A nursing student has written documentation showing she has received 2 doses of hepatitis B vaccine in a 3 dose series. She received the first dose 1 year ago and the second dose one month later. Today she sustained a needle stick injury while providing care for a hepatitis B infected patient. The student is tested for HBsAg, anti-HBc, and anti-HBs and the results indicate her anti-HBs is > 10 IU/L . Which of the following is TRUE about the follow up needed for this student:

a. HBIG within 48 hours of her exposure
b. A 3rd dose of Hep B vaccine
c. Re-testing for anti-HBs in 1-2 months
d. Immediate administration of Hep B vaccine and Hep B immunoglobulin


Answer: b. A 3rd dose of Hep B vaccine

Health Professions

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