Hepatitis B vaccination program at a New York City hospital: Seroprevalence, seroconversion, and declination Journal Article

Authors: Louther, J.; Feldman, J.; Rivera, P.; Villa, N.; DeHovitz, J.; Sepkowitz, K. A.
Article Title: Hepatitis B vaccination program at a New York City hospital: Seroprevalence, seroconversion, and declination
Abstract: Background: Despite implementation of hepatitis B vaccination programs, 2 problems have prevented full vaccine-induced protection of health care workers (HCWs). About 10% to 12% of vaccinated HCWs do not develop antibody, and many HCWs continue to decline vaccination. To determine the effectiveness of our hepatitis B vaccine program, we studied rates of postvaccination seroconversion and vaccine declination. Methods: Employee health service records were used to determine demographic features, hepatitis B surface antibody serostatus at baseline, serologic response to vaccine, and declination or acceptance of vaccine. Results: About 26% of HCWs were seropositive at baseline, including those vaccinated before employment. Higher seroprevalence rates were seen among those born outside the United States, nurses, and laboratory workers. Seroconversion occurred in only 79% of HCWs who completed a 3-vaccine series. Increasing age was the only significant risk for failure to convert. Declination rates overall were about 45% and were lowest in HCWs who have jobs that included potential exposure to blood. Conclusion: Hepatitis B seroprevalence among HCWs at our hospital is higher than in many other urban hospitals in the United States; our postvaccination seroconversion rate is substantially lower; and our declination rate of 45% resembles other published series. Declination of vaccine and failure to respond to vaccine continue to thwart achievement of full control of this preventable occupational infection.
Keywords: adult; aged; middle aged; major clinical study; hepatitis b; incidence; risk factors; registries; program evaluation; vaccination; health care personnel; new york city; attitude of health personnel; hepatitis b virus; virus hepatitis; hepatitis b vaccine; hospitals, urban; occupational diseases; intramuscular drug administration; immunization programs; infection rate; seroconversion; seroprevalence; seroepidemiologic studies; hepatitis b vaccines; serologic tests; humans; human; male; female; article; personnel, hospital; hospital bed capacity, 100 to 299
Journal Title: American Journal of Infection Control
Volume: 26
Issue: 4
ISSN: 0196-6553
Publisher: Elsevier Inc.  
Date Published: 1998-08-01
Start Page: 423
End Page: 427
Language: English
PUBMED: 9721396
PROVIDER: scopus
DOI: 10.1016/S0196-6553(98)70039-2
Notes: Article -- Export Date: 12 December 2016 -- Source: Scopus
Citation Impact
MSK Authors
  1. Kent A Sepkowitz
    270 Sepkowitz