Hepatitis B Vaccine and HBIG

Key point: Need to know Mother's HepBsAg status within 12 hours of birth or take action.

When Mother is:

 

Text Box: HBsAg Negative Text Box: Unknown HBsAG status Text Box: HBsAg Positive                                                      

 

 

 

 

Text Box: <2kg Birth Wt. Text Box: >2kg Birth Wt. Text Box: All Infants Text Box: All Infants  

Text Box: 1st dose of HepB vaccine at 30 days of chronologic age if medically stable, or at D/C if before 30 days of age. Text Box: Give HepB vaccine prior to discharge Text Box: Give HepB vaccine within 12 hrs of birth and call Mother's primary OB for results or test mother.

Text Box: Initial dose of vaccine is not counted as one of the 3 required doses.  Required doses at 2, 4, and 6 months chronological age with other immunizations for a total of 4 doses Text Box: Give HBIG if mother's results not available within 12 hours of birth Text Box: Subsequent HepB vaccine doses at 1-2 mo. and 6 months of age Text Box: If mother is HepBsAg positive or unknown, give HBIG ASAP within 7 days of age. Text Box: Initial dose of vaccine is not counted as one of the 3 required doses.  Required doses at 2, 4, and 6 months chronological age with other immunizations for a total of 4 doses Text Box: Subsequent doses at 1-2 mo. and 6 months of age Text Box: Premature Text Box: Term Text Box: <2kg BW Text Box: >2kg BW Text Box: Subsequent doses given at 2 and 6 months of age. Text Box: Immunize with 3 doses at 1-2, 2-4, and 6-18 months chronologic age

 

 

 

 

 

 

 

 

 

 

 

 

 

NICU Policy, December 2002

Reference: AAP Red Book 2000