Hepatitis A Vaccination

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Last updated: April 8, 2013

A 45-year-old woman presents to clinic for routine medical care. She is generally healthy and offers no complaints. She works at a daycare center, and emigrated from Mexico to the United States 10 years ago. She informs you that she will be visiting family in Mexico and is planning to leave in a week. A friend told her to inquire about hepatitis A vaccination. The patient has never received hepatitis A vaccine and to her knowledge has never had hepatitis.

Which of the following statements is TRUE regarding hepatitis A vaccination in this patient?

A Prevaccination testing for anti-HAV antibodies should be considered given her age and history of residence in an endemic region.
B All persons employed in child care centers should be vaccinated for hepatitis A.
C All susceptible travelers who plan to depart for an area endemic for hepatitis A in less than 2 weeks should receive immune globulin as well as hepatitis A vaccine.
D Hepatitis A vaccination is recommended only if the patient is expected to travel to a rural region with poor hygienic conditions.