Titers

rn2bnwi, BSN, RN · Mar 2, 2009

im confused , N/r as in non responsive? I admittedly don't know a lot about this but i just got my titer for hep B and i was positive which is what you want.... i would think your results would show you don't have hep b not that you have the antibodies... kwim?

ETA the titer for varicella and hep b took 2 days to come back for me (i didn't have to do the mmr because i had documentation that was sufficient)

Eta a 3rd time :) We have to have proof of ALL 3 shots as well as the titer. I think that you may not have to start over? but im not sure.

hmellish · Mar 2, 2009

No it means Non-reactive.

HBsAg (hepatitis B surface antigen): when this is "positive" or "reactive" it means the person is HBV infected at the present time and is able to pass the disease on to others.

I guess that test form what I can gather. Says I do not have it, but does not show I am immune?

There seems to be a TON of Hep B tests (antigen, antibodies, etc.)

rn2bnwi, BSN, RN · Mar 2, 2009

wait a minute im deleting again

hmellish · Mar 2, 2009

Non reactive dues not show immunity or not. Non-reactive means you currently are not infected. I just spoke to the doctors office. Reactive means you currently are infected

hmellish · Mar 2, 2009

I think I will get the titer and just wait for the results. I can spare two days (just barely) maybe I will get the titer done first and then just have them give me the first Hep B in case the tire shows negative for Hb antibodies

rn2bnwi, BSN, RN · Mar 2, 2009

Some people are non-confomers and they will get the full series and even 2 extra and still not develop the antibodies..... but our program allows you to sign a release if that is the case.

MS Kathy · Mar 2, 2009

Most programs have a release clause regarding Hep B vaccination. The titers come back relatively quickly.

I would get the titer and then if you are not immune, get the first shot, check titer again b/f next shot is due.

My experience- mine and my kids- as long as we had started the series of a vaccination we were cleared to begin class(them for public school, me public university) and we had to bring in our new clearance with each next step that expired when the next step was due.

I didn't convert with my hep b series- verified by my place of employment at the time. I began the series again and titered before the next was done. In all I made it to shot 5 before I converted. And as far as the state was concerned though they only cared that I had the series - not whether I was immune or not.

SusanKathleen, RN · Mar 2, 2009

Just a little side note............When I had my titre done for Hep B, (I had the series done about 10 years prior, but had no records), it came back that I had no antibodies! So I had to get the series done over.

And...by the way, most schools will let you begin with only 2 of the 3 shots in the HepB series completed.

lamazeteacher · Mar 3, 2009

Just a little side note............When I had my titre done for Hep B, (I had the series done about 10 years prior, but had no records), it came back that I had no antibodies! So I had to get the series done over.
And...by the way, most schools will let you begin with only 2 of the 3 shots in the HepB series completed.

The negative/non-reactive report for Hepatitis B antibodies (HBsAb) means that you lost your "marker" that may have resulted from your earlier Hep B immunization series. That doesn't mean you have no immunity to Hep B, just that proof of it isn't there. Usually one booster shot is sufficient, with a positive HBsAb reaction a month later. Call your local health department, whose opinion should suffice. As an Infection Control Nurse, I never had to give a whole series of Hep B vaccine to anyone who had it before. If possible, try to get the record of your first series, and of course the second one, and keep them in a safe place. :nurse: