# Presentation: 665787

## Immunization Update 2007
Satellite Broadcast/Webcast
August 9, 2007

Tdap Vaccine Segment

**Satellite Broadcast/Webcast**
**August 9, 2007**
**Tdap Vaccine Segment**

**Graphics subject to change.**
**This material in the public domain.**

## Tdap Vaccines

**Boostrix (GlaxoSmithKline)**
**Licensed May 2005**
**Single dose**
**Approved for persons 10 through 18 years of age**
**Adacel (sanofi pasteur)**
**Licensed June 2005**
**Single dose**
**Approved for persons 11 through 64 years of age**

## General Principles for Use of Tdap and Td

**No brand preference**
**Tdap preferred to Td to provide protection against pertussis**
**Approved only for a single booster dose in persons who have received a full series of pediatric DTaP or DTP**

## Use of Tdap Among Adults

**Single dose of Tdap to replace a single dose of Td**
**Special emphasis on adults with close contact with infants (*****e.g*****., childcare and healthcare personnel, and parents)**

**Source: *****MMWR***** 2006;55(RR-17) **

## Persons Without a History of Pertussis Vaccination

**All adolescents and adults should have documentation of having received a series of DTaP, DTP, DT, or Td**
**Persons without documentation should receive or complete a series of 3 doses**
**Preferred schedule:**
**single dose of Tdap**
**Td at least 4 weeks after the Tdap dose**
**second dose of Td at least 6 months after the prior Td dose**

**Source: *****MMWR***** 2006;55(RR-17) **

## Minimum Interval BetweenTd and Tdap

**ACIP did not define an absolute minimum interval between Td and Tdap**
**Provider will need to decide based on whether the benefit of pertussis immunity outweighs the risk of a local adverse reaction**

**Source: *****MMWR***** 2006;55(RR-17) **

## Tdap and Pregnancy

**Td is generally preferred during pregnancy**
**All women should receive a dose of Tdap in the immediate postpartum period**
**Any woman who might become pregnant is encouraged to receive a single dose of Tdap**

**Source: *****MMWR***** 2006;55(RR-17) **

## Tdap and Pregnancy

**A clinician may choose to administer Tdap to a pregnant woman in certain circumstances, such as during an outbreak of pertussis in the community**
**Pregnancy is not a contraindication to vaccination with Tdap**

**Source: *****MMWR***** 2006;55(RR-17) **

## Tdap and Healthcare Personnel (HCP)

**HCP who work in hospitals or ambulatory care settings and have direct patient contact should receive a single dose of Tdap (Adacel only) as soon as feasible***
**Priority should be given to vaccination of healthcare personnel who have direct contact with infants 12 months of age and younger**
**Other HCP should receive a single dose of Tdap to replace the next scheduled Td**

***if they have not previously received Tdap. **
** *****MMWR***** 2006;55(RR-17)**

## Resource to Help Reduce DTaP/Tdap Administration Errors

**“****Check Your Vials” poster showing images of DTaP/Tdap/Td vials and packaging**
**Developed by the California Immunization Branch**
**Free download from**
**www.dhs.ca.gov/ps/dcdc/izgroup/pdf/IMM-508.pdf**

## CDC Vaccines and ImmunizationContact Information

**Hotline****	****(800) CDC-INFO**
**Email****	****	****nipinfo@cdc.gov**
**Website****	****www.cdc.gov/nip**
**Broadcast Updates and Resources **
**   ****Web Page**
**	****www.cdc.gov/vaccines/ed/broadcasts.htm**