Transcription of Hepatitis A and Hepatitis B Vaccines: Be Sure Your ...
1 Hepatitis A and Hepatitis B Vaccines: Be Sure Your Patients Get the Correct Dose Hepatitis A vaccines: Recommended dosages and schedules Answer to a commonly asked question: vaccine age group volume # doses dosing intervals It is not necessary to Havrix 1 through 18 yrs mL 2 0, 6 12 mos restart the series of (GlaxoSmithKline) 19 yrs and older mL 2 0, 6 12 mos Hepatitis B or Hepatitis A vaccines because of Vaqta 1 through 18 yrs mL 2 0, 6 12 mos an extended interval (Merck) 19 yrs and older mL 2 0, 6 12 mos between doses. * T he 4-month HepB dose may Hepatitis B vaccines: Recommended dosages and schedules not be needed depending on the brand of vaccine used. vaccine age group volume schedules/dosing There are minimum intervals # doses intervals between the doses of Engerix-B. and Recombivax HB vaccine. For newborns, give dose #1 There must be at least 4 weeks between doses #1 and #2, at within 24 hrs of birth; then least 8 weeks between doses #2.
2 At age 1 2 mos, 4 mos*, and #3, and at least 16 weeks Engerix-B 0 through 19 yrs mL 3 6 18 mos between doses #1 and #3. The final dose in the infant series (GlaxoSmithKline) For older children who did should not be given earlier than not start HepB series at 24 weeks of age. birth: 0, 1 2, 4 6 mos For adult dialysis patients, the Engerix-B dose required is 20 yrs and older mL 3 0, 1 2, 4 6 mos mL (use the adult formulation). on a schedule of 0, 1, 2, and 6. For newborns, give dose #1 months. For Recombivax HB, a special formulation for dialysis within 24 hrs of birth; then patients is available. The dose at age 1 2 mos, 4 mos*, for the dialysis formulation is 0 through 19 yrs mL 3 6 18 mos mL and it is given on a Recombivax HB For older children who did schedule of 0, 1, and 6 months. (Merck) For Heplisav-B, use the stan- not start HepB series at dard dose ( mL) and sched- birth: 0, 1 2, 4 6 mos ule (2 doses, 1 month apart).
3 When using HepB at birth and 11 through 15 yrs mL 2 0, 4 6 mos 3 doses of Pediarix, you will be administering 4 doses of HepB. 20 yrs and older mL 3 0, 1 2, 4 6 mos which is recommended by ACIP. Heplisav-B. 18 yrs and older mL 2 0, 1 mo (Dynavax) Sources for all tables Prevention of Hepatitis A Through Active or Passive Immunization: Combination vaccines: Recommended dosages and schedules Recommendations of the Advisory Committee on Immunization Prac- tices (ACIP), MMWR, May 19, vaccine age group volume schedules/dosing # doses intervals 2006, Vol. 55 (RR-07). Prevention of Hepatitis B Virus Infection in the United States: Rec- For newborns, give mon- ommendations of the ACIP, Pediarix ovalent Hepatitis B vaccine MMWR, January 12, 2018, Vol. 67. DTaP+HepB+IPV 6 wks through (RR-1). mL 3 within 24 hrs of birth; then (GlaxoSmithKline). 6 yrs Recommendations of the ACIP for give Pediarix at age 2 mos, 4 Use of a Hepatitis B Vaccine with a mos, 6 mos Novel Adjuvant,, MMWR, April 20, 2018;67(No 15):455 8.
4 Twinrix mL 3 0, 1, 6 mos HepA+HepB 18 yrs and older (GlaxoSmithKline) mL 4 0, 7, 21 30 days, 12 mos Technical content reviewed by the Centers for Disease Control and Prevention Saint Paul, Minnesota 651- 647- 9009 Item #P2081 (5/18).
