When is the HBV vaccine indicated in the management of HIV infection in primary care?

Updated: Sep 07, 2018
  • Author: Jason F Okulicz, MD, FACP, FIDSA; Chief Editor: Michael Stuart Bronze, MD  more...
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Answer

Answer

Administer to patients without evidence of past or present hepatitis B infection. Engerix-B or Recombivax HB is given at 0, 1, and 6 months. Vaccine is also available in combination with hepatitis A vaccine as Twinrix administered as 3 or 4 doses. Anti-HBV surface Ab titers should be checked 1 month after completion of vaccine series; if titer is 10 IU/mL or less, then revaccinate. Higher-dose booster or series may be considered in nonresponders.


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