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1 : B : B. B. : 76.. ELISA B. 86/8 6/6 6/6 : B. B (P 0/05) (100> B ).. High-risk. B : 1 firozzadfatah@gmail.com ( ) ١

2 Postvaccination Hepatitis B Antibody titer on students of Ardebil College of Dentistry Abstract Dr. Firouz Zad Fattah 1, Dr. Mehrdad Blourian 2, Aazam Sadegh 3 Background and objectives: Hepatitis B is a viral infection that attacks the liver and can cause both acute and chronic disease. Thus, the present study focuses on postvaccination Hepatitis B Antibody titer of dental students in order to evaluate the efficacy of Hepatitis B vaccine and the associated factors. Method: descriptive observational study method was used, which included questionnaires and serologic tests. The questionnaires contained questions on personal specifications, according which as many as 76 individuals were qualified as the subjects of the study. Blood samples were taken from the subjects in order to run test on Hepatitis B by using ELISA test. Statistical analysis was done on the obtained data by using Chi-square test and Fisher s exact test. Finding and conclusion: according to the obtained results 6.6% of the students had a negative titer, while another 6.6% were in borderline situation; whereas 86.8% produced a positive titer. Furthermore, the results revealed that there was an insignificance difference between Hepatitis B Antibody titer values and variables such as gender and needlestick injuries (P 0/05); whereas, Hepatitis B Antibody titer was significantly different for pre-clinical and clinical students. So revaccination (booster shot) must be considered for the individuals with a negative Hepatitis B Antibody titer who are considered as high-risk group in the society. Keywords: titer, Hepatitis B Virus, vaccine, dental students 1.Assistant Professor, Endodontics Department, Ardebil University of Medical Sciences, Ardebil, Iran. (corresponding author) firozzadfatah@gmail.com. 2. Assistant Professor, Endodontics Department, College of Dentistry of Ardebil University of Medical Science, Ardebil, Iran. 3. Dental student, College of Dentistry of Ardebil University of Medical Science, Ardebil, Iran. ٢

3 :..(1).(2) G A 6 B. E D C B A (3) (4) B. B.(5).(6) B (2005) Techasathit.(7-8) anti-hbs 2/2 Pre-clinical. B.(9) clinical..(10). B. 6 3.(11) B.(12) B. B. ٣

4 . ). ( ) ( 10MIU/ml 5cc 80. (100 ) HB s Ag anti-hb s anti- ( Bio-RAD ) ELISA. anti-hb c anti-hb c HbsAg bias. HB s B anti-hb c. (P-value 0.05) : ( 26/3% 73/7%) /7. (%27/6) 21 (%72/4) /99. 86/8 6/6 6/6. (13) ( ) Barsah.(14) 95/2..(15) HB 1.(9 18) (2005) Techasathit (1384).(P 0/05) Barsah. B. (17) (16) Shin (15). B.(19 20) (2000) Bonni (1998) Mujeeb ٤

5 HB.1 P (MIU/ml) B Titer >100 ( ) 10 Titer 100 ( ) Titer< 10 () 0/325 %72/4 %50 %17/1 %5/3 %27/6 %23/7 %2/6 %1/3 0/029 %73/7 %64/5 %6/6 %2/6 %26/3 %9/2 %13/2 %3/9 0/162 %44/7 %28/9 %13/2 %2/6 %55/3 %44/7 %6/6 %3/9. B. B.. B.. B B H B HB. :. ٥

6 : 1. Koziel MJ, Siddiqui A. Hepatitis B virus and hepatitis delta virus. Principles and Practice of Infectious Diseases (6th ed.) Elsevier, Churchill, Livingstone New York; 2005: Keeffe EB, Dieterich DT, Han S-H, Jacobson IM, Martin P, Schiff ER, Tobias H, Wright TL. A treatment algorithm for the management of chronic hepatitis B virus in the United States: an update. Clin Gastroenterol Hepatol 2006; 4: Arif M, Al-Faleh FZ, Al-Frayh AR, Ramia S. Reduction in the prevalence of antibody to hepatitis A virus among young Saudi adults: implications for hepatitis A vaccine. Saudi J Gastroenterol 1995; 1: Lemon SM, Thomas DL. Vaccines to prevent viral hepatitis. N Engl J Med 1997; 336: Ayazi F, Darvish Damavandi F. M. Shafie. [Evaluation of immunogenicity of hepatitis B vaccine in health care workers in Tehran, Iran]: The Eighth Congress of Infectious and Tropical Diseases; 2001: 136 (Persian). 6. Zali MR, Mohammad K, Farhadi A, Masjedi MR, Zargar A, Nowrozi A. [Epidemiology of hepatitis B in the Islamic Republic of Iran]. East Meditter Health J 1996; 2: (Persian). 7. Sharifi M. Ghoreshian S. [Study on the immune effects of hepatitis B vaccination in health care personals of medicine university of Shahid Sadoughi of Yazd]. Scientific journal of Sadoughi of Yazd 1997; 1: (Persian). 8. Hassanjuni R.M, Soleymani M, Asgharzade A.S. [Prevalence of HBV-DNA in chronic hepatitis B transmitters]. Scientific journal of Baboul 2002; 11(25): 32-7 (Persian). 9. Techasathit wichai, ratanasuwan winai, sonjai areeaue, et al. vaccination against hepatitis B virus: are thai medical students sufficiently?. J Med Assoc Thai, 2005, 88(3): Gillcrist JA. Hepatitis viruses A, B, C, D, E and G: implications for dental personnel. J Am Dent Assoc 1999; 130: Olubuyide IO, Ola SO, Aliyu B. Hepatitis B and C in doctors and dentists in Nigeria. QJM. 1997; 90: Mahboobi N, Agha-Hosseini F, Safari S, Lavanchy D, Alavian SM. [Hepatitis B virus infection in dentistry: a forgotten topic]. J Viral Hepat 2010; 17: (Persian). 13. Amini S, Andalibi S, Mahmoodi M. [Anti-HBs Response and its Protective Effect in Children and Adults Receiving Hepatitis B Recombinant Vaccine, in Tehran]. Iran J Med Sci. 2002; 27(3); (Persian). 14. Shokrgozar M.A, Shokri F. [Associated antibody response to recombinant hepatitis B vaccine in healthy Iranian adults]. Iran J Med Sci.1999; 24(3, 4): (Persian). 15. Barsah C, Conn MI, Dimarino AJ, Marzano J, Allen ML: Serologic hepatitis B Immunity in vaccinated health care workers. Arch Intern Med 1999; 159: Shin BM, Jeong KW. Distribution of anti-hbs levels in Korean adults. Yonsei Med J 2000; 41(1): ٦

7 17. Jahanbakhsh, A; Hatam Hosseini, S. [Immune response against hepatitis B vaccine in health care workers in Kermanshah]. Journal of improvement in 2003, 7: (Persian). 18. Yegane, F. [Evaluation of antibodies against hepatitis B in Bandar Abbas Medical School students in 2004]. Medical doctoral thesis University of Medical Sciences200:17-29 (Persian). 19. Mujeeb S.A, Khatri Y, Khanani R. Frequency of parenteral exposure and seroprevalence of HBV, HCV and HIV among operation room personnel. Journal of Hospital Infection 1998; 38 (2): Bonni R, Leslie G. Evaluation of interventions to prevent needle stick injuries in health care. American J of preventive medicine 2000; 18(4): ٧

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