Tdap: Difference between revisions

Revision as of 08:11, 12 March 2011

ED Tetanus Containing Vaccine Selection Guide

Age	If No Pertussis Contraindications	If Pertussis Contraindicated	Comments:
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
11Years till 16Years	Tdap(Adacel)<	Td
16Years till 65	Tdap(Adacel)^^	Td	^^Use Td if patient is known to have received prior Tdap
Years +	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.

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+==ED Tetanus Containing Vaccine Selection Guide==
 {| border="1"
 | '''Age'''
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-<font face="&#39;Times New Roman&#39;">Caveats:</font>
+==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.
-<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>
+*Pregnancy  is not a contraindication to Tdap.
+*Stable  neurologic disorders and family history of vaccine reactions are not  contraindications to receiving these vaccines.
-<font face="&#39;Times New Roman&#39;">- Pregnancy is not a contraindication to Tdap.</font>
+*No vaccine has ever been shown to play any role  in the development of autism or autism spectrum disorders.
-<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==
 ID: Tetanus (Prophylaxis)
 ID: Tetanus (Acute)
 [[Category:ID]]