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PERTUSSIS

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Update on Immunizations in Adults

...outbreak of pertussis that affected more than 9,000 persons demonstrates.1 However, the 2009 National Health Interview Survey 2 showed that rates of vaccination against influ- enza and pneumococcal disease fell far below the goals of 60 percent set by Healthy People 2010.3 Although...

American Family Physician

https://www.aafp.org/afp/2011/1101/afp20111101p1015.pdf

afp20130701p25.pdf

...and by serologic testing in patients with a negative or uncer- tain history. PEP should be given to persons exposed to index cases of pertussis and invasive meningococcal infec- tion regardless of immunization history, and should be given following rabies and tetanus exposure...

American Family Physician

https://www.aafp.org/afp/2013/0701/afp20130701p25.pdf

Vaccine Adverse Events: Separating Myth from Reality -- American Family Physician

...Compared with the first dose, the fourth dose of currently licensed diphtheria and tetanus toxoids and acellular pertussis vac- cine (DTaP) has been associated with in- creased incidences of fever and erythema, swelling, and pain at the injection site. In a small percentage of...

American Family Physician

https://www.aafp.org/afp/2002/1201/afp20021201p2113.pdf

afp20060915p956.pdf

...10 percent of cases caused by Bordetella pertussis, Chlamydia pneumoniae, or Mycoplasma pneumoniae When to treat with an antibiotic: presents with prolonged unimproving cough (14 days); should clinically differentiate from pneumonia. Pertussis should be reported to public health...

American Family Physician

https://www.aafp.org/afp/2006/0915/afp20060915p956.pdf

Acute Bronchitis

October 1, 2016:Date xx, xxxx

American Family Physician

https://www.aafp.org/afp/2016/1001/afp20161001p560.pdf

GERD Treatment for Chronic Nonspecific Cough in Children and Adults

...Cochrane Briefs Acellular Vaccines for Preventing Pertussis in Children Clinical Question Are acellular vaccines as safe and effective as whole-cell vaccines for preventing pertussis (whooping cough) in children? Evidence-Based Answer Multicomponent (i.e., three or more) acel-...

American Family Physician

https://www.aafp.org/afp/2011/0901/afp20110901p504.pdf

ACIP Releases 2012 Immunization Schedules

...to pertussis, the Advisory Committee on Immunization Practices (ACIP) of the Centers for Disease Control and Prevention now recommends that health care professionals and pregnant women receive a single dose of the tetanus toxoid, reduced diphtheria tox- oid, and acellular pertussis...

American Family Physician

https://www.aafp.org/afp/2012/0201/afp20120201p281.pdf

Vaccine Adverse Events: Separating Myth from Reality

June 15, 2017:Date xx, xxxx

American Family Physician

https://www.aafp.org/afp/2017/0615/afp20170615p786.pdf

afp20130315p400.pdf

...Infographic on Pertussis The Centers for Disease Control and Prevention (CDC) has released a new pertussis infographic to help physi- cians educate patients about pertussis. The infographic shows three steps expectant parents can take to protect infants from pertussis, including...

American Family Physician

https://www.aafp.org/afp/2013/0315/afp20130315p400.pdf

Evaluation and Management of Apparent Life-Threatening Events in Children - American ...

...Recommended diagnostic tests with high yield include complete blood count, serum bicarbonate and lactate, urinalysis, chest radiography, pertussis and respiratory syncytial virus samples, and gastroesophageal reflux disease investigations. C 4 Home monitoring is recommended...

American Family Physician

https://www.aafp.org/afp/2005/0615/afp20050615p2301.pdf

AAFP News Now

...Several States Report Spike in Pertussis Activity, Need for Vaccination Emphasized An outbreak of pertussis (i.e., whooping cough) has been declared an epidemic by the California Department of Public Health, and the South Carolina Department of Health and Environmental Council has...

American Family Physician

https://www.aafp.org/afp/2010/0801/afp20100801p233.pdf

Diagnosis and Treatment of Acute Bronchitis

...more than 90 percent of acute bronchitis infections. Antibiotics are gener- ally not indicated for bronchitis, and should be used only if pertussis is suspected to reduce transmission or if the patient is at increased risk of developing pneumonia (e.g., patients 65 years or older)....

American Family Physician

https://www.aafp.org/afp/2010/1201/afp20101201p1345.pdf

afp20110201p318-s1.pdf

...not indicated. 3. Diphtheria and tetanus toxoids and acellular pertussis vaccine (DTaP). (Minimum age: 6 weeks) • The fourth dose may be administered as early as age 12 months, provided at least 6 months have elapsed since the third dose. 4. Haemophilus influenzae type b...

American Family Physician

https://www.aafp.org/afp/2011/0201/afp20110201p318-s1.pdf

AAFP News Now

...Increases in Pertussis Outbreaks Lead to CDC Health Alert on PCR Testing Multiple parts of the country have been reporting ongoing outbreaks of pertussis, also known as whooping cough. In response, the Centers for Disease Control and Preven- tion (CDC) recently issued a health alert...

American Family Physician

https://www.aafp.org/afp/2011/0315/afp20110315p651.pdf

NEWS NEW

...DTaP Vaccine’s Effectiveness Against Pertussis Diminishes After Final Dose Outbreaks of whooping cough continue to occur regularly, so researchers set out to determine why the diphtheria and tetanus toxoids and acellular pertussis (DTaP) vaccine is not doing a better job. The study,...

American Family Physician

https://www.aafp.org/afp/2012/1101/afp20121101p803.pdf

Practice Guidelines

...There are two new tetanus toxoid, reduced diphtheria toxoid, and acellular pertussis (Tdap) vaccine recom- mendations. In response to the 2012 pertussis epidemic, the Advisory Committee on Immunization Practices (ACIP) recommended in June that the Tdap vaccine be offered to adults...

American Family Physician

https://www.aafp.org/afp/2013/0201/afp20130201p204.pdf

Prevention and Treatment of Dog Bites -- American Family Physician

...ACIP = Advisory Committee on Immunization Practices; DTP = diphtheria tetanus and pertussis; Td = tetanus and diphtheria toxoids adsorbed (adult); TIG = tetanus immune globulin (Hyper-Tet). *-Including, but not limited to, wounds contaminated with dirt, feces, soil or saliva;...

American Family Physician

https://www.aafp.org/afp/2001/0415/afp20010415p1567.pdf

afp20080101p96-s1.pdf

...3. Diphtheria and tetanus toxoids and acellular pertussis vaccine (DTaP). (Minimum age: 6 weeks) • The fourth dose of DTaP may be administered as early as age 12 months, provided 6 months have elapsed since the third dose. • Administer the final dose in the series at age 4-6...

American Family Physician

https://www.aafp.org/afp/2008/0101/afp20080101p96-s1.pdf

afp20081015p945.pdf

...Td = tetanus-diphtheria toxoids vaccine; Tdap = diphtheria, reduced tetanus toxoids, and acellular pertussis vaccine; TIG = tetanus immune globulin. *-Such as, but not limited to