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===[[Tdap|Tetanus Vaccine Selection Guide]]===
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{| class="wikitable"
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| Tdap(Adacel)^
| Tdap(Adacel)^
| Td
| Td
| ^Off label use but appears safe and immunogenic
| ^Off label use, but appears safe and immunogenic
|-
|-
| 11yrs - 16yrs
| 11yrs - 16yrs
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'''Caveats'''
'''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.
*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.
*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.
*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.
*No vaccine has ever been shown to play any role in the development of autism or autism spectrum disorders.

Revisión actual - 00:14 6 feb 2021

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.