Hepatitis B Community
Hep B Serology
About This Community:

This forum is an un-mediated, patient-to-patient forum for questions and support regarding Hepatitis B. Topics in this forum include but are not limited to, Causes, Diagnosis, Family and Relationships, Living With Hepatitis B, Research Updates, Treatment, Success Stories, Support, Symptoms.

Font Size:
A
A
A
Background:
Blank
Blank
Blank
Blank Blank

Hep B Serology

Hi Everyone!

I have a general question regarding Hepatitis B vaccination. This question stems mostly from my paranoia but here goes!

I am a healthcare worker and have been for the past 4 years. I was vaccinated with a full series of Hep B vaccinations back in 1997. When I was to start my new job in 2003, they requested a titer for Hep B in addition to proof of vaccination. The subsequent titer came back negative. My physician said that in terms of vaccination, the titer can often become lower over time, however the cells are "amnestic" and can remake antibody when challenged.

My job however, still required that I get a documented titer, so my physician gave me a booster dose and subsequently retitered me following a month and I was positive for the Hep B S Ab. I've also researched this on the CDC and it states that titers outside of 1-2 months following the last dose is meaningless.

Do I now have immunity to the virus?
Should I go get tested for the core Ab?
---I have no risk factors, asides from being a health care worker currently...but I do have the documented + titer prior to starting this job. I was not born in the US but did not grow up in an endemic area, and my mother is HepB negative. I have also never had any elevated liver function tests.

PS: For those who saw my last post regarding HCV...I tested negative! Thanks for your support.
Related Discussions
9 Comments Post a Comment
Blank
Avatar_n_tn
One more quick question...
Would I have responded to the HepB vaccine if I had already had the infection?
Blank
Avatar_n_tn
Help please :)
Blank
181575_tn?1250202386
Since you tested positive for Hep B S Ab, it usually indicates immunity.  To be sure, check to make sure your Hep B S Ab is negative.

If your doctor gave you the shots, it usually means that you were never infected with HepB.  In this case, there is no reason to test for the core Ab.  That is the marker for past or present infection.

But I'm no doctor, so run the above info with your doctor.  Good luck.
Blank
Avatar_n_tn
Did you mean check to make sure that my Hep B S Ag is negative? I know that my surface Hep B S Ab is positive because of the vaccination.
Blank
217229_tn?1192766004
Yeah - methinks he did.. LOL!

Meki
Blank
181575_tn?1250202386
Oops, should have been:

To be sure, check to make sure your Hep B S Ag is negative.

Thanks Meki.  Too much fun during Labor Day weekend.  Brain is still on leave.  LOL!
Blank
217229_tn?1192766004
Brain? You have Brain?

Woohooo! A man with a Brain!!!

*GRIN*

Meki
Blank
Avatar_n_tn
I got tested! Thanks for your advice. As expected, I had a positive Hep B S Ab and negative core and Ag, indicating immunity from vaccination. I also had a high titer, well above the 10mIU/ml needed to confer immunity!

Thanks for the support :)
Blank
217229_tn?1192766004
Anytime--- thatsa whata we do-a....

LOL!

Meki
Blank
Post a Comment
To
Blank
Weight Tracker
Weight Tracker
Start Tracking Now
Hepatitis B Community Resources
RSS Expert Activity
469720_tn?1388149949
Blank
Abdominal Aortic Aneurysm-treatable... Blank
Oct 04 by Lee Kirksey, MDBlank
242532_tn?1269553979
Blank
The 3 Essentials to Ending Emotiona...
Sep 18 by Roger Gould, M.D.Blank
242532_tn?1269553979
Blank
Control Emotional Eating with this ...
Sep 04 by Roger Gould, M.D.Blank
Top Hepatitis Answerers
Avatar_m_tn
Blank
stef2011
Italy
9624973_tn?1413019730
Blank
melcul
United Kingdom
Avatar_m_tn
Blank
StephenCastlecrag
Australia
Avatar_m_tn
Blank
veteranB
CA
568322_tn?1370169040
Blank
CoWriter
Avatar_m_tn
Blank
luckyman316