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Persistence of Immunity for Hepatitis B Virus among Heathcare Workers and Italian Medical Students 20 Years after Vaccination

Author

Listed:
  • Luca Coppeta

    (Department of Occupational Medicine, University of Rome Tor Vergata, Viale Oxford 81, 00188 Roma, Italy)

  • Andrea Pompei

    (Department of Occupational Diseases, Toulouse University Hospital, Bâtiment Turiaf, Place du Dr Baylac, 31059, Toulouse Cedex 9, France)

  • Ottavia Balbi

    (Department of Occupational Medicine, University of Rome Tor Vergata, Viale Oxford 81, 00188 Roma, Italy)

  • Ludovico M. De Zordo

    (Department of Occupational Medicine, University of Rome Tor Vergata, Viale Oxford 81, 00188 Roma, Italy)

  • Federica Mormone

    (Department of Occupational Medicine, University of Rome Tor Vergata, Viale Oxford 81, 00188 Roma, Italy)

  • Sara Policardo

    (Department of Occupational Medicine, University of Rome Tor Vergata, Viale Oxford 81, 00188 Roma, Italy)

  • Piergiorgio Lieto

    (Department of Occupational Medicine, University of Rome Tor Vergata, Viale Oxford 81, 00188 Roma, Italy)

  • Antonio Pietroiusti

    (Department of Occupational Medicine, University of Rome Tor Vergata, Viale Oxford 81, 00188 Roma, Italy)

  • Andrea Magrini

    (Department of Occupational Medicine, University of Rome Tor Vergata, Viale Oxford 81, 00188 Roma, Italy)

Abstract

Background : Immunization of healthcare workers (HCWs) and medical students for the hepatitis B virus (HBV) is a crucial part of the hospital infection control programs. The aim of our study was to evaluate the persistence of anti-HBV specific antibodies in HCWs vaccinated during infancy or adolescence. Methods : Medical records of 734 consecutive subjects born after 1980 (481 females, 65.5% and 253 males, 34.5%) who underwent serological testing for anti-hepatitis B surface antibodies (anti-HBs) were evaluated. Results : A non-protective titer (<10 mUI) was found in 88/734 (12.0%) subjects; 84 (47.8%) of them received a booster dose of anti-hepatitis B vaccine and the anti-HBs titer of 58 subjects was measured 1 month after administration. A protective titer (anti-HBs >10 mIU/mL) was observed in almost 90% of subjects receiving the booster dose. Conclusions : A substantial percentage of HCWs had a non-protective anti-HBs titer at the time of the first employment, especially those vaccinated at birth age. However, the response to the booster dose showed that in these subjects, an anti-HBs titer <10 mIU/mL was due to the physiological decline of antibodies over the years. Therefore, primary immunization in childhood is highly effective and provides lasting immunity against HBV infection.

Suggested Citation

  • Luca Coppeta & Andrea Pompei & Ottavia Balbi & Ludovico M. De Zordo & Federica Mormone & Sara Policardo & Piergiorgio Lieto & Antonio Pietroiusti & Andrea Magrini, 2019. "Persistence of Immunity for Hepatitis B Virus among Heathcare Workers and Italian Medical Students 20 Years after Vaccination," IJERPH, MDPI, vol. 16(9), pages 1-9, April.
  • Handle: RePEc:gam:jijerp:v:16:y:2019:i:9:p:1515-:d:226966
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    Citations

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    Cited by:

    1. Luca Coppeta & Cristiana Ferrari & Marco Trabucco Aurilio & Gianluigi Ferrazza & Andrea Magrini & Stefano Rizza, 2022. "Night Shift Work Is Associated with Reduced Rate of Humoral Response Following Vaccination for HBV," IJERPH, MDPI, vol. 19(14), pages 1-7, July.
    2. Andrea Trevisan & Paola Mason & Annamaria Nicolli & Stefano Maso & Marco Fonzo & Bruno Scarpa & Chiara Bertoncello, 2021. "Future Healthcare Workers and Hepatitis B Vaccination: A New Generation," IJERPH, MDPI, vol. 18(15), pages 1-9, July.

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