PEP(post exposure prophylaxis)

🦠 Post-Exposure Prophylaxis (PEP) for Hepatitis B & C

Unlike **PEP (Post-Exposure Prophylaxis) for HIV**, **PEP for Hepatitis B & C** is **more complex**.

The **risk of infection transmission** is **higher in Hepatitis B & C** than in **HIV**, especially after **percutaneous needle-stick injuries**.

📊 Risk of Infection After Needle Stick Injury

  • 🦠 **Hepatitis B (HBV):**
    • **Up to 60%** risk if the source patient is **HBsAg & HBeAg positive**.
    • **Up to 30%** risk if the source patient is **HBsAg positive only**.
  • 🦠 **Hepatitis C (HCV):** **1-7% risk**.

💉 PEP for Hepatitis B

**Hepatitis B PEP** depends on:

  • ✅ **Completion of the 3-dose vaccination schedule**.
  • ✅ **Evaluation of vaccine response** (**Anti-HBs >10 mIU/mL**).

**For unvaccinated/incompletely vaccinated individuals** or **non-responders** (**Anti-HBs <10 mIU/mL**):

  • 💉 **HBIG (Hepatitis B Immunoglobulin)** should be **administered within 24 hours** (but can be given up to **7 days**).
  • 💉 **HBV Vaccine** should be given along with HBIG.
  • ✅ **Complete the full vaccination schedule** post-exposure.
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🚫 No PEP for Hepatitis C

**Unlike Hepatitis B, there is NO PEP for Hepatitis C.** **Management involves:**

  • 📌 **Early diagnosis and regular monitoring**.
  • 📌 **Prompt initiation of antiviral treatment** if infection occurs.

📢 Key Takeaways

  • ✔️ **Hepatitis B has a high risk of transmission via needle-stick injuries**.
  • ✔️ **Vaccination & HBIG play a key role in PEP for Hepatitis B**.
  • ✔️ **There is NO PEP for Hepatitis C; early diagnosis is the main strategy**.

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