Should periodic serologic testing to monitor hepatitis antibody concentration be performed on HBV immunized health-care workers?
Currently the Center For Disease Control does not recommend routine administration of hepatitis B booster doses or periodic serologic testing to monitor antibody concentrations for HBV immunized health-care workers. The CDC does however recommend that health-care workers considered to be at significant risk for acquiring hepatitis B be immunized for hepatitis B. [The Occupational Safety and Health Act requires employers to provide hepatitis B vaccine to employees considered to be at “high risk” at no expense to the employee.] Also, the CDC recommends post vaccination testing (one to two moths post vaccination) for antibody to hepatitis B surface antigen response in health-care workers who have blood or patient contact and are at ongoing risk for injuries with sharp instruments or needle sticks. Knowledge of antibody response aids in determining appropriate post exposure prophylaxis. In cases where post immunization antibody response develops, vaccine recipients are virtually 100% prote
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