Hi Sharon,

If you take bloods at 6 months you will get a response but it is unlikely to be an accurate reflection of the immunity.

When someone has a booster or exposure to Hep B & they are immune the body recognises the Hep B Virus & makes antibodies in direct response that is what you are measuring in the blood test. We do not go around 24/7 with a body full of antibodies ‘just in case’ but the body keeps the blue print for future use if required so the longer the delay the lower the antibody level may be which is why the recommendation is to boost then check response at 8 weeks.

I would recommend that you do the blood test & then assess the response.

 

Hope this makes sense

 

-----Original Message-----
From: [log in to unmask] [mailto:[log in to unmask]] On Behalf Of Naylor, Sharon [HMPS]
Sent: 27 May 2010 13:18
To: [log in to unmask]
Subject: [OCC-HEALTH]

 

I think I need to clarify - I have been told that if blood test taken > 4 months post last jab the results  may not be that accurate. I think what I REALLy want to know (and worded it very clumsily last time) is  - is there a time when you WOULDNT take bloods.  

 

From: [log in to unmask] [mailto:[log in to unmask]] On Behalf Of Parbery, Clive
Sent: 27 May 2010 13:10
To: [log in to unmask]
Subject: [OCC-HEALTH]

Have read this with interest.

 

If someone is unable to confirm immunity we blood test to establish titre level.

 

<10miu/ml non immune repeat course

>10 but <99 miu/ml partial immunity, immediate booster then repeat single booster after 5 years no other action

>100miu/ml immune single booster dose after 5 years.

 

Proviso is if individual has needlestick injury booster always offered - down to them to decline.

 

Never assume immunity, it may never have taken effect ie age, health etc etc.

 

I was told by a wise Irishman when I was 18years old (going back a bit!!!!) if you ass-u-me it makes a mockery of both of us. You clever ones out there can identify the full saying!   

Regards

Clive Parbery

Senior Occupational Health Nurse Advisor

Telephone Number 01384456111 Ext2949

To become a member of The Dudley Group of Hospitals NHS Foundation Trust and help make a difference to healthcare in Dudley Email [log in to unmask]

 

From: [log in to unmask] [mailto:[log in to unmask]] On Behalf Of Clarke, Siobhan (Capita Health Solutions Ltd)
Sent: 27 May 2010 12:45
To: [log in to unmask]
Subject: [OCC-HEALTH]

If you refer to the Green Book, chapter on Hep B, under COSHH regulations an individual worker has a right to know whether or not they have been protected. There is the potential they are a non-responded which needs to be known in the event of an NSI.  And check their antigen at the same time if not already done so.

 

Siobhan

 

From: [log in to unmask] [mailto:[log in to unmask]] On Behalf Of Marnock, Heather [HMPS]
Sent: 27 May 2010 12:09
To: [log in to unmask]
Subject: [OCC-HEALTH]

Sharon,

I still take the blood test. Just as  baseline and it helps I feel.

This was the way I did in the NHS.

 

Heather

Heather J Marnock
Occupational health Nurse Practitioner - CMIOSH, RGN, OHNP
HMP Nottingham - 0115 872 4027
HMP Whatton - 01949 80 3534

This Email may contain Medical in Confidence information. Please delete and inform the sender if you receive this and you are not the correct addressee.

Thank you

bPlease consider the environment

 

From: [log in to unmask] [mailto:[log in to unmask]] On Behalf Of Naylor, Sharon [HMPS]
Sent: 27 May 2010 12:07
To: [log in to unmask]
Subject: [OCC-HEALTH]

I know this has been asked before .........

Hep B vaccination, individuals fail to attend for blood tests, now > 6/12 later, undertaking exposure prone work. Do you assume immunity?

Sharon Naylor
HMPS Occupational Health Advisor
*Please note new number at Lartin*
Long Lartin 01386 295310 (Monday, Tuesday and Friday)
Birmingham 0121 345 2606 (Wednesday and Thursday)

"Those that do not find some time every day for health must sacrifice a lot of time one day for illness"  Sebastian Knieff

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