Counseling
Lifestyle changes
to recommend for HBV
In hepatitis B, similarly during the acute hepatitis B, they are
no problem to household contacts in general because the major way
it is being transmitted is parenterally blood to blood and sexually.
You would take the appropriate prophylactic measures, but in someone
with chronic B, it would be very important to vaccinate anyone in
the household, which I would probably do even with the acute B,
but certainly with chronic B, and also if they have a regular sexual
partner, that individual if they do not have antibody to B, I would
give both passive and active immunization to prevent sexual transmission.
This is currently being done.
Perinatal Counseling Session
PATIENT: I
just want to know what steps can be taken to protect my baby from
getting hepatitis B from me when he is born.
COUNSELOR: OK,
within the first twelve hours of birth, your baby will receive two
shots. First shot is the hepatitis B immune globulin, and then the
second shot is the hepatitis B vaccine.
PATIENT: How
safe is this for the baby?
COUNSELOR: Well, no shots are without risk, however, this
is the safest proven protocol for your baby, and it is recommended
by Centers for Disease Control.
PATIENT: Will my baby have to receive any other shots after
this?
COUNSELOR: Yes. Your baby will have to receive the second
hepatitis B vaccine at one to two months of age, and the last hepatitis
B vaccine which is the third shot at six months of age.
PATIENT: And that will be it?
COUNSELOR: Yes.
PATIENT: Once my baby has had all those shots, is there
anything else that I need to do?
COUNSELOR: Yes, three to six * months after your baby receives
the last shot of hepatitis B vaccine, you need to take your baby
to the hospital to get his blood work done. We need to make sure
that the vaccine works for him and he is protected.
Top
of Page
Home
 
|
