Tdap: Difference between revisions
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==ED Tetanus Containing Vaccine Selection Guide== | == ED Tetanus Containing Vaccine Selection Guide == | ||
{| border="1" | {| border="1" | ||
|- | |||
| '''Age''' | | '''Age''' | ||
| '''If No Pertussis Contraindications''' | | '''If No Pertussis Contraindications''' | ||
| Line 14: | Line 16: | ||
| Td | | Td | ||
| Td | | Td | ||
| | | <br/> | ||
|- | |- | ||
| 10yrs | | 10yrs | ||
| Tdap(Adacel)^ | | Tdap(Adacel)^ | ||
| Td | | Td | ||
|^Off label use but appears safe and immunogenic | | ^Off label use but appears safe and immunogenic | ||
|- | |- | ||
| 11yrs - 16yrs | | 11yrs - 16yrs | ||
| Tdap(Adacel) | | Tdap(Adacel) | ||
| Td | | Td | ||
| | | <br/> | ||
|- | |- | ||
| 16yrs - 65 | | 16yrs - 65 | ||
| Tdap(Adacel)^^ | | Tdap(Adacel)^^ | ||
| Td | | Td | ||
|^^Use Td if patient is known to have received prior Tdap | | ^^Use Td if patient is known to have received prior Tdap | ||
|- | |- | ||
| 65yrs + | | 65yrs + | ||
| Td | | Td<br/> | ||
| | | Td<br/> | ||
|Consider TIG for tetanus prone wound plus Td(tetanus immune globulin) | | Consider TIG for tetanus prone wound plus Td(tetanus immune globulin) | ||
|} | |} | ||
==Caveats== | == Caveats == | ||
*Adolescents who | |||
*Pregnancy | *Adolescents who have already gotten a booster dose of Td are encouraged to get a dose of Tdap as well. Waiting 5 years after their last Td is encouraged but not required. A period of at least 2 years between Td and Tdap is recommended in these cases. | ||
*Stable | *Pregnancy is not a contraindication to Tdap. | ||
*No vaccine has ever been shown to play any role | *Stable neurologic disorders and family history of vaccine reactions are not contraindications to receiving these vaccines. | ||
*No vaccine has ever been shown to play any role in the development of autism or autism spectrum disorders. | |||
==See Also== | == See Also == | ||
ID: Tetanus (Prophylaxis) | ID: Tetanus (Prophylaxis) | ||
| Line 49: | Line 52: | ||
ID: Tetanus (Acute) | ID: Tetanus (Acute) | ||
[[Category:ID]] | <br/>[[Category:ID]] | ||
Revision as of 08:15, 12 March 2011
ED Tetanus Containing Vaccine Selection Guide
| Age | If No Pertussis Contraindications | If Pertussis Contraindicated | Comments |
| 2mo - 7yrs | DTaP | DT | DT available from pharmacy |
| 7yrs - 10yrs | Td | Td | |
| 10yrs | Tdap(Adacel)^ | Td | ^Off label use but appears safe and immunogenic |
| 11yrs - 16yrs | Tdap(Adacel) | Td | |
| 16yrs - 65 | Tdap(Adacel)^^ | Td | ^^Use Td if patient is known to have received prior Tdap |
| 65yrs + | Td |
Td |
Consider TIG for tetanus prone wound plus Td(tetanus immune globulin) |
Caveats
- Adolescents who have already gotten a booster dose of Td are encouraged to get a dose of Tdap as well. Waiting 5 years after their last Td is encouraged but not required. A period of at least 2 years between Td and Tdap is recommended in these cases.
- Pregnancy is not a contraindication to Tdap.
- Stable neurologic disorders and family history of vaccine reactions are not contraindications to receiving these vaccines.
- No vaccine has ever been shown to play any role in the development of autism or autism spectrum disorders.
See Also
ID: Tetanus (Prophylaxis)
ID: Tetanus (Acute)