What immediate measure should a healthcare provider receive after being stuck by a contaminated needle from a hepatitis B-positive patient?

After a healthcare provider is stuck by a contaminated needle from a hepatitis B-positive patient, the most appropriate immediate measure is to administer hepatitis B immunoglobulin (HBIG) as postexposure prophylaxis. This is critical in preventing the infection from establishing in the exposed individual. HBIG provides immediate passive immunity by supplying pre-formed antibodies specifically against the hepatitis B virus (HBV), which is particularly important for individuals who are not fully vaccinated or have unknown vaccination status.

In cases of a needlestick injury involving a known hepatitis B-positive source, the combination of HBIG and the hepatitis B vaccine is often recommended to ensure effective protection. The vaccine helps to generate a strong, long-lasting immune response, while HBIG provides immediate, short-term protection. If the healthcare provider has already completed the vaccination series and has a documented adequate immune response (e.g., post-vaccination antibody levels), they may not require HBIG, but monitoring and possibly booster vaccinations may still be relevant in overall practice.

Other options suggest inadequate measures in this scenario. Relying solely on vaccination or just monitoring for symptoms would not provide the immediate protective action needed to counteract the exposure. Counsel on future vaccinations does not address the immediate risk present after exposure. Therefore, the