Transcription of Hepatitis B and the health care worker
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Which workers in the health care settingneed Hepatitis B vaccine? health care workers (HCWs) who have a reason-able expectation of being exposed to blood on thejob should be offered Hepatitis B vaccine. Thisdoes not include receptionists, clerical and billingstaff, etc., as these individuals are not expected tobe at risk for blood is the appropriate administration sitefor Hepatitis B vaccine and what needle sizeshould be used?A deep intramuscular (IM) injection into the del-toid muscle is recommended for adult Hepatitis Bvaccination. A 22 25 gauge, 1 1 needle shouldbe used, but a longer needle may be needed toreach deep into the muscle of obese a HCW s only dose of Hepatitis B vaccinewas four months ago, should the seriesbe restarted?
† Hepatitis B surface antigen § Hepatitis B immune glob ulin; dose is 0.06 mL/kg intramuscularly. ¶ Hepatitis B vaccine **A responder is a person with adequate levels of serum antibody to HBsAg (i.e., anti-HBs >10 mlU/mL). ††A nonresponder is a person with inadequate response to vaccination (i.e., serum anti-HBs <10 mlU/mL).
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