Assessment of Anti-HBs Titre Among Healthcare Workers at a Tertiary Care Centre, Visnagar, Gujarat

Authors

  • Bhumika Gaur
  • Parul D Shah
  • Apurba Anshuman Mishra

Keywords:

Hepatitis B Virus, Healthcare workers, Hepatitis B Vaccination, Hepatitis B Surface Antibody Titre

Abstract

Introduction: Healthcare workers (HCWs) are at increased risk of acquiring hepatitis B virus (HBV) infection through occupational exposure, but this risk can be effectively mitigated through hepatitis B vaccination.

Aims: Our goal is to determine the sero-prevalence of anti-Hepatitis B surface (anti-HBs) antibodies among healthcare workers in a tertiary care setting, in order to evaluate the level of protection for those in these high-risk environments.

Material and Methods: Serum samples from HCWs were analyzed at the Microbiology laboratory of Nootan Medical College and Nootan General Hospital in Gujarat. Aseptic collection of 3 ml of venous blood was performed using a vacutainer. The serum anti-HBs titers were measured through an Enzyme-Linked Immunoassay (ELISA).

Results: Of the 280 HCWs included, 259 were vaccinated, and 21 were unvaccinated. HCWs were grouped into four categories which comprised of doctors from all disciplines (n=37), nursing staff (n=140), technicians (n=53) and housekeeping (n=50). Among various groups of HCWs, the vaccination rate was highest among doctors and nursing staff’s than the other groups. While comparing the anti-HBs titre among the unvaccinated HCWs, it has been seen that out of 21 unvaccinated HCWs, majority of them (n=18) were having titre below 10 mIU/ml while few of them (n=3) had titres above 10mIU/ml.

Conclusion: All healthcare workers should undergo regular screening for HBs antigen, receive a booster dose, and have their anti-HBs titers monitored.

Downloads

Download data is not yet available.

References

Aronthippaitoon, Y.; Szerman, N.; Ngo-Giang-Huong, N.; Laperche, S.; Ungeheuer, M.-N.; Sureau, C.; Khamduang, W.; Gaudy-Graffin, C. Are International Units of Anti-HBs Antibodies Always Indicative of Hepatitis B Virus Neutralizing Activity? Vaccines 2023, 11,791. https://www.mdpi.com/2076-393X/11/4/791

Tsukuda S, Watashi K. Hepatitis B virus biology and life cycle. Antiviral Res. 2020 Oct;182:104925. doi: 10.1016/j.antiviral.2020.104925. Epub 2020 Aug 28. PMID: 32866519.

https://www.who.int/health-topics/hepatitis#tab=tab_1

McMahon BJ, Bruden DL, Petersen KM, Bulkow LR, Parkinson AJ, Nainan O, Khristova M, Zanis C, Peters H, Margolis HS. Antibody levels and protection after hepatitis B vaccination: results of a 15-year follow-up. Ann Intern Med. 2005 Mar 1;142(5):333-41. doi: 10.7326/0003-4819-142-5-200503010-00008. PMID: 15738452.

Singhal V, Bora D, Singh S. Hepatitis B in health care workers: Indian scenario. J Lab Physicians. 2009 Jul;1(2):41-8. doi: 10.4103/0974-2727.59697. PMID: 21938248; PMCID: PMC3167966.

Jilg W, Schmidt M, Deinhardt F. Persistence of specific antibodies after hepatitis B vaccination. J Hepatol. 1988 Apr;6(2):201-7. doi: 10.1016/s0168-8278(88)80032-1. PMID: 2970501.

WHO ESSENTIAL PROGRAMME ON IMMUNIZATION https://www.who.int/teams/immunization-vaccines-and-biologicals/essential-programme-onimmunization#:~:text=Essential%20Programme%20on%20Immunization&text=The%20Essential%20Programme%20on%20Immunization,populations%20across%20the%20life%20course.

