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Information on immune globulin from CDC
IG is a sterile preparation of concentrated antibodies made from pooled human
plasma. IG provides protection against hepatitis A through passive transfer of
antibody. IG is 80%‑90% effective in preventing clinical hepatitis A when
administered before exposure or early in the incubation period after exposure.
IG can be used for pre-exposure prophylaxis for travelers to areas of high or
intermediate endemicity of hepatitis A, particularly when the planned departure
is less than 2-4 weeks later. In this situation, immunity from vaccination might
not have developed by the time of departure. Post-exposure prophylaxis with IG
is effective if administered within 14 days of exposure. The primary routine
indication for post-exposure prophylaxis is for household or other intimate
contacts of persons with hepatitis A. In addition, post-exposure prophylaxis
might be indicated when hepatitis A cases occur in some institutional settings
(e.g., child day-care centers) and after some common source exposures (e.g.,
persons who ate food prepared by an infected food handler). Local and/or state
health departments should be consulted regarding the use of IG for post-exposure
prophylaxis in these settings.