Health care personnel status | Post-exposure testing | Post-exposure prophylaxis | Post-vaccination serologic testing¶ |
Source patient (HBsAg) | HCP testing (anti-HBs) | HBIG* | Vaccination |
Documented responderΔ after complete series◊ | No action needed |
Documented nonresponder§ after 2 complete series◊ | Positive/unknown | –¥ | HBIG x2 separated by 1 month | – | No |
Negative | No action needed |
Response unknown after complete series◊ | Positive/unknown | <10 milli-international units/mL¥ | HBIG x1 | Initiate revaccination | Yes |
Negative | <10 milli-international units/mL | None |
Any result | ≥10 milli-international units/mL | No action needed |
Unvaccinated/incompletely vaccinated or vaccine refusers | Positive/unknown | –¥ | HBIG x1 | Complete vaccination | Yes |
Negative | – | None | Complete vaccination | Yes |