Tdap
| 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.
See Also
ID: Tetanus (Prophylaxis)
ID: Tetanus (Acute)
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 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.
See Also
ID: Tetanus (Prophylaxis)
ID: Tetanus (Acute)