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Hepatitis A Vaccination

Last updated: November 17, 2010

Learning Objectives

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?

	Prevaccination testing for anti-HAV antibodies should be considered given her age and history of residence in an endemic region.
	All persons employed in child care centers should be vaccinated for hepatitis A.
	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.
	Hepatitis A vaccination is recommended only if the patient is expected to travel to a rural region with poor hygienic conditions.