Baseline Anti-HBs Antibody Titre in Health Care Workers in a Tertiary Health Care Centre in Faridabad, India
Abstract
Introduction: Healthcare workers (HCWs) are at a high risk of acquiring hepatitis B virus (HBV) infection through occupational exposure which is preventable through hepatitis B vaccination.
Aims: Therefore, we aim to establish the seroprevalence of anti‑Hepatitis B surface (anti-HBs) antibody in the HCWs in a tertiary care setup to assess the level of protection that workers in these high‑risk zones have.
Methods and Material: Serum specimens from participants were tested at the Microbiology laboratory of ESIC Medical College & Hospital, Faridabad. Three ml of venous blood was collected aseptically in a vacutainer. The serum anti-HBs titre was detected by Enzyme-linked immunoassay (ELISA) using the Monolisa Anti-HBs PLUS (Bio-Rad) as per manufacturer’s instruction.
Results: Of the 218 HCWs included, 145 (66.51%) were vaccinated, and 73 (33.49%) were unvaccinated. HCWs were grouped into five categories which comprise doctors from all disciplines (n=53), nursing staff (n=50), technicians (n=52), nursing orderly (NO) (n=34),and housekeeping (n=29). Among various groups of HCWs, the vaccination rate was highest among doctors (96.23%) than the other groups. While comparing the anti-HBs titre among the unvaccinated HCWs, it has been seen that out of 73 (33.49%) HCWs, majority of the NO (76.47%) were having titre below 10 mIU/ml followed by housekeeping (73.68%), technicians (70.58%), and nursing staff (33.33%).
Conclusions: All HCWs should be regularly screened for HBs antigen along with administration of a booster dose and monitoring of anti-HBs titre.
How to cite this article:
Paul M, Khatter S, Taneja J, Pandey A, Kaur IR. Baseline Anti-HBs Antibody Titre in Health Care Workers in a Tertiary Health Care Centre in Faridabad, India. J Commun Dis. 2021; 53(2): 62-68.
DOI: https://doi.org/10.24321/0019.5138.202127
References
World Health Organization [Internet]. Hepatitis B [cited 2018 Oct 4].Available from: www.who.int/csr/disease/
hepatitis/whocdscsrlyo20022/en/
Ciorlia LAS, Zanetta DMT.Hepatitis B in healthcare workers: prevalence, vaccination and relation to
occupational factors.Braz J Infects Dis.2005;9(5):384-9. [PubMed]
Pruss-Ust¨un A, Rapiti E, Hutin Y.Estimation of the global burden of disease attributable to contaminated
sharps injuries among health-care workers.Am J Ind Med.2005;48(6):482-90. [PubMed] [Google Scholar]
Sukriti, Pati NT, Sethi A, Agrawal K, Agrawal K, Kumar GT, Kumar M, Kaanan AT, Sarin SK. Low levels of awareness, vaccine coverage, and the need for boosters among health care workers in tertiary care hospitals in India. J Gastroenterol Hepatol. 2008;23(11):1710-5. [PubMed] [Google Scholar]
Duseja A, Arora L, Masih B, Singh H, Gupta A, Behera D, Chawla YK, Dhiman RK. Hepatitis B and C Virusprevalence and prevention in health care workers. Trop Gastroenterol. 2002;23(3):125-6. HYPERLINK “https://pubmed.ncbi.nlm.nih.gov/12693154/â€[PubMed] [Google Scholar]
Shrestha SK, Bhattarai MD. Study of hepatitis B among different categories of health care workers.
J Coll Physicians Surg Pak. 2006;16(2):108-11. HYPERLINK “https://pubmed.ncbi.nlm.nih.
gov/16499802/â€[PubMed] [Google Scholar]
Talaat M, Kandeel A, El-Shoubary W, Bodenschatz C, Khairy I, Oun S, Mahoney FJ. Occupational exposure
to needlestick injuries and hepatitis B vaccination coverage among healthcare workers in Egypt. Am J
Infect Control. 2003;31(8):469-74. [PubMed] [Google Scholar]
Advisory Committee on Immunization Practices, Centres for Disease Control and Prevention. Immunization
of Health-Care Personnel:Recommendations of the Advisory Committee on Immunization Practices.
