Pathology Associates Of Lexington, P.A.
Pathology Associates Of Lexington, P.A.
Pathology Associates Of Lexington, P.A.
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        HBV
      
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:

  1. Red Book: 2003 Report of the Committee on Infectious Diseases 26th Edition, p332-333.

  (posted 16 November 2003)

 
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