Ozark County Health Department
TETANUS & TDAP
The following recommendations for a single dose of Tdap (ADACEL®)
apply to adults aged 19--64 years who have not yet received Tdap.
Adults should receive a decennial booster with Td beginning 10 years
after receipt of Tdap (33).
- Routine: Adults should receive a single dose of Tdap
to replace a single dose of Td for booster immunization against
tetanus, diphtheria, and pertussis if they received their most
recent tetanus toxoid-containing vaccine (e.g., Td) >10
- Short intervals between Td and Tdap: Tdap can be
administered at an interval <10 years since receipt of the last
tetanus toxoid-containing vaccine to protect against pertussis.
The safety of intervals as short as approximately 2 years
between administration of Td and Tdap is supported by a Canadian
study of children and adolescents. The dose of Tdap replaces the
next scheduled Td booster.
- Prevention of pertussis among infants aged <12 months by
vaccinating adult contacts: Adults who have or who
anticipate having close contact with an infant aged <12 months
(e.g., parents, grandparents, child-care providers, or
health-care providers) should receive a single dose of Tdap. An
interval as short as 2 years since the most recent tetanus
toxoid-containing vaccine is suggested; shorter intervals can be
used. Ideally, Tdap should be administered at least 2 weeks
before beginning close contact with the infant. Women should
receive a dose of Tdap in the immediate postpartum period if
they have not previously received Tdap. Any woman who might
become pregnant is encouraged to receive a single dose of Tdap.
- Vaccination of health-care personnel (HCP): HCP in
hospitals and ambulatory care settings who have direct patient
contact should receive a single dose of Tdap as soon as feasible
if they have not previously received Tdap. An interval as short
as 2 years because the last dose of Td is recommended. Other HCP
should receive a single dose of Tdap according to the routine
recommendation; they are encouraged also to receive Tdap at an
interval as short as 2 years. Priority should be given to
vaccination of HCP who have direct contact with infants aged <12
months. Hospitals and ambulatory-care facilities should provide
Tdap for HCP and use approaches that maximize vaccination rates.
- Simultaneous administration: Tdap should be
administered with other vaccines that are indicated during the
same visit when feasible. Each vaccine should be administered
using a separate syringe at different anatomic sites.
Call Ozark County Health Department for
an appointment (417)679-3334
Mon-Fri 8-4:30 Closed 12-12:30 for lunch