Recommendations from the Advisory Committee on Immunization Practices

The Advisory Committee on Immunization Practices recommends that the following
persons be vaccinated against hepatitis B:

  • All infants, beginning at birth
  • All children under 19 years of age who have not been vaccinated previously
  • Susceptible sex partners of hepatitis B surface antigen (HBsAg)-positive persons
  • Sexually active persons who are not in a long-term, mutually monogamous relationship (for example, had more than one sex partner during the previous six months)
  • Anyone seeking evaluation or treatment for a sexually transmitted disease
  • Men who have sex with men
  • Injection drug users
  • Susceptible household contacts of HBsAg-positive persons
  • Health care and public safety workers at risk for exposure to blood or blood-contaminated body fluids
  • Anyone with end-stage renal disease, including pre-dialysis, hemodialysis, peritoneal dialysis, and home dialysis patients
  • Residents and staff of facilities for developmentally disabled persons
  • Travelers to regions with intermediate or high rates of endemic HBV infection
  • Anyone with chronic liver disease
  • Anyone with HIV infection
  • Unvaccinated adults with diabetes mellitus ages 19 through 59 years (discretion of clinicians for unvaccinated adults with diabetes mellitus who are age 60 and over)
  • All other persons seeking protection from HBV infection—acknowledgment of a specific risk factor is not a requirement for vaccination