Makomed's Weblog

Diptheria, Tetanus, Pertussis

Posted on: May 21, 2006

Note:

Dtap is for Peds less than 7 years.
TDap is for Adults greater than 7 years.
Td is just Tetanus & Diptheria.

Tetanus is an acutely fatal neuromuscular disease that causes you to have lockjaw, but also makes your body rigid as a board. These are all late signs. The bacilli Clostridium tetani is a spore forming bacteria that exists in animal intestines, including humans.

Everyone should have received a TDap at least once in their lives. Replace a Td with TDap (adacel), regardless of patient’s age.

MODE OF TRANSMISSION
Open wounds, burns, punctures from contaminated soil. (Not contagious)

THE INCUBATION PERIOD
7-10 days, can be 3 days to 3 weeks

AFFECTED AREAS
All developing countries, especially South Asia (India & Pakistan)

PEDS ADMINISTRATION
DTap given @ 2, 4, 6 months of age, then at 4-6 years old.
Td not indicated for kids younger than 7, start at age 11 instead.

ADULT ADMINISTRATION
Td, 0.5 mL, Intramuscular

Primary: Give first 2 doses 4-8 weeks apart and third dose 6-12 months later

Booster: 10 years after last shot. 5 years, if they are travelling out.

If they’ve never had Tetanus or TDap before:

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