Hepatitis B Titer

  1. 0 ?
    Last edit by nicuRN2007 on Feb 15, '06
  2. Visit  nicuRN2007 profile page

    About nicuRN2007

    Joined Feb '05; Posts: 298; Likes: 17.

    18 Comments so far...

  3. Visit  johnjrb profile page
    0
    I want to say that I waited 6 weeks for my titer. My results were negative which means that I did not develop the antibodies for hepatitis B. So I have have to get all the shots again.
  4. Visit  elizabells profile page
    0
    Quote from johnjrb
    I want to say that I waited 6 weeks for my titer. My results were negative which means that I did not develop the antibodies for hepatitis B. So I have have to get all the shots again.
    Sometimes you don't have to get the full series - my dad just had to get one extra and the next titer came back ok
  5. Visit  judy ann profile page
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    :uhoh21: I have taken three--count em---three series of Hep B vaccine. Never have converted. I've given up. I figure that, after working in L&D for 35 years, and before universal precautions, I probably don't need to worry. (I do use very careful precautions!)
    Funny thing, My PCP has had the same experience. No, we didn't receive the vaccine from the same source.
  6. Visit  nitengale75 profile page
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    Quote from judy ann
    :uhoh21: I have taken three--count em---three series of Hep B vaccine. Never have converted. I've given up. I figure that, after working in L&D for 35 years, and before universal precautions, I probably don't need to worry. (I do use very careful precautions!)
    Funny thing, My PCP has had the same experience. No, we didn't receive the vaccine from the same source.
    I, too, have had the Hep B series twice while working in dialysis. I converted for the first blood test after each series, but then a year later was negative for the antibody. The series were several years apart. I am concerned about the mandates for school age children with no follow-up or boosters. How many people will be walking around thinking they are vaccinated against Hep B when they really never converted at all?
  7. Visit  CTRNstudent profile page
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    I had the hep b series years ago and decided to get the titer for the paperwork for nursing school. The levels showed I had to get an additional shot along with the mmr for the third time. I didn't realize that so many people have had the same experience. I'll get the titer again soon. Why do we have to wait 6 weeks?
  8. Visit  r_janice profile page
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    I had to wait almost 5 weeks after my left HepB shot to get the bloodwork for the titer done.
  9. Visit  nicuRN2007 profile page
    0
    ?
    Last edit by nicuRN2007 on Feb 15, '06
  10. Visit  carolinapooh profile page
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    Quote from ILoveScrubs
    So 5 or 6 weeks it is. Thanks guys!

    Sorry to all of you who aren't developing the antibodies after getting vaccinated! Now I know why my school is insisting on the titer after the series. I hope that doesn't happen to me!
    Here's a question: what if you DON'T develop antibodies? Ever?
  11. Visit  Momto3andNurse2B profile page
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    My school doesn't require the titer, just documentation of the vaccine. Hmmmm...Should I have the titer done anyway? I never knew there was such a problem with not developing antibodies. In my case, I have to have periodic rubella boosters because my immunity has a tendency to "go away" after a while, but I'd be much more worried about Hep B!

    Richele
  12. Visit  Aneroo profile page
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    I would have the titer done. I had my series in Dec 1998, and just had the get the booster, b/c my titer was negative! It scares me to think for the past 6 years I thought I was protected, and I WASN'T!!!! -Andrea
  13. Visit  group_theory profile page
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    The thing about vaccination series is that the number of shots is determined based on trials and studies that will offer the most coverage in the most cost effective way.

    Some people may seroconvert on the first shot. Some will on the second shot. Most will seroconvert after 3 shots (for HepB, it's above 90%). Some might seroconvert on the 4th, while others may never.

    Concerning titers - you want to get them around 1-2 months after the last shot. Make sure you get the quantified titer (numerical values) instead of just "positive, negative". According to the CDC, if your titer is over a certain values, then you have immunity. Even if the level of HBsAg IgG drops over time, you are still immune because you will still have memory cells floating around ready to reactive should you get exposed to HBV.

    Also keep in mind that HBV is 100 times more infectious than HIV
  14. Visit  lpn1313 profile page
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    Get the titer done. I had my 1st series in 2001, titer in 2003 that said I had antibodies. Then I had a needlestick this year. Lo and behold- no Hep B antibodies! Fortunately, the labs were negative for all involved, but I'm now getting series two.


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