ACIP
Recommendations
Tetanus and diphtheria toxoids and acellular
pertussis (Tdap) vaccine. (Minimum age: 10 years for both Boostrix and Adacel)
Routine Vaccination:
Administer
1 dose of Tdap vaccine to all adolescents aged 11 through 12 years
Tdap
may be administered regardless of the interval since the last tetanus and
diphtheria toxoid-containing vaccine.
Administer
1 dose of Tdap vaccine to pregnant adolescents during each pregnancy (preferably
during the early part of gestational weeks 27 through 36), regardless of time
since prior Td or Tdap vaccination.
Catch-up Vaccination:
Persons
aged 7 years and older who are not fully immunized with DTaP vaccine should
receive Tdap vaccine as 1 dose (preferably the first) in the catch-up series;
if additional doses are needed, use Td vaccine. For children 7 through 10 years
who receive a dose of Tdap as part of the catch-up series, an adolescent Tdap
vaccine dose at age 11 through 12 years may be administered.
Persons
aged 11 through 18 years who have not received Tdap vaccine should receive a
dose, followed by tetanus and diphtheria toxoids (Td) booster doses every 10
years thereafter.
Inadvertent
doses of DTaP vaccine:
If
administered inadvertently to a child aged 7 through 10 years, the dose may
count as part of the catch-up series. This dose may count as the adolescent
Tdap dose, or the child may receive a Tdap booster dose at age 11 through 12
years.
If
administered inadvertently to an adolescent aged 11 through 18 years, the dose
should be counted as the adolescent Tdap booster.
Texas Administrative Code, Rule 97.63 (III) Tdap:
(-a-) Seventh
grade. Students are required to have one booster dose of a
tetanus/diphtheria/pertussis-containing vaccine for entry into the 7th grade,
if at least five years have passed since the last dose of a tetanus-containing
vaccine. If five years have not elapsed since the last dose of a
tetanus-containing vaccine at entry into the 7th grade, then this dose will
become due as soon as the five-year interval has passed. Td vaccine is an
acceptable substitute, if Tdap vaccine is medically contraindicated.
(-b-)
Grades 8 - 12. Students who have not already received Tdap vaccine are required
to receive one booster dose of Tdap when ten years have passed since the last
dose of a tetanus-diphtheria-containing vaccine.
Applying the Rules
To enroll in the 7th grade:
Children with at least 3 doses of
the primary diphtheria/tetanus/pertussis series (DTaP and/or DT):
Children that do NOT have at least 3 doses of
diphtheria/tetanus/pertussis vaccine (DTaP and/or DT)
Students can be enrolled in school while receiving the additional doses,
as long as at least one vaccine has been administered and they are receiving
the doses as soon as is medically feasible
To enroll in 8-12th grade:
Children with at least 3 doses of
the primary diphtheria/tetanus/pertussis series (DTaP and/or DT):
Children that do NOT have at least
3 doses of diphtheria/tetanus/pertussis vaccine (DTaP and/or DT)