Adult haemodialysis or pre-dialysis patients are recommended to receive larger-than-usual doses of hepatitis B vaccine — either:
1.0 mL of Engerix-B adult formulation (20 µg) in each arm at each schedule point (that is, a double dose on each occasion) in a 4-dose schedule at 0, 1, 2 and 6 months,8 or
a single dose of H-B-Vax II dialysis formulation (40 µg) on each occasion in a 3-dose schedule at 0, 1 and 6 months
Dialysis patients and patients with severely impaired renal function who expect to have dialysis may be at increased risk of acquiring hepatitis B virusinfection. They may also respond less well to vaccination than other people.
The Department of Health and Aged Care acknowledges First Nations peoples as the Traditional Owners of Country throughout Australia, and their continuing connection to land, sea and community. We pay our respects to them and their cultures, and to all Elders both past and present.