Posted on : February 6, 2020 by Clinic One on Vaccination
Tdap vaccine for adults Kathmandu
Tdap is a combination vaccine that defends against three possibly life-threatening diseases (tetanus, diphtheria, and pertussis (also known as whooping cough). Td is a booster vaccine for diphtheria and tetanus. It does not protect against pertussis.
Tetanus bacteria get inside the body through a wound or cut. It affects the brain and the nervous system and can cause very painful muscle spasms. A common condition that occurs due to jaw spasms is called “Lockjaw” which makes it difficult or impossible to move your mouth. One out of five people with tetanus infection results in death.
Diphtheria is a very contagious infection that causes a thick layer of covering on the back of the throat that can cause difficulty in breathing. In severe cases, it can lead to heart failure and damage to the nervous system.
Pertussis, or whooping cough, is a respiratory infection that can lead to severe breathing problems, especially in infants and is extremely contagious. Pertussis first seems like an ordinary cold, but then it is followed by fierce, uncontrollable coughing spells. A “whoop” sound is heard after coughing when the person tries to take a breath.
Adult Dose: One shot of Tdap, if not already received and follow up in 10 years with Td.
ACIP recommends Tdap with each pregnancy.
When Should Adults Be Vaccinated With Tdap?
The Tdap vaccine is recommended by the CDC for all adults from 19 years of age to older, who have yet not received the vaccine, especially:
- Health care staffs who are involved directly with the patients
- People who take care of infants under 1 year old, which includes parents, grandparents, and babysitters
- In their third trimester for pregnant women (ideally 27th through 36th week), even if they have previously received TDap vaccine: this can protect a newborn from whooping cough in the first months of life.
- New mothers who have never received the Tdap
- Travelers who are visiting countries where pertussis is common
- If you have a severe cut or burn, you may be given the Tdap vaccine. Severe cuts or burns raise your risk for tetanus.
The Tdap vaccine can always be given. Only one shot is needed. It may be given in a combined form with other vaccinations.
The Tdap vaccine can be used safely for those ages 65 and over, according to the 2013 CDC’s recommendations.
Who Needs a Tdap Booster Shot?
Tdap is given only once during your lifetime. However, you may need routine booster shots of the Td vaccine over 10 years to adequately protect you against tetanus and diphtheria.
Who Should Not Get Tdap Vaccine?
You should not get the vaccine if you have had:
- An allergic reaction in the past to any of the vaccine ingredients in a serious manner.
- If caused seizures or coma within a week of getting the vaccine for pertussis during childhood.
If you have had any of the following, you should consult your doctor about which vaccine is right for you: TdaP or Td.
- Epilepsy or another nervous system problem
- Guillain-Barré syndrome (GBS)
- Severe swelling or pain in the past after receiving pertussis, tetanus, or diphtheria vaccination
- If you are ill (moderate or serious)(your doctor may recommend waiting until you recover to get the shot); the CDC says you can still get the vaccine, if you’re suffering from mild illness such as a common cold or light fever.
Side Effects and Risks of Tdap and Td
Like all medicines, vaccines can have side effects. However, there is only a small chance of a life-threatening reaction. The CDC says the dangers of developing pertussis, tetanus, or diphtheria far outweigh the risks of vaccination.
Mild side effects of Tdap may include:
- Pain, redness, or swelling in the area of the shot was given
- Mild fever
- Stomach upset, including nausea, vomiting, or diarrheaN4uscle aches and pains
- Swollen glands
Mild side effects of Td may include:
- Pain, redness, or swelling in the arm where the shot was given
- Mild fever
Allergic Reactions in adults to Tdap or Td Vaccines
Although it’s scarce, some people might have a serious allergic reaction to any of the ingredients in the Tdap or Td vaccine. This normally occurs in less than one in a million doses, most of the time, such reactions take place within a few minutes of receiving the shot. The following can be the symptoms of a severe allergic reaction, which is called anaphylaxis:
- Behavior changes
- Breathing difficulty, including wheezing
- Hoarse voice
- High fever
- Pale skin
- Rapid heart heat
Additional Information at Centers for Disease Control
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