Vaccination and antibody status of exposed workers*Treatment
Source HbsAgpositiveSource HbsAgnegativeSource unknown or not available for testing
UnvaccinatedHBIG‡ x 1 and initiate HB vaccine series.§Initiate HB vaccine series.Initiate HB vaccine series.
Previously vaccinated
Known responder‖No treatmentNo treatmentNo treatment
Known nonresponder¶HBIG x 1 and initiate revaccination or HBIG x 2.#No treatmentIf known high-risk source, treat as if source were HbsAg positive.
Antibody response unknownTest exposed person for anti-HBs.**No treatmentTest exposed person for anti-HBs.
1. If adequate,‖ no treatment is necessary.1. If adequate,§ no treatment necessary.
2. If inadequate, administer HBIG x 1and vaccine booster.2. If inadequate,§ administer vaccine and booster and recheck titer in one to two months.