Hepatitis B Policies for Prevention

What risk factors are associated with transmission of hepatitis B virus to a newborn or infant?

Mother is hepatitis B surface antigen positive

Mother was not tested for hepatitis B surface antigen during pregnancy

Child will live in home with someone other than the mother who is infected with hepatitis B

Mother of the child is from a hepatitis B endemic country

Currently, the American Academy of Pediatrics, the American Academy of Family Physicians and the Centers for Disease Control and Prevention all recommend that all babies get the hepaitis B birthdose before discharge from the hospital.

True

False

Does your hospital offer hepatitis B vaccine to all infants before hospital discharge?

If not, can you list some reasons why?

Which of the following are errors identified with testing for hepatitis B during pregnancy?

Transcription errors

Wrong test ordered (anti-HBs instead of HBsAg)

Women not tested during pregnancy

Tested for hepatitis B early in pregnancy and not retested if high risk behaviors are identified

All of the above

What is the treatment protocol for babies that are born to hepatitis B positive women?

Give the hepatitis B vaccine and hepatitis B immune globulin within 12 hours of birth

Give the hepatitis B vaccine within 24 hours of birth

Call the physician to ask what to do

Inform the mother of the child that she will need to take the baby in to the doctors office for immunizations

What is the treatment protocol for babies born to women who have not been tested for hepatitis B?

Ask the mother what her hepatitis B status is

Test the mother for hepatitis B at admission and wait for the test results

Test the mother at admission and give the hepatitis B vaccine within 12 hours

Do nothing and hope that she is tested with the next pregnancy

When a child is given the hepatitis B vaccine ( or any vaccine), which of the following should be documented in the child's permanent medical record according to Federal guidelines?

Name of vaccine

Date that vaccine was given

Lot number and manufacturer

signed consent from the parent

Date of the Vaccine Information Statement and date it was given to parent

Mother's hepatitis B status

Name of person or clinic administering vaccine

Giving the hepatitis B vaccine alone (without HBIG) at birth will protect up to 95% of babies born to hepatitis B infected mothers.

True

False

Currently the Colorado Department of Public Health and Environment is recommending that all providers who care for pregnant women send a copy of the hepatitis B laboratory test results to the delivery hospital along with other prenatal care information.

True

False

Risk Factors for hepatitis B infection include which of the following?

Occupational exposure

Intravenous drug users

Unprotected sex

Drinking contaminated water

Tatooing and body piercing

Breastfeeding

Kising someone infected with hepatitis

Being born to a hepatitis B infected mother

Unknown risk factors

Which of the following tests should be done during pregnancy to test for hepatitis B infection?

anti-HBs

HBsAg

HBcAB IgM

HBV DNA

Those who are infected with the hepatiits B virus as infants or children are more likely to become chronic hepatitis B carriers than those who are infected as adults.

True

False

A hepatitis B positive woman should not breastfeed her infant until after the hepatitis B vaccine has been given.

True

False

The Vaccines for Children Program is a federally funded program to offer free vaccine to children who are on Medicaid, uninsured or Alaskan Native/Native American. Dose your hospital participate in this program?

If not, would you like more information about this program?

As a health care worker, did you have 3 doses of hepatiits B vaccine?

Yes

No

After 3 doses of hepatitis B vaccine, did you have post vaccination testing for immunity?

Yes

No

When is the best time to do post vaccination testing for a health care worker?

One year after the last dose of hepatitis B vaccine

One to two months after the last dose of hepatitis B vaccine

Post vaccination testing should not be done

Ten to fifteen years after vaccination.