Tdap: Difference between revisions

Latest revision as of 00:13, 6 February 2021

Background

DTaP: High concentration diphtheria, tetanus, and pertussis
Tdap: High concentration tetanus, low concentration diphtheria and pertussis
DT: High concentration diphtheria and tetanus
dT: High concentration tetanus, low concentration diphtheria

Indications

Tetanus 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. The only true contraindication to tetanus immunization is a history of neurologic or severe hypersensitivity to a previous dose.
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.

@@ Line 1: / Line 1: @@
-{| border="1"
+==Background==
-| '''Age'''
+*DTaP: High concentration diphtheria, tetanus, and pertussis
-| '''If No Pertussis Contraindications'''
+*Tdap: High concentration tetanus, low concentration diphtheria and pertussis
-| '''If Pertussis Contraindicated'''
+*DT: High concentration diphtheria and tetanus
-| '''Comments:'''
+*dT: High concentration tetanus, low concentration diphtheria
-|-
-| 2M till 7Years
-| DTaP
-| DT
-| DT available from pharmacy
-|-
-| 7Years till 10Years
-| Td
-| Td
-|
-|-
-| 10Years Old
-| Tdap(Adacel)^
-| Td
-|^Off label use but appears <safe and immunogenic
-|-
-| style="width: 147px" |
-<font face="&#39;Times New Roman&#39;"><font size="100%">11Years till 16Years</font></font>
-| style="width: 147px" |
-<font size="100%">Tdap(Adacel)</font>
-| style="width: 147px" |
-<font face="&#39;Times New Roman&#39;"><font size="100%">Td</font></font>
-| style="width: 147px" |
-<font face="&#39;Times New Roman&#39;"><font size="100%">�</font></font>
-|-
-| style="width: 147px" |
-<font face="&#39;Times New Roman&#39;"><font size="100%">16Years till 65</font></font><font face="&#39;Times New Roman&#39;"><font size="100%">Years</font></font>
-| style="width: 147px" |
-<font face="&#39;Times New Roman&#39;"><font size="100%">Tdap(Adacel)**</font></font>
-| style="width: 147px" |
-<font face="&#39;Times New Roman&#39;"><font size="100%">Td</font></font>
-| style="width: 147px" |
-<font face="&#39;Times New Roman&#39;"><font size="100%"><nowiki>**Use Td if patient is known to have</nowiki></font></font><font size="100%"> received prior Tdap.</font>
-|-
-| style="width: 147px" |
-<font face="&#39;Times New Roman&#39;"><font size="100%">65</font></font><font face="&#39;Times New Roman&#39;"><font size="100%">Years +</font></font>
-| style="width: 147px" |
-<font face="&#39;Times New Roman&#39;"><font size="100%">Td</font></font>
-| style="width: 147px" |
-<font face="&#39;Times New Roman&#39;"><font size="100%">Td</font></font>
-| style="width: 147px" |
-<font face="&#39;Times New Roman&#39;"><font size="100%">Consider TIG for tetanus prone wound plus Td.</font></font>
-<font face="&#39;Times New Roman&#39;"><font size="100%">(tetanus immune globulin)<br /></font></font>
+==Indications==
-|}
+{{Tdap chart}}
-<font face="&#39;Times New Roman&#39;">Caveats:</font>
-<font face="&#39;Times New Roman&#39;">-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.</font>
-<font face="&#39;Times New Roman&#39;">- Pregnancy is not a contraindication to Tdap.</font>
-<font face="&#39;Times New Roman&#39;">-Stable neurologic disorders and family history of vaccine reactions are not contraindications to receiving these vaccines.</font>
-<font face="&#39;Times New Roman&#39;">- No vaccine has ever been shown to play any role in the development of autism or autism spectrum disorders.</font>
-==<font face="&#39;Times New Roman&#39;">See Also</font>==
-ID: Tetanus (Prophylaxis)
-ID: Tetanus (Acute)
-ED Tetanus Containing Vaccine  Selection Guide
-Age
-	If No  Pertussis Contraindications
-	If Pertussis  Contraindicated
-	Comments:
-M till 7Years
-	DTaP
-	DT
-	DT available  from pharmacy.
-Years till 10Years
-	Td
-	Td
-Years Old
-	Tdap(Adacel)*
-	Td
-	*Off label use  but appears safe and immunogenic.
-Years till  16Years
-	Tdap(Adacel)
-	Td
-Years till 65Years
-	Tdap(Adacel)**
-	Td
-	**Use Td if  patient is known to have received prior Tdap.
-Years +
-	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==
+*[[Tetanus (Prophylaxis)]]
+*[[Tetanus (Acute)]]
-ID: Tetanus (Prophylaxis)
+*[[Pertussis]]
-ID: Tetanus (Acute)
 [[Category:ID]]