Doses and Schedules: Hepatitis A

Age # of Doses Schedule Dose Recombivax HB* Dose Energix-B**
Infants with HBsAg-negative mother 3 0 to 2, 1 to 4, and 6 to 18 months 5.0 (0.5 mL) 10 (0.5 mL)
Infants with HBsAg-positive mother 3 Hepatitis B immune globulin and vaccination within 12 hours of birth, then vaccine at 1 to 2 and 6 months 5.0 (0.5 mL) 10 (0.5 mL)
Children and adolescents age 1 to 19 years 3 0, 1 to 2, and 4 to 6 months 5.0 (0.5 mL) 10 (0.5 mL)
Adolescents 11 to 15 years 2 0 and 4 to 6 months 10 (1.0 mL) N/A
Adults 20 years and older 3 0, 1 to 2, and 4 to 6 months 10 (1.0 mL) 20 (1.0 mL)
Immuno-compromised adults 3
4
0, 1, and 6 months
0, 1, 2, and 6 months
40 (1.0 mL)
N/A
N/A
40 (2.0 mL)
Note: There should be at least 1 month between the first and second doses, at least 2 months between the second and third doses, and at least 4 months between the first and third doses. For infants, the third dose should not be given before 6 months of age.
*Recombinant vaccine. Manufactured by Merck & Company, Inc.
**Recombinant vaccine. Manufactured by SmithKline Beecham Biologicals.
Postexposure prophylaxis
Prophylactic treatment for exposure to hepatitis B virus involves either hepatitis B immune globulin (HBIG), hepatitis B vaccine, or a combination of both. The HBIG dose equals 0.06 mL/kg. Efficacy ranges from 70 to 95 percent for different types of exposure.
Exposure Treatment
Perinatal 1 dose of HBIG given with the first hepatitis B vaccine dose.
Percutaneous or permucosal HBIG and vaccination depending on vaccination and exposure status.
Sexual HBIG with or without vaccination for exposure to acute hepatitis B; vaccination alone for chronic exposure.
Household contact HBIG with vaccination for acute hepatitis B in infants under age 12 months; vaccination alone for chronic.