Selective Vaccines

Hepatitis A

In 2006 Hepatitis A vaccination was incorporated into the routine childhood vaccination schedule. Therefore many adults did not receive the Hepatitis A vaccine as a child. There are specific groups that should be vaccinated as adults so be familiar with the list below. Keep in mind that post-exposure prophylaxis for HAV is available. Unvaccinated individuals who are exposed to HAV should receive a single-antigen HAV vaccine or immune globulin within two weeks of the exposure.

What to know in clinic:

Administer missing doses to complete a 2 dose series (0, 6 months)

If the immunization schedule is interrupted the 2nd dose can be given without restarting the series. 

 

Anyone can be vaccinated but specific indications include the following:

  • current or recent injection drug users
  • men who have sex with men
  • those working with HAV-infected primates or with HAV in lab
  • chronic liver disease
  • those receiving clotting factor concentrates
  • travelers to regions of high endemic HAV infection
  • close contact with international adoptee during first 60 days of arrival to US from high endemic HAV country
  • adults in the following settings: STD treatment, HIV testing/treatment, drug abuse treatment/prevention, correctional facilities, ESRD programs, developmental disability facilities

 

License

Hepatitis A Copyright © by Stacy C. Kramer, MD. All Rights Reserved.

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