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1Ben Taub General Hospital, 5th Fl, 5-PO 71 002b, 1504 Ben Taub Loop, Houston, TX 77030, USA. Electronic address: spappas1@comcast.net.
Abstract
Owing to standard precautions and initiatives for universal hepatitis B virus (HBV) vaccination in the general population and health care workers, risk of transmission of HBV infection from the patient to a health care worker (and vice versa) is very low. The need for mandatory HBV screening and vaccination in health care workers is less clear than in the past. Health care workers with chronic HBV infection neither require restrictions on professional practice nor disclosure of infection status to a patient. Further study is required to develop effective revaccination strategies to manage health care workers who are vaccine nonresponders.