Tdap: Difference between revisions
| Line 6: | Line 6: | ||
| '''Comments''' | | '''Comments''' | ||
|- | |- | ||
| | | 2mo - 7yrs | ||
| DTaP | | DTaP | ||
| DT | | DT | ||
| DT available from pharmacy | | DT available from pharmacy | ||
|- | |- | ||
| | | 7yrs - 10yrs | ||
| Td | | Td | ||
| Td | | Td | ||
| | | | ||
|- | |- | ||
| | | 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 | ||
| Tdap(Adacel) | | Tdap(Adacel) | ||
| Td | | Td | ||
| | | | ||
|- | |- | ||
| | | 16yrs till 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 + | ||
| Td | | Td | ||
| | | | ||
Revision as of 08:14, 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 till 65 | Tdap(Adacel)^^ | Td | ^^Use Td if patient is known to have received prior Tdap |
| 65yrs + | 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)