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If immunocompetent, further assessment of antibody levels is not indicated. Individuals at continuing risk of infection should be offered a single booster dose of vaccine, once only, around five years after primary immunisation.(Please consult UK immunisation guidance for further details: ‘Hepatitis B: the green book, chapter 18’). Patient should be tested for markers of current (HBs Ag) or past infection (anti-HBc).Utilising an Information Technology (IT) system for real-time monitoring that extracted data continuously from the electronic patient record (EPR), we established Key Performance Indicators (KPI) to monitor the current uptake of screening and vaccination in high-risk patients.This baseline assessment showed under-performance in all of the KPI for screening and vaccination in these risk groups and improvements were required.

When the project commenced in April 2015, UHB Sexual Health service was a large city-centre clinic serving a Birmingham population, including people from diverse ethnic and cultural backgrounds, young and vulnerable individuals. If immunocompetent, further assessment of antibody levels is not indicated. Individuals at continuing risk of infection should be offered a single booster dose of vaccine, once only, around five years after primary immunisation.Measurement of anti-HBs levels is not required either before or after this dose.(Please consult UK immunisation guidance ‘Hepatitis B: the green book, chapter 18’).Please note that a positive anti-HBs titre is not evidence that a patient is not currently infected with HBV.

When the project commenced in April 2015, UHB Sexual Health service was a large city-centre clinic serving a Birmingham population, including people from diverse ethnic and cultural backgrounds, young and vulnerable individuals.

If immunocompetent, further assessment of antibody levels is not indicated. Individuals at continuing risk of infection should be offered a single booster dose of vaccine, once only, around five years after primary immunisation.

Measurement of anti-HBs levels is not required either before or after this dose.

(Please consult UK immunisation guidance ‘Hepatitis B: the green book, chapter 18’).

Please note that a positive anti-HBs titre is not evidence that a patient is not currently infected with HBV.

The schedule is as follows: It is generally well tolerated.