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SCHEDULE

 

 

 

There are several options as shown in the following table:

·         Schedule 1

·         1st injection now

·         2nd injection in one month

·         3rd injection 6 months after first injection

·         Schedule 2

·         1st injection now

·         2nd injection in one month

·         3rd injection 2 months after first injection

·         Schedule 3 (18 years and over only)

·         1st injection now

·         2nd injection in one week

·         3rd injection 3 weeks after first injection

 

Age

Vaccines

Note

 

 

 

Birth

Hep-B -1

By Intramuscular injection only

 

 

 

6 weeks

Hep-B -2

By Intramuscular injection only

 

 

 

6 months

Hep-B -3

By Intramuscular injection only

 

 

 

 

 

 

 

 

 

 

 

 

 

BOOSTER DOSE.

It would seem advisable to recommend a booster dose when the anti-HBs antibody titer falls below 10 IU/L, particularly for all people at risk.

·         After the 0, 1, 2 month primary immunisation schedule a booster dose is recommended 12 months after the first dose. The next booster may be required after 8 years.

·         After the 0, 1, 6 month primary immunisation schedule a booster dose may be required  after 5 years after the primary course.

 

SPECIAL DOSAGE RECOMMENDATION FOR NEONATES BORN OF MOTHERS WHO ARE HBV CARRIERS.
The 0, 1, 2 month immunisation schedule is recommended, and should start at birth. Concommitant administration of Hepatitis B immunoglobulin not necessary, but when Hepatitis B immunoglobulin is given simultaneously with Hepatitis B  a separate injection site must be chosen.


DOSAGE RECOMMENDATION FOR KNOWN OR PRESUMED EXPOSURE OF HBV
In circumstances where exposure to HBV has recently occurred (e.g. needles stick with contaminated needle) the first dose of Hepatitis B can be administered simultaneously with Hepatitis B immunoglobulin which however must be given at a separate injection site. The rapid immunisation schedule should be advised.


DOSAGE RECOMMENDATION FOR IMMUNOCOMPROMISED PERSONS.
The primary immunisation schedule for chronic haemodialysis patients or persons who have an impaired immune system is four doses of
40 mcg at 0, 1, 2 and 6 months from the date of first dose. The immunisation schedule should be adapted in order to ensure that the anti-HBs antibody titer remains above the accepted protective level of 10 IU/L

 

If the mother is known to be HBsAg negative, HB vaccine can be given along with DTP at 6, 10, 14 weeks/ 6 months. If the mother's HBsAg status is not known, it is advisable to start vaccination soon after birth to prevent perinatal transmission of the disease. If the mother is HBsAg positive (and especially HBeAg positive), the baby should be given Hepatitis B Immune Globulin (HBIG) within 24 hours of birth, along with HB vaccine.

 

 

 

 

Comments   

 
sandip chakraborty
0 # Hepatitis B birth dose.sandip chakraborty 2012-05-18 13:37
My baby receive Hep B at birth and second dose given after one month from first dose and third dose schedule on 6 th month from birth. Due to one month gaping DTP firth dose given after 2 month, is this wrong schedule .Pl give the complete schedule
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Francesca
0 # ScheduleFrancesca 2014-05-02 21:48
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