Chaudhari CN, Bhagat MR, Shah T, Misra RN. Antibody to Hepatitis B Surface Antigen in Vaccinated Health Care Workers. Med J Armed Forces India. 2008 Oct;64(4):329-32. doi: 10.1016/S0377-1237(08)80013-5. Epub 2011 Jul 21. PMID: 27688569; PMCID: PMC5035263.

Kakisaka K, Sakai A, Yoshida Y, Miyasaka A, Takahashi F, Sumazaki R, Takikawa Y. Hepatitis B Surface Antibody Titers at One and Two Years after Hepatitis B Virus Vaccination in Healthy Young Japanese Adults. Intern Med. 2019 Aug 15;58(16):2349-2355. doi: 10.2169/internalmedicine.2231-18. Epub 2019 May 22. PMID: 31118375; PMCID: PMC6746647.

Chakraborty, B., Bashar, T., Roy, K., Noor, R., & Rahman, M. M. (2011). Persistence of Anti-HBs Antibody and Immunological Memory in Healthy Individuals Vaccinated with Hepatitis B Vaccine. Stamford Journal of Microbiology, 1(1), 37–41. https://doi.org/10.3329/sjm.v1i1.9101

Kumar, R., Kumar, S., Kumar, R., Kumari, N., Kumar, S., Singh, R., Xess, A., & K, S. S. (2018). Regular Screening Of Anti-Hbs Antibody Titre And The Need For Boosters Among Health Care Workers In A Tertiary Care Hospital In Patna. Journal of Evolution of Medical and Dental Sciences, 7(04), 504–506. https://doi.org/10.14260/jemds/2018/112

Paul M, Khatter S, Taneja J, Pandey A, Kaur IR. Baseline Anti-HBs Antibody Titre in Health Care Workers in a Tertiary Health Care Centre in Faridabad, India. J Commun Dis. 2021; 53(2): 62-68.

Pandya, H. B., Norris, S., Pipaliya, B., Lakhan, S., Javadekar, T., Jain, A., Guru, A., & Jain, A. (2024). Evaluation of anti-HBs antibody titers in the Health-Care Workers(HCWs) of a Tertiary care Hospital, Piparia, Gujarat. African Journal of Biological Sciences, 6(ISSN: 2663-2187). https://www.afjbs.com/issue-content/evaluation-of-anti-hbs-antibody-titers-in-the-health-care-workers-hcws-of-a-tertiary-care-hospital-piparia-gujarat-3614

Batra V, Goswami A, Dadhich S, Kothari D, Bhargava N. Hepatitis B immunization in healthcare workers. Ann Gastroenterol. 2015 Apr-Jun;28(2):276-280. PMID: 25830669; PMCID: PMC4367220.

Lall M, Sen S, Patrikar S, Karade S, Gupta RM. Post vaccination antibody titres of hepatitis B surface antigen (anti-HBs) in a mixed cohort of health care workers. Med J Armed Forces India. 2022 Apr;78(2):198-203. doi: 10.1016/j.mjafi.2020.11.023. Epub 2021 Feb 27. PMID: 35463555; PMCID: PMC9023541.

Sahana HV, Sarala N, Prasad SR. Decrease in Anti-HBs Antibodies over Time in Medical Students and Healthcare Workers after Hepatitis B Vaccination. Biomed Res Int. 2017;2017:1327492. doi: 10.1155/2017/1327492. Epub 2017 Sep 26. PMID: 29082237; PMCID: PMC5634573

Downloads

Published

2025-07-01

How to Cite

1.
Gaur B, D Shah P, Mishra AA. Assessment of Anti-HBs Titre Among Healthcare Workers at a Tertiary Care Centre, Visnagar, Gujarat. J Neonatal Surg [Internet]. 2025Jul.1 [cited 2025Jul.20];14(32S):2918-27. Available from: https://jneonatalsurg.com/index.php/jns/article/view/7851