HEPATITIS В – PREVENTION 2
Prevention of infection in health care establishments
Health care establishments including medical practitioners’ rooms should establish appropriate infection control guidelines to prevent exposure of staff to blood and body fluids. Detailed Infection control guidelines have been published by the AIDS Task Force. Staff at risk of hepatitis В should be immunised.
Management of exposure
Hepatitis В immunoglobulin (HBIG) is effective in protecting a person exposed to infection e.g. the sexual contact of a carrier or a person exposed to infection by a needlestick injury. HBI should be given soon after exposure (within 72 hours of a needlestick). Such a patient should be immunised.
Management of infants of hepatitis В carrier mothers Antenatal testing for HB There is a high risk of chronic infection in babies born to carrier mothers markers should be routine and me testing of pregnant women should be routine. The infants of carrier
mothers should be given immunoglobulin within hours of birth and
immunised. The infants of mothers who belong to high risk groups but
who are marker free should be immunised.
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