Our practice Here in Barnsley reflects Ritas' department in Leeds
-----Original Message-----
From: [log in to unmask] [mailto:[log in to unmask]] On Behalf
Of Rita Ogden
Sent: Thursday, October 04, 2007 9:55 AM
To: [log in to unmask]
Subject: Re: [OCC-HEALTH] Anti - HBs levels in EEP workers
Hi Glenn,
It still surprises me how different our practice is throughout the country.
I work for a very large NHS Trust and we follow DH guidelines for best
practice. We prefer a level of >100iu/l, but as we all know, some people do
not attain this level. For those EPP workers who have a level >10 but
<100iu/l, we check HBsAg and core antibody and, if these are both negative,
they are considered safe to practise following a 4th dose of vaccine. We
carry out annual HBsAg testing on true non-responders only, i.e. those who
have never gained immunity (<10) following 2 full courses of vaccine.
I am following this thread with interest.
Kind regards,
Rita
Rita E Ogden
Specialist Practitioner/Clinical Team Leader, Occupational Health Service,
St. James's University Hospital
Tel: 0113 2065228
Leeds General Infirmary
Tel: 0113 3923267
>>> Michael Cockayne <[log in to unmask]> 03/10/2007 15:40
>>>
Hi Glen,
Thanks for your reply.I'm aware of the DOH guidence regarding EPP workers, I
was enquiring about the diffence in practice in the area of acceptable
Anti-HBs levels. It's the workers who have >10 but <100 iu/l that appear to
be managed differently, and it's interesting that you state that they are
'immune without confidence' and I think that is the problem! I know
that some OH departments request annual serology on EPP workers with Anti
HBs <100, some department with <50, and still others only with the true 'non
responders' who have <10 iu/l. I would be interested in hearing from other
OH nurses on what their departments consider to be appropriate Anti HBs
protection for their EPP workers not to have annual serology.
Thanks
Michael
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