Tdap: Difference between revisions

Revision as of 08:00, 12 March 2011

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 65Years	Tdap(Adacel)**	Td	**Use Td if patient is known to have received prior Tdap.
65Years +	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.

@@ Line 1: / Line 1: @@
+{| width="379"
+| style="width: 147px" |
+<font face="&#39;Times New Roman&#39;">'''<font size="100%">Age</font>'''</font>
+| style="width: 147px" |
+<font face="&#39;Times New Roman&#39;">'''<font size="100%">If No Pertussis Contraindications</font>'''</font>
+| style="width: 147px" |
+<font face="&#39;Times New Roman&#39;">'''<font size="100%">If Pertussis Contraindicated</font>'''</font>
+| style="width: 147px" |
+<font face="&#39;Times New Roman&#39;">'''<font size="100%">Comments:</font>'''</font>
+|-
+| style="width: 147px" |
+<font face="&#39;Times New Roman&#39;"><font size="100%">2M till 7Years</font></font>
+| style="width: 147px" |
+<font face="&#39;Times New Roman&#39;"><font size="100%">DTaP</font></font>
+| style="width: 147px" |
+<font face="&#39;Times New Roman&#39;"><font size="100%">DT</font></font>
+| style="width: 147px" |
+<font face="&#39;Times New Roman&#39;"><font size="100%">DT available from pharmacy.</font></font>
+|-
+| style="width: 147px" |
+<font face="&#39;Times New Roman&#39;"><font size="100%">7Years till 10Years</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%">�</font></font>
+|-
+| style="width: 147px" |
+<font face="&#39;Times New Roman&#39;"><font size="100%">10Years Old</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>*Off label use but </nowiki></font></font><font face="&#39;Times New Roman&#39;"><font size="100%">appears </font></font><font size="100%">safe and immunogenic.</font>
+|-
+| 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>
+|}
+<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