[MCOH-EH] Can Heplisav-B be used for booster dose?

[Higazi, Patricia]

No just one , titer 6 weeks later 56 of 58 were positive

From: MCOH-EH [mailto:mcoh-eh-bounces+higazipj=chkd.com at mylist.net] On Behalf Of Tara Dockery
Sent: Wednesday, August 21, 2019 10:58 AM
To: MCOH-EH
Subject: Re: [MCOH-EH] Can Heplisav-B be used for booster dose?


External:


Patricia when you booster them do you give both doses?

Tara

From: MCOH-EH [mailto:mcoh-eh-bounces at mylist.net] On Behalf Of Higazi, Patricia
Sent: Wednesday, August 21, 2019 6:53 AM
To: MCOH-EH <mcoh-eh at mylist.net>
Subject: Re: [MCOH-EH] Can Heplisav-B be used for booster dose?

We have been using Heplisav for titer negative employees since October last year - so far 98.2 % positive titers post booster (58 ee)

Patricia Higazi  MSN RN COHN
Occupational Health Director
Children's Hospital of The King's Daughters
Norfolk, Virginia 23507
Tel: 757 668 7852
Fax: 757 668 8775



From: MCOH-EH [mailto:mcoh-eh-bounces at mylist.net] On Behalf Of Kim.Norton2 at hcahealthcare.com<mailto:Kim.Norton2 at hcahealthcare.com>
Sent: Wednesday, August 21, 2019 8:37 AM
To: mcoh-eh at mylist.net<mailto:mcoh-eh at mylist.net>
Subject: Re: [MCOH-EH] Can Heplisav-B be used for booster dose?
Importance: High


External:


Hi Tim,
Per the MMWR / January 12, 2018 / Vol. 67 / No. 1 US Department of Health and Human Services/Centers for Disease Control and Prevention.
https://www.cdc.gov/mmwr/volumes/67/rr/pdfs/rr6701-H.PDF

"Response to Revaccination"
A challenge dose of HepB vaccine may be used to determine the presence of vaccine-induced immunologic memory through generation of an anamnestic response. The term "booster dose" has been used to refer to a dose of HepB vaccine administered after a primary vaccination series to provide" (page 12, bottom right).

We utilize this method and have found that the majority will convert to immunity status.
However, we use the Engerix Hep B (01 ml). After booster vaccination, we schedule a Titer retest 6 - 8 weeks later

Thank you,
Kim A. Norton, B.S.N., R.N., O.H.N.
Occupational Health Services & Injury Coordinator
It is better to prevent disease rather than to try to find a cure for diseases after they occur.
Mon- Fri 7 a.m. - 3:30 p.m.
407-562-0974 phone
407-302-7323 fax
Kim.Norton2 at hcahealthcare.com<mailto:Kim.Norton2 at hcahealthcare.com>
Have a human resource (HR) question? - HCA - HRAnswers is available 24/7 by calling 844-472-6797
[cid:image001.png at 01D4CAB9.BC60D490]
Central Florida Regional Hospital
https://centralfloridaregional.com/
This email and any files transmitted with it may contain PRIVILEGED or CONFIDENTIAL information and may be read or used only by the intended recipient. If you are not the intended recipient of the email or any of its attachments, please be advised that you have received this email in error and that any use, dissemination, distribution, forwarding, printing, or copying of this email or any attached files is strictly prohibited. If you have received this email in error, please immediately purge it and all attachments and notify the sender by reply email or contact the sender at the number listed.


From: MCOH-EH <mcoh-eh-bounces at mylist.net<mailto:mcoh-eh-bounces at mylist.net>> On Behalf Of Tim Crump
Sent: Tuesday, August 20, 2019 3:08 PM
To: MCOH-EH <mcoh-eh at mylist.net<mailto:mcoh-eh at mylist.net>>
Subject: {EXTERNAL} [MCOH-EH] Can Heplisav-B be used for booster dose?

We are transitioning over to mostly Heplisav-B for our Hep B vaccinations.  Does anyone have thoughts whether Heplisav-B can be used for a booster dose?  (For example, if a worker had a full documented Hep B series in 2001, but never got a titer till now and it is negative, can we use one Heplisav-B for booster dose, and if the worker has a positive titer after, call them long-term immune?)

*         Our drug rep says no, that Heplisav is always given as a series of 2 and never as a single dose.


*         To my mind though, anyone with a full Hep B series and a subsequent positive titer has long term immunity, and it shouldn't matter which vaccine boosts to demonstrate this.


What do others think?  The advantage of boosting w/ Heplisav-B would be that if the titer is negative, it would take a lot less time to complete the second series.  Best, Tim


Tim Crump, MSN, FNP
Tim Crump, MSN, FNP
Family Nurse Practitioner
Multnomah Pavilion 1 SE, Suite 1110
Occupational Health
Healthcare Human Resources

Oregon Health & Science University
3181 SW Sam Jackson Park Rd
Mail code: UHN 89
Portland, OR 97239-3098
Department Phone: 503-494-5271
Office Phone: 503-346-1152
Fax: 503-494-4457
Email: crumpt at ohsu.edu<mailto:crumpt at ohsu.edu>

Mon-Fri, 7:30-4:00

[cid:3381310330_334556]

The information contained in this EMAIL message is confidential and protected by law. The information is intended only for the person or business identified in the document. If you are not the intended recipient, by sharing or copying the information you are breaking the law. If you have received this EMAIL by mistake, please notify the sender of this EMAIL and do not return, copy or keep the information in the EMAIL.

-------------- next part --------------
An HTML attachment was scrubbed...
URL: <https://mylist.net/archives/mcoh-eh/attachments/20190821/b958a8a5/attachment-0001.htm>
-------------- next part --------------
A non-text attachment was scrubbed...
Name: image001.png
Type: image/png
Size: 9080 bytes
Desc: image001.png
URL: <https://mylist.net/archives/mcoh-eh/attachments/20190821/b958a8a5/attachment-0001.png>
-------------- next part --------------
A non-text attachment was scrubbed...
Name: image002.gif
Type: image/gif
Size: 5092 bytes
Desc: image002.gif
URL: <https://mylist.net/archives/mcoh-eh/attachments/20190821/b958a8a5/attachment-0001.gif>