As with other vaccines, vaccination of people with moderate or severe acute illness, with or without fever, should be deferred until the illness improves.
For adults, administer hepatitis B vaccine intramuscularly IM in the deltoid muscle.
Immunocompetent persons have long-term protection against HBV and do not need further testing or vaccine doses.
Only immunocompromised people for example, dialysis patients, some HIV-positive people need to have anti-HBs testing performed periodically.
Diabetic women who become pregnant can be vaccinated, if indicated.
Children younger than age 5 years and newly infected immunosuppressed adults rarely show any symptoms.
If the HBsAg and total anti-HBc tests are positive, HCP should receive appropriate counseling for preventing transmission to others as well as referral for ongoing care to a specialist experienced in the medical management of chronic HBV infection.
State Laws and Mandates.
The CDC website states that hepatitis B vaccine dose 4, if given, must be at 24 weeks of age or later, and at least 16 weeks from dose 1.
Antibody to hepatitis B surface antigen is a marker of immunity.
You may need blood transfusions.
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Can Heplisav-B be used for vaccinating healthcare professionals?
Any vaccine exposed to freezing temperature should not be used.
Hepatic failure and cirrhosis.
What should I do if an infant tests negative for anti-HBs after 2 complete vaccine series?
However, the fluid usually collects again.