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| HBV |
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Hepatitis B Exposure, Testing |
| [about HBV immune status] |
| Exposure
type/situation |
Immunoprophylaxis1 |
| blood exposure |
immunization +- HBIG |
| household by HBsAg neg |
immunization |
| household, acute, by blood |
immunization + HBIG |
| newborn > 2000 grams, mother known HBsAg+ |
immunization + HBIG (within 7 days) |
| newborn > 2000 grams, mother /w unk. HBsAg
status |
immunization + HBIG (within 7 days) |
| newborn =/< 2000 grams, mother known HBsAg+ |
1st dose HBIG within 1st 12 hours + immunization |
| newborn =/< 2000 grams, mother /w unknown HBsAg |
1st dose HBIG within 1st 12 hours + immunization |
| pt.'s sex partner /w acute HBV |
immunization + HBIG |
| pt.'s sex partner /w chronic HBV |
immunization |
|
| Routine testing is usually fine. Testing of premature infants (unknown
maternal status) STAT could be an advantage, if reasonably feasible,
to see if that early dose is necessary. |
References:
-
Red Book: 2003 Report of the Committee on Infectious
Diseases 26th Edition, p332-333.
(posted
16 November 2003) |
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1999 - 2006, all rights reserved, Pathology Associates Of Lexington,
P.A. |
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