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Pertussis Prevention With  Tdap Vaccine & Postexposure Prophylaxis and  Treatment of Symptomatic Pertussis Doug Montgomery July 1  2010
References  CDC / RIPC / CDPH ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Pertussis Guidelines  ,[object Object],[object Object],[object Object],[object Object]
Pertussis Epidemic in California ,[object Object],[object Object],[object Object],[object Object],[object Object]
Pertussis is Epidemic in California New Moms Need Tdap Protection ACOG  E mail ,[object Object],[object Object],[object Object],[object Object]
Pathogenesis of Pertussis  ,[object Object],[object Object],[object Object]
Pertussis During Pregnancy  ,[object Object],[object Object]
Clinical symptoms ,[object Object],[object Object],[object Object],[object Object],[object Object]
Early phase -  Catarrhal phase   ,[object Object],[object Object]
Paroxysmal phase   ,[object Object],[object Object],[object Object],[object Object]
Paroxysmal Coughing Classic Sx Infants ,[object Object],[object Object],[object Object]
Paroxysmal Coughing Adults  & Adolescents Sx ,[object Object],[object Object],[object Object]
C onvalescent phase   Clinical symptoms ,[object Object]
Epidemiology / Transmission ,[object Object],[object Object]
Epidemiology / Transmission ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Droplet Precautions ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Treatment of Pertussis  Decreases Transmission ,[object Object]
 
Case Classification Clinical Factors to Consider ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Close contact definition ,[object Object],[object Object],[object Object]
High risk   ( for severe pertussis disease  ) Contact Definition ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
PCR recommended for Diagnosis (KP Regional Indications Pending) ,[object Object],[object Object],[object Object]
Nasopharyngeal swab collection Validate with PCR kit instructions ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
 
Postexposure Prophylaxis (PEP)  and Treatment of Disease ,[object Object],[object Object],[object Object]
Post-exposure chemoprophylaxis (PEP) ,[object Object],[object Object],[object Object],[object Object],[object Object]
PEP & Treatment of Disease During  Pregnancy ,[object Object],[object Object],[object Object]
Post-exposure chemoprophylaxis (PEP) INDICATIONS ,[object Object],[object Object]
Postexposure Prophylaxis  (Regional guidelines Pending) ,[object Object],[object Object],[object Object],[object Object]
Tx is the same for  Symptomatic Pertussis & PEP ,[object Object],[object Object],[object Object],[object Object]
Specific Regional W/U Pending Draft 7/1/2010 ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Tdap Vaccine Tetanus, Diphtheria Acellular Pertussis Adacel®  Thimerosol free RIPC / CDPH / CDC May 30, 2008 / 57 (04);1-47,51
Lack of information  Regarding Tdap in Pregnancy ,[object Object],[object Object],[object Object],[object Object],CDC MMWR May 30, 2008 / 57 (04);1-47,51
Pregnancy and the Tdap Vaccine CDC/CDPH / ACOG ,[object Object],[object Object],[object Object],[object Object]
Tdap  recommended in the  3 rd trimester   due to current Epidemic RIPC /KP Peds ID / KP Adult ID UCLA/Loma Linda ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
CDC Special situations in which Tdap might be used (during pregnancy) include… ,[object Object],[object Object],[object Object],[object Object],MMWR   May 30, 2008 / 57 (04);1-47,51
Special Situation which may help with acceptance of Tdap immunization in 3 rd trimester ,[object Object],[object Object],[object Object]
Be a Champion for  Antenatal Maternal Immunization ,[object Object],[object Object],[object Object]
Tdap in Pregnant Women Refusing Antenatal Immunization ,[object Object],[object Object]
Breastfeeding & Tdap is OK ,[object Object],[object Object]
Who else should get Tdap Vaccine ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Pertussis Immunization  Validate and Recommend for all Close baby Contacts ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Pertussis Immunization ( Regional guidelines pending regarding Tdap in exposed patients) ,[object Object],[object Object],[object Object]
All healthcare workers( Peds/Ob) recommended to receive Tdap Vaccine ,[object Object],[object Object]
Timing with Previous Td ,[object Object],[object Object],[object Object]
Tdap Vaccination  ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
What are the side effects from  Tdap vaccines ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
What are the side effects from  Tdap vaccines ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
What are the side effects from  Tdap vaccines  ,[object Object],[object Object],[object Object]
Figure 3                                                                                

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Prevention of pertussis

  • 1. Pertussis Prevention With Tdap Vaccine & Postexposure Prophylaxis and Treatment of Symptomatic Pertussis Doug Montgomery July 1 2010
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  • 32. Tdap Vaccine Tetanus, Diphtheria Acellular Pertussis Adacel® Thimerosol free RIPC / CDPH / CDC May 30, 2008 / 57 (04);1-47,51
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  • 50. Figure 3