A CROSS-SECTIONAL STUDY ON ANTI HEPATITIS B IMMUNE STATUS IN VACCINATED HEALTHCARE WORKERS IN THE WEST POMERANIAN REGION OF POLAND

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GANCZAK MARIA

مرکز اطلاعات علمی Scientific Information Database (SID) - Trusted Source for Research and Academic Resources

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Journal: Hepatitis Monthly Year:2012 | Volume:12 | Issue:3 Page(s): 185-189

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Title

A CROSS-SECTIONAL STUDY ON ANTI HEPATITIS B IMMUNE STATUS IN VACCINATED HEALTHCARE WORKERS IN THE WEST POMERANIAN REGION OF POLAND

Author(s)

GANCZAK MARIA | Issue Writer Certificate

Keywords

MEDICAL STAFF

HEPATITIS B VIRUS

VACCINATION

TESTING

Abstract

Background: Hepatitis B VACCINATION, recommended for MEDICAL STAFF, has a non-response rate of 5% to 32%. In Poland, there is no standardized postvaccination protocol to verify immunity.Objectives: To determine the fraction of those who have been vaccinated against HBV (with a complete course followed/not followed by a booster) but not checked for serological evidence of hepatitis B immunity and to detect anti-HBs levels in this group by anonymous cross-sectional sero-survey.Patients and Methods: Surgical/gynecological staff from 16 randomly selected hospitals in West Pomerania, Poland, were surveyed between July 2010-January 2011. EIA system version 3.0 was used to detect anti-HBs.Results: Of 488 participants (439 females, median age 42 years) who were previously vaccinated (1-21 years ago), anti-HBs status was not determined after HBV VACCINATION in 361 individuals (74.0%, 95% CI: 69.9-77.7%), 5% (18/361) of whom had an anti-HBs titer of 0.0 mIU/ml (12/18 who were given booster doses developed anti-HBs>10 mIU/ml) and 7.2% (26/361) of whom had an anti-HBs titer of 0.1-10 mIU/ml. The multivariate logistic regression model revealed that working in a teaching hospital was associated with lower odds of not being checked for anti-HBs after HBV VACCINATION (OR 0.22, 95% CI: 0.14-0.35, P= 0.0001).Conclusions: The lack of a strict post-HBV VACCINATION policy to confirm immunity results in the majority of surgical/gynecological staff not checking their anti-HBs levels after HBV immunization. It is unknown whether the absence of current serological evidence of hepatitis B immunity can be attributed to non-response, the waning of vaccine-induced immunity, or preserved anamnestic response. The lack of a booster VACCINATION response in a fraction of subjects suggests that they are non-responders. Strict post-vaccination TESTING to document immunity remains the key practice to detect nonresponders among MEDICAL STAFF.

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APA: Copy

GANCZAK, MARIA. (2012). A CROSS-SECTIONAL STUDY ON ANTI HEPATITIS B IMMUNE STATUS IN VACCINATED HEALTHCARE WORKERS IN THE WEST POMERANIAN REGION OF POLAND. HEPATITIS MONTHLY, 12(3), 185-189. SID. https://sid.ir/paper/306545/en

Vancouver: Copy

GANCZAK MARIA. A CROSS-SECTIONAL STUDY ON ANTI HEPATITIS B IMMUNE STATUS IN VACCINATED HEALTHCARE WORKERS IN THE WEST POMERANIAN REGION OF POLAND. HEPATITIS MONTHLY[Internet]. 2012;12(3):185-189. Available from: https://sid.ir/paper/306545/en

IEEE: Copy

MARIA GANCZAK, “A CROSS-SECTIONAL STUDY ON ANTI HEPATITIS B IMMUNE STATUS IN VACCINATED HEALTHCARE WORKERS IN THE WEST POMERANIAN REGION OF POLAND,” HEPATITIS MONTHLY, vol. 12, no. 3, pp. 185–189, 2012, [Online]. Available: https://sid.ir/paper/306545/en

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