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, FACOEM

Medical Director - Occupational Medicine & Employee Health Clinic

From: "Hanna, Raye Nell" <HANNAR1@covhs.org>
To: MCOH/EH <mcoh-eh@mylist.net>
Sent: Friday, September 22, 2017 3:11 PM
Subject: Re: [MCOH-EH] Hep B and Non Responder Status

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 19^th St

Lubbock, TX 79410

Phone (806) 725-0098

From: MCOH-EH [mailto:mcoh-eh-bounces@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 4^th Hep B Challenge dose is given and the Hep B Titer and HBSAG are negative

· Or, you can continue the 2^nd 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 4^th Hep B Booster/Challenge dose and the titer and HBSAB are negative?

Thanks

Lisa Dyrdahl, RN, BSN

Employee Health Nurse

Lisa_Dyrdahl@Valleymed.org

Ph: 425-228-3440 X5720

Fax: 425-656-5066

diately notify us by return email, and delete this message from your computer.

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