Pertussis Flashcards
(21 cards)
Pertussis
whooping cough
Pertussis is caused by
bordetella pertusis
which is very contagious
Pertussis symptoms
paroxysmal cough, whooping
clinical course
incubation
catarrhal stage
paroxysmal stage
convalescent stage
catarrhal stage
1-2 weeks
cold-like symptoms
paroxysmal stage
1-6 weeks
intense whooping
convalescent stage
2-3 weeks (range weeks to months)
grad recovery
complications in infants and children
pneumonia, seizures
complications in teens and adults
weight loss, passing out, fractures
Disease is more severe among what age
younger children
tetanus vaccines
DTaP and Tdap
DTaP and Tdap vaccines protect against
tetanus, diphtheria, and pertussis
dose and route of DTaP and Tdap
0.5 ml IM
Difference in dose between DTaP and Tdap
Tdap has lower diptheria and acellular pertussis to avoid local rxns in adults
recommendations
DTaP for younger than 7 yrs Tdap: - boostrix (GSK) for 10 yrs or older -Adacel (sanofi pasteur) 11 to 64 boostrix for 65 and older, adacel if boostrix not available
Pregnant women
- should get Tdap - protects child until DTaP
- every pregnancy
- 27-36 weeks gestation
- if no give ASAP post-pardum
- admin Tdap to caregivers or fam memb o/ infant if indic
use DTaP for
6 wks to 6 yrs
use 1 dose Tdap
7 to 10 yrs not fully vacc
more than 1 dose Tdap
if no record of Tdap give 1 dose followed by 1 dose of Td every 10 yrs
Pregnant women (every pregnancy)
1 dose Tdap after 20 weeks gestation
what is the recommended interval between a dose of Tdap and the last Td booster
none can be admin any time since last Td
