Moreover, since 2006, Td vaccination
is applied in pregnancy immunity program and in other tetanus vaccination necessities (e.g., after skin injuries).
Tdap, when indicated, should be administered regardless of interval since the last Td vaccination
. Although there was a modest increase in overall Tdap vaccination of adults, coverage remained low for all age groups and among adults living with an infant aged <1 year.
One of those cases is TM following Td vaccination
, one of them is TM following oral poliovirus-Dt-Haemophilus influenzae type b vaccination and three of them are TM following DTP vaccinations (6-10).
Overall, "the risk of the prespecified events following Tdap s comparable to that following Td vaccination
in the elderly population," the investigators noted.
This elevated risk matches past clinical trials data and VAERS reports, and is comparable to the risk profile of inflammatory or allergic events following Td vaccination
If the person is pregnant and received the last Td vaccination
[greater than or equal to] 10 years previously, administer Td during the second or third trimester; if the person received the last Td vaccination
in <10 years, administer Tdap during the immediate postpartum period.
Among the surveyed physicians, the reported "major" barriers to current adolescent Td vaccination
included "lack of patient visits" for 40% of pediatricians and 48% of family physicians; "record keeping" for 11% and 24%, respectively; "reimbursement," 3% and 17%; and "too busy" by 2% of pediatricians and 7% of family physicians.
If a woman is pregnant and received the most recent Td vaccination
10 or more years previously, administer Td during the second or third trimester.
Persons younger than age 65 years should receive 1 dose of Tdap if 10 or more years have elapsed since previous Td vaccination
. After 1 dose of Tdap, all adults should receive Td every 10 years.
New recommendations for non-HIV-infected adults call for replacing the next booster dose of Td (tetanus-diphtheria toxoids) with the Tdap vaccine, which should be given routinely to patients whose last Td vaccination
was more than 10 years ago.
If a woman is pregnant and received the last Td vaccination
[greater than or equal to] 10 years previously, administer Td during the second or third trimester.
If tetanus toxoid was not given in the last 5 years, a Td vaccination