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Hepatitis B vaccination in haemodialysis — ESENeph MCQ

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EasyInfection in the Renal PatientHepatitis B vaccination in haemodialysisESENeph

A 35-year-old haemodialysis patient asks about vaccination. He is HBsAg negative, anti-HBs is 4 mIU/mL and anti-HBc is negative. He has no previous documented hepatitis B vaccine response. What is the most appropriate management?

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Correct answer: B — Hepatitis B vaccination with post-vaccine antibody monitoring

Haemodialysis patients are at increased risk of blood-borne virus exposure and should receive hepatitis B vaccination with antibody response monitoring. There is no licensed hepatitis C vaccine. Routine antiviral prophylaxis or immunoglobulin is not used for susceptible stable dialysis patients. The pearl is that dialysis units also rely on surveillance, infection-control procedures and segregation policies where indicated.

Reference: https://guidelines.ukkidney.org