealth.com>
EvergreenHealth MS-42, 12040 NE 128th St., Kirkland, WA 98034
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