1Department of Nephrology; 2Department of Medicine, University of Melbourne, St Vincent’s Hospital, Melbourne, AUSTRALIA

Background: Hepatitis B vaccination and immunity in haemodialysis (HD) dialysis patients is an important preventative measure given Hepatitis B is highly infectious and transmission has been reported between haemodialysis patients despite stringent standard precautions.

Aim: To determine the prevalent Hepatitis B immunity status at a single metropolitan satellite haemodialysis unit to ensure our screening and vaccination policy is effective.

Methods: Current hepatitis serology from 2017 on all patients (n=59, 100%) at our main metropolitan satellite were examine for hepatitis B status and immunity using Hepatitis B Surface Antigen (HBSAg), Hepatitis B Surface Antibody (HBSAb), and Hepatitis B Core Antibody (HepBCAb).  The country-of-birth of patients was also noted.

Results: 14 (24%) patients were HBSAg-/HBSAb+ and 25 (42%) patients were HBSAg-/HBSAb- indicating no protective immunity and suggesting that only 36% (14/39) of patients in our HD population could be successfully vaccinated.  19 (32%) were HBSAg-/HBCAb+ and all of these patients were born overseas compared to no difference in proportion of Australian and overseas born in all other groups.  Taking into account the HepBCAb+ group, the total patients with some  with some protective immunity reaches 56% (14+19). There was 1 (2%) patient with HBSAg+ with chronic infection who was Australian born.

Conclusions: A substantial proportion of HD patients have no protective immunity to Hepatitis B and vaccination appears to be successful in only 1 in 3 patients.  Therefore, checking Hepatitis B status early in CKD and vaccination prior to dialysis may improve protective immunity rate in HD units.


The ASM is hosted by Australian and New Zealand Society of Nephrology.

The aims of the Society are to promote and support the study of the kidney and urinary tract in health and disease, and to ensure the highest professional standards for the practice of nephrology in Australia and New Zealand.

Conference Managers

Please contact the team at Conference Design with any questions regarding the Annual Scientific Meeting

© 2015 - 2016 Conference Design Pty Ltd