[MCOH-EH] MCOH-EH Digest, Vol 253, Issue 92: Tdap revaccination of HCWs

[Harriman, Kathleen (CDPH-CID-DCDC-IMM)]

It's unlikely that CDC/ACIP will change the Tdap recommendation for HCWs because protection from the current acellular pertussis vaccines wanes within several years. I'm attaching the presentation that was given at a 2014 ACIP meeting, which explains this decision. That said, hospitals may revaccinate employees working in high-risk settings like NICUs if they choose too. 

Kathleen Harriman
Immunization Branch
California Department of Public Health

Today's Topics:
   1. Re:  TdaP re-vaccination for non-pregnant employees
      (Hanna, Raye Nell)
   2. Re:  TdaP re-vaccination for non-pregnant employees
      (Morelli, Karen J)
   3. Re:  TdaP re-vaccination for non-pregnant employees
      (Boruff, Lisa J. (IHS/PHX))
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Message: 1
Date: Tue, 13 Mar 2018 19:06:56 +0000
From: "Hanna, Raye Nell" <HANNAR1 at covhs.org>
To: MCOH/EH <mcoh-eh at mylist.net>
Subject: Re: [MCOH-EH] TdaP re-vaccination for non-pregnant employees

Since we are still seeing Pertussis I have a hard time not repeating the Tdap every 10 years.  I am hoping the CDC will change the recommendation to every 10 years.  So far we are giving a 2nd Tdap.
Raye Nell

Raye Nell Hanna, RN, MPH, COHN-S
Manager Caregiver Health
3719 22nd St, Lubbock, TX 79408
Phone 806-725-0098 or 806-725-0629
Fax 806-725-0581
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Message: 2
Date: Tue, 13 Mar 2018 19:09:44 +0000
From: "Morelli, Karen J" <kmorelli at emhs.org>
To: MCOH/EH <mcoh-eh at mylist.net>
Subject: Re: [MCOH-EH] TdaP re-vaccination for non-pregnant employees

If they already had Tdap once as an adult and they can show us documentation, we go to Td.  If no documentation of Tdap as an adult, we administer this.  We also give Tdap to women in their last trimester of pregnancy.

Karen Morelli RN, BSN, Clinical Manager
WorkHealth LLC
973-7382
kmorelli at emhs.org
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Message: 3
Date: Tue, 13 Mar 2018 19:09:49 +0000
From: "Boruff, Lisa J. (IHS/PHX)" <Lisa.Boruff at ihs.gov>
To: MCOH/EH <mcoh-eh at mylist.net>
Subject: Re: [MCOH-EH] TdaP re-vaccination for non-pregnant employees

I believe there has been a shortage of Td,  and we a have using Tdap instead.

Lisa Boruff RN, MSN, CIC
Infection Prevention and Control Specialist, Supervisor

Phoenix Indian Medical Center
4212 N 16th St.,
Phoenix, AZ  85016
Office: 602-263-1519
Cell: 602-819-1816
Fax: 602-200-5254
lisa.boruff at ihs.gov<mailto:lisa.boruff at ihs.gov>
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Original Question
From: MCOH-EH [mailto:mcoh-eh-bounces at mylist.net] On Behalf Of April Tainter
Sent: Tuesday, March 13, 2018 10:47 AM
To: 'mcoh-eh at mylist.net'
Subject: [MCOH-EH] TdaP re-vaccination for non-pregnant employees

When an employee (new or existing) had a TdaP 10+ years ago, do you give a Td or another TdaP?  If just a Td, what about those in obstetrics or the ED?  I know CDC says Td, but I'm seeing a lot of family practice providers giving a 2nd TdaP.  Thank you for any guidance you can provide.

April Tainter RN
Employee Health Nurse
ThedaCare Medical Centers-Shawano/New London/Waupaca C 715-701-0168 F 715-524-9983

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