Quality Resource Guide l Infection Prevention in Dentistry: The Roles of the Infection Control Coordinator 1st Edition 6 www.metdental.com Table 3 - Vaccine recommendations for dental personnel involved in clinical care Vaccines Recommendations in Brief Hepatitis B If you don’t have documented evidence of a complete hepB vaccine series, or if you don’t have a blood test that shows you are immune to hepatitis B ( i.e., no serologic evidence of immunity or prior vaccination) then you should • Get a 3-dose series of Recombivax HB or Engerix-B (dose #1 now, #2 in 1 month, #3 approximately 5 months after #2) or a 2-dose series of Heplisav-B, with the doses separated by at least 4 weeks. • Get an anti-HBs serologic test 1-2 months after the final dose. See Prevention of Hepatitis B Virus Infection in the United States: Recommendations of the ACIP. Flu (Influenza) Get 1 dose of influenza vaccine annually. MMR (Measles, Mumps & Rubella) If you were born in 1957 or later and have not had the MMR vaccine, or if you don’t have a blood test that shows you are immune to measles or mumps (i.e., no serologic evidence of immunity or prior vaccination), get 2 doses of MMR (1 dose now and the 2nd dose at least 28 days later). If you were born in 1957 or later and have not had the MMR vaccine, or if you don’t have a blood test that shows you are immune to rubella, only 1 dose of MMR is recommended. However, you may end up receiving 2 doses, because the rubella component is in the combination vaccine with measles and mumps.For HCWs born before 1957, see the MMR ACIP vaccine recommendations. Varicella (Chickenpox) If you have not had chickenpox (varicella), if you haven’t had varicella vaccine, or if you don’t have a blood test that shows you are immune to varicella ( i.e. , no serologic evidence of immunity or prior vaccination) get 2 doses of varicella vaccine, 4 weeks apart. Tdap (Tetanus, Diphtheria, Pertussis) Get a one-time dose of Tdap as soon as possible if you have not received Tdap previously (regardless of when previous dose of Td was received). Get either a Td or Tdap booster shot every 10 years thereafter. Pregnant HCWs need to get a dose of Tdap during each pregnancy. Meningococcal Microbiologists who are routinely exposed to Neisseria meningitidis should get meningococcal conjugate vaccine and serogroup B meningococcal vaccine. Resources and References CDC 1. Guidelines for IC in dental health care settings—2003: https://www.cdc.gov/mmwr/ preview/mmwrhtml/rr5217a1.htm 2. Summary of Infection Prevention Practices in Dental Settings—Basic Expectations for Safe Care: https://www.cdc.gov/oralhealth/infectioncontrol/ summary-infection-prevention-practices/index. html 3. DentalCheck Mobile App.: https://www.cdc.gov/ oralhealth/infectioncontrol/dentalcheck.html 4. Transmission-Based Precautions: https://www. cdc.gov/infectioncontrol/basics/transmission- based-precautions.html 5. Infection Control Guidance for Healthcare Professionals about Coronavirus (COVID-19): https://www.cdc.gov/coronavirus/2019-ncov/hcp/ infection-control-recommendations.html 6. COVID-19 By County (Community Transmission rates): https://covid.cdc.gov/covid-data- tracker/#county-view?list_select_state=all_ states&list_select_county=all_counties&data- type=Risk&null=Risk 7. Training Courses for Infection Prevention and Control in Dental Settings, Foundations for Building the Safest Dental Visit: https://www. cdc.gov/oralhealth/infectioncontrol/foundations- building-the-safest-dental-visit.html 8. Recommended vaccines for healthcare workers: https://www.cdc.gov/vaccines/adults/rec-vac/hcw. html 9. How Do I Find a COVID-19 Vaccines or Boosters: https://www.cdc.gov/coronavirus/2019-ncov/ vaccines/How-Do-I-Get-a-COVID-19-Vaccine. html?CDC_AA_refVal=https%3A%2F%2Fwww. cdc.gov%2Fcoronavirus%2F2019-ncov%2Fvaccin es%2Frecommendations%2Fhcp.html OSHA 1. Dentistry Workers and Employers, COVID-19 Control and Prevention: https://www.osha.gov/ coronavirus/control-prevention/dentistry 2. Protecting Workers: Guidance on Mitigating and Preventing the Spread of COVID-19 in the Workplace: https://www.osha.gov/coronavirus/ safework OSAP 1. The Organization for Safety, Asepsis, and Prevention: https://www.osap.org/