Anti-HBs persistence and anamnestic response among medical interns vaccinated in infancy

Abstract Medical interns are at high risk of acquiring Hepatitis B Virus (HBV) infection during their training. HBV vaccination is the most effective measure to reduce the global incidence of HBV. The duration of protection after HBV vaccination is still controversial. We aimed to determine the prev...

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Main Authors: Nesrine Fathi Hanafi, Nashwa Naguib Omar, Ghada Abdelwahed Ismail, Amani Ali El-Kholy, Ahmed ElShafei, Sara AbdelAziz Essa
Format: Article
Language:English
Published: Nature Portfolio 2025-05-01
Series:Scientific Reports
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Online Access:https://doi.org/10.1038/s41598-025-00055-w
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author Nesrine Fathi Hanafi
Nashwa Naguib Omar
Ghada Abdelwahed Ismail
Amani Ali El-Kholy
Ahmed ElShafei
Sara AbdelAziz Essa
author_facet Nesrine Fathi Hanafi
Nashwa Naguib Omar
Ghada Abdelwahed Ismail
Amani Ali El-Kholy
Ahmed ElShafei
Sara AbdelAziz Essa
author_sort Nesrine Fathi Hanafi
collection DOAJ
description Abstract Medical interns are at high risk of acquiring Hepatitis B Virus (HBV) infection during their training. HBV vaccination is the most effective measure to reduce the global incidence of HBV. The duration of protection after HBV vaccination is still controversial. We aimed to determine the prevalence of protective anti-HBs levels among medical interns who had received compulsory hepatitis B vaccination in infancy, and to assess the anamnestic response of those subjects with non-protective antibodies titers, to a booster dose of the vaccine. We conducted a cross-sectional study on 519 medical interns in 2022. We examined their immunization status and records. Blood samples were collected and qualitative testing of Hepatitis B surface antigen (HBsAg), and quantitative testing of Hepatitis B surface antibody (anti-HBs) were performed. For medical interns whose titers were ˂ 10 mIU/mL, a booster dose of the vaccine was given, followed by repeat testing of anti-HBs 2 months later. About 304 (58.6%) of the medical interns revealed titers higher than or equal 10 mIU/mL. About (44.93%) of male medical interns showed an immunity level below 10 mIU/mL. However, (43.91%) of female medical interns had an antibody titer of 100 mIU/mL or higher. All subjects who got a booster dose presented a titer level of 10 mIU/mL 2 months later. About (41.4%) of our medical interns enrolled in the study had anti-HBs titer ˂ 10 mIU/mL. This raises the importance of establishing a screening protocol and offering booster dose for those at risk to protect them against the high risk of infection.
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spelling doaj-art-2a392a84ce7f43b5a80bfc353deac49e2025-08-20T03:09:35ZengNature PortfolioScientific Reports2045-23222025-05-011511610.1038/s41598-025-00055-wAnti-HBs persistence and anamnestic response among medical interns vaccinated in infancyNesrine Fathi Hanafi0Nashwa Naguib Omar1Ghada Abdelwahed Ismail2Amani Ali El-Kholy3Ahmed ElShafei4Sara AbdelAziz Essa5Department of Medical Microbiology and Immunology, Faculty of Medicine, Alexandria UniversityDepartment of Clinical Pathology, Faculty of Medicine, Ain Shams UniversityDepartment of Clinical Pathology, Faculty of Medicine, Ain Shams UniversityDepartment of Clinical Pathology, Faculty of Medicine, Cairo UniversityModern University for Information and TechnologyDepartment of Medical Microbiology and Immunology, Faculty of Medicine, Alexandria UniversityAbstract Medical interns are at high risk of acquiring Hepatitis B Virus (HBV) infection during their training. HBV vaccination is the most effective measure to reduce the global incidence of HBV. The duration of protection after HBV vaccination is still controversial. We aimed to determine the prevalence of protective anti-HBs levels among medical interns who had received compulsory hepatitis B vaccination in infancy, and to assess the anamnestic response of those subjects with non-protective antibodies titers, to a booster dose of the vaccine. We conducted a cross-sectional study on 519 medical interns in 2022. We examined their immunization status and records. Blood samples were collected and qualitative testing of Hepatitis B surface antigen (HBsAg), and quantitative testing of Hepatitis B surface antibody (anti-HBs) were performed. For medical interns whose titers were ˂ 10 mIU/mL, a booster dose of the vaccine was given, followed by repeat testing of anti-HBs 2 months later. About 304 (58.6%) of the medical interns revealed titers higher than or equal 10 mIU/mL. About (44.93%) of male medical interns showed an immunity level below 10 mIU/mL. However, (43.91%) of female medical interns had an antibody titer of 100 mIU/mL or higher. All subjects who got a booster dose presented a titer level of 10 mIU/mL 2 months later. About (41.4%) of our medical interns enrolled in the study had anti-HBs titer ˂ 10 mIU/mL. This raises the importance of establishing a screening protocol and offering booster dose for those at risk to protect them against the high risk of infection.https://doi.org/10.1038/s41598-025-00055-wHepatitis BVaccineImmunizationBoosterEgypt
spellingShingle Nesrine Fathi Hanafi
Nashwa Naguib Omar
Ghada Abdelwahed Ismail
Amani Ali El-Kholy
Ahmed ElShafei
Sara AbdelAziz Essa
Anti-HBs persistence and anamnestic response among medical interns vaccinated in infancy
Scientific Reports
Hepatitis B
Vaccine
Immunization
Booster
Egypt
title Anti-HBs persistence and anamnestic response among medical interns vaccinated in infancy
title_full Anti-HBs persistence and anamnestic response among medical interns vaccinated in infancy
title_fullStr Anti-HBs persistence and anamnestic response among medical interns vaccinated in infancy
title_full_unstemmed Anti-HBs persistence and anamnestic response among medical interns vaccinated in infancy
title_short Anti-HBs persistence and anamnestic response among medical interns vaccinated in infancy
title_sort anti hbs persistence and anamnestic response among medical interns vaccinated in infancy
topic Hepatitis B
Vaccine
Immunization
Booster
Egypt
url https://doi.org/10.1038/s41598-025-00055-w
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