Prevention of pertussis

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]

Prevention of pertussis

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Prevention of pertussis