Recombivax Hb Pediatric/adolescent

Use correct formulation; see literature. Give IM into anterolateral thigh for children; deltoid for adults. May give SC if risk of hemorrhage. Patients 0–19yrs of age (three-dose regimen): give 1^st dose of 5mcg at elected date and repeat after 1 month (2^nd dose) and 6 months after first dose (3^rd dose). Or, for patients 11–15yrs of age, may use alternate two-dose regimen: give 1^st dose of 10mcg at elected date and repeat after 4–6 months (2^nd dose). Patients ≥20yrs of age: give 1^st dose of 10mcg at elected date and repeat after 1 month (2^nd dose) and 6 months after first dose (3^rd dose). Dialysis and pre-dialysis patients: give 1^st dose of 40mcg at elected date and repeat after 1 month (2^nd dose) and 6 months after first dose (3^rd dose); consider booster dose if antibody levels fall to <10mIU/mL. High-risk infants (mother is HBsAg positive or unknown) or if exposed to HBsAg: give hepatitis B immune globulin also (see literature).