We tend to give both 5 years after response to primary course has been confirmed via serology (except after weak response followed by immediate booster when it is given 5 years after booster as you don't recheck bloods).

Regards,

Carr

On May 23, 2012 11:32 PM, "Diane Romano-Woodward" <[log in to unmask]> wrote:

Engerix B

The advice in the Green Book states that:  individuals at continuing risk of infection should be offered a single booster dose of the vaccine approximately five years after the primary vaccination course.


What is general practice with regards to the 5 year booster if you give an accelerated course with a 4th dose at 12 months.

Is it given 5 years after  the start of the primary course or 5 years after the end of the primary course, as there is a year's difference?

The Green Book is vague..

Cheers
Diane
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