MMWR Recomm Rep. 2011;60:1-45. [PubMed] [Google Scholar]
Chaudhari CN, Bhagat MR, Ashturkar A, Misra RN. Hepatitis B Immunisation in Health Care Workers. Med
J Armed Forces Ind. 2009;65(1):13-17. [Google Scholar]
Gunson RN, Shouval D, Roggendorf M, Zaaijer H, Nicholas H, Holzmann H,de Schryver A, Reynders
D, Connell J, Gerlich WH, Marinho RT, Tsantoulas D, Rigopoulou E, Rosenheim M, Valla D, Puro V, Struwe J,
Tedder R, Aitken M, Alter M, Schalm SW, Carman WF, European Consensus Group. Hepatitis B virus (HBV) and
hepatitis C virus (HCV) infections in health care workers (HCWs): guidelines for prevention of transmission of
HBV and HCV from HCW to patients. J Clin Virol. 2003 Aug;27(3):213-30. [HYPERLINK “https://pubmed.ncbi.
nlm.nih.gov/12878084/†[PubMed] [Google Scholar]
Centers for Disease Control and Prevention. Immunization of Health care workers: Recommendations
of the advisory committee on immunization practices (ACIP) and the Hospital Infection Control
Practices Advisory committee (HICPAC). MMWR RecommRep.1997;46:1-42. [PubMed] [Google Scholar]
McMahon BJ, Dentinger CM, Bruden D, Zanis C, Peters H, Hurlburt D, Bulkow L, Fiore AE, Bell BP, Hennessy TW. Antibody levels and protection after hepatitis B vaccine: Results of a 22‑year follow‑up study and response
to a booster dose. J Infect Dis. 2009;200(9):1390‑6. [PubMed] [Google Scholar]
Varshochi M, Mahmodian R. Infectious diseases and tropical medicine research center, department
of infection control nurse, cardiovascular researchcenter, faculty of medicine, Tabriz University of medical
sciences, Tabriz, Iran. Am J Immunol. 2011;7:12‑6.
Zuckerman JN, Sabin C, Craig FM, Williams A, Zuckerman AJ. Immune response to a new hepatitis B vaccine in
healthcare workers who had not responded to standard vaccine: randomised double blind dose‑response
study. BMJ. 1997;314(7077):329‑33.[PubMed] [Google Scholar]
Palmovi D, Crnjakovic-Palmovic J. Vaccination against hepatitis B:results of the analysis of 2000 population
members in Croatia. Eur J Epidemiol.1994;10(5):541-7. [PubMed] [Google Scholar]
Batra V, Goswami A, Dadhich S, Kothari D, Bhargava N. Hepatitis B immunization in healthcare workers. Ann
Gastroenterol.2015;28(2):276-80. [PubMed] [Google Scholar]
Kumar KKA, Baghal PK, Shukla CB, Jain MK. Prevalence of hepatitis B surface antigen among health care
workers. Indian J Comm Med.2000;25:93-95.
Schillie S, Murphy TV, Sawyer M, Ly K, Hughes E, Jiles R, de Perio MA, Reilly M, Byrd K, Ward JW, Centers
for Disease Control and Prevention. CDC Guidance for Evaluating Health-Care Personnel for Hepatitis B
Virus Protection and for Administering Postexposure Management. MMWR Recomm Rep. 2013;62(No. RR-
:1-19. [PubMed] [Google Scholar]
Zamani F, Fallahian F, Hashemi F, Shamsaei Z, Alavian SM. Immune Response to Hepatitis B Vaccine in
Health Care Workers. Saudi J Kidney Dis Transpl. 2011;22(1):179-84. [PubMed] [Google Scholar]
Alimonos K, Nafziger AN, Murray J, Bertino JS Jr. Prediction of response to hepatitis B vaccine in health
care workers: whose titers of antibody to hepatitis B surface antigen should be determined after a threedose
series, and what are the implications in terms of cost-effectiveness? Clin Infect Dis. 1998 Mar;26(3):566-
[PubMed] [Google Scholar]
Centers for Disease Control and Prevention [Internet]. Healthy People Topics and
Objectives Index. Available from: https://www.healthypeople.gov/2020/ topics‑objectives/topic/
immunization‑and‑infectious‑diseases/ objectives IS15.3.
Averhoff F, Mahoney F, Coleman P, Schatz G, Hurwitz E, Margolis H. Immunogenicity of hepatitis B Vaccines.
Implications for persons at occupational risk of hepatitis B virus infection. Am J Prev Med. 1998 Jul;15(1):1-8.
[PubMed] [Google Scholar]
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