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Slide 93 of 368

| Slide 93 | |
| Vaccination of selected high-risk groups in adults | |
| All household and sexual contacts of persons identified as HBsAg + should be vaccinated. | |
| Susceptible sexually active homosexual and bisexual men should be vaccinated. | |
| Vaccination is also recommended for men and women who are diagnosed to have sexually transmitted diseases, and for persons who have multiple sexual partners. | |
| All injection drug users who are susceptible to HBV should be vaccinated as soon as their drug use begins. | |
| For patients with end-stage renal disease, vaccination should be initiated early in the course of their renal disease because patients vaccinated after they require dialysis are less likely to respond. | |
| Patients who receive clotting-factor concentrates should be vaccinated as soon as their specific clotting disorder is identified. | |
| Adopted or fostered orphans from countries where HBV infection is endemic should be screened for HBsAg. If the children are HBsAg positive, other family members should also be vaccinated. | |
| CDC. Hepatitis B virus: a comprehensive strategy for eliminating transmission in the United States through universal childhood vaccination: recommendations of the immunization practices advisory committee (ACIP). MMWR 1991;40 (RR-13):1-19. | |
| Kane M. Global programme for control of hepatitis B infection. Vaccine 1995;13 S1:S47-9. |
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