hepatitis B vaccine for the newborn

  1. 0 just to clarify:

    hepatitis B vaccine - universal immunization is recommended

    infants of HBsAg-positive mothers should concurrently receive 0.5 mL of
    hepatitis B immunoglobulin (HBIG) prophylaxis at separate injection sites

    Are there 2 products that are administered to an infant of HBsAG-positive mother?

    (for the infant of the HBsAG-positive mother, the first dose is given within 12 hours of birth, second dose is given at 1 month, and final dose is given at 6 months of age -- is the concurrent HBIG given at the same times?)
    Last edit by GingerSue on Mar 26, '07 : Reason: spelling
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  3. Visit  GingerSue} profile page

    About GingerSue

    GingerSue has '20' year(s) of experience. From 'Canada'; Joined Oct '04; Posts: 1,973; Likes: 249.

    5 Comments so far...

  4. Visit  Elvish} profile page
    0
    HBIG is just given once as far as I know, and yes, they are 2 separate products.
  5. Visit  GingerSue} profile page
    0
    thanks
  6. Visit  Mississippi_RN} profile page
    0
    Quote from GingerSue
    just to clarify:

    hepatitis B vaccine - universal immunization is recommended

    infants of HBsAg-positive mothers should concurrently receive 0.5 mL of
    hepatitis B immunoglobulin (HBIG) prophylaxis at separate injection sites

    Are there 2 products that are administered to an infant of HBsAG-positive mother?

    (for the infant of the HBsAG-positive mother, the first dose is given within 12 hours of birth, second dose is given at 1 month, and final dose is given at 6 months of age -- is the concurrent HBIG given at the same times?)

    Every infant receives the Hep B immunization 1 st dose (with mother's consent) but infants of Hep B positive mother's get the immunoglobin also.
  7. Visit  SteveNNP} profile page
    0
    2 Separate products..... We use Engerix HepB vaccine and a generic HBIg. In NICU we give the HepB on d/c or when infant reaches 2kg, If mom has no/?? PNC, or has documented HepB, baby gets 0.5ml Engerix in one VL, HBIg in the other ASAP. HBIg is only given once. Baby also gets a full bath ASAP once delivered.
  8. Visit  GingerSue} profile page
    0
    thanks for the information

    now, to phrase the nursing diagnosis for when the infant is given vaccine or immunization:

    would this be
    Risk for hepatitis infection related to possible exposure

    {how to capture that it is for protection/prevention?}

    (this would be in the Domain: of Safety/Protection
    Class: Infection
    Diagnostic Concept: Infection and
    Intervention: Immunization/Vaccination Management)
    Last edit by GingerSue on Mar 27, '07 : Reason: nursing diagnosis


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