There is an article published in The Lancet Vol. 55 February 12, 2000.
The title is 'Are booster Immunisations needed for lifelong hepatitis B
immunity'?
This suggests that once there is a titre level >100mIU/L there is no need
for further boosters.
This is worth a read. We have based our Hep B policy on this document as is
in line with many other NHS OH departments.
Graham Johnson
Graham Johnson
Business Development Manager
Interact Health Managment Ltd
Ground Floor
Port of Liverpool Building
Pier Head
Liverpool L3 1DA
Tel: 0151 224 1427
Fax: 0151 224 1445
Mobile 07740 800993
-----Original Message-----
From: Kim Scaysbrook [mailto:[log in to unmask]]
Sent: 21 January 2004 13:20
To: [log in to unmask]
Subject: Hepatitis B
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Dear all,
Can I start another trail of discussion. I'm invovled in paper screening
agency nurses who are placed in the NHS, to ensure vaccinations etc are
up-to-date. My question relates to the level of evidence that NHS colleagues
accept as a positive result for Hep B.
At present, the standards from the agency are that I have to see either a
laboratory report or other official report from GP/OH dept with a titre
level over 100, but it must be dated within 5 years. (Some of you may
already be aware of this through contact with these nurses asking for copy
of results). However I am also aware that some Hospital/Trusts are taking an
alternative view - providing a positive responspe has been seen then no
further levels are needed. I have been directed towards the DOH guidelines
as well. The latest date for reissue of the'green' book is June, so the
bible is unhelpful.
Basically, my question is - what do you do, and where do you source your
best practice from? I can discuss changing standards with the agency but
need to be able to justify the change.
Many Thanks
Kim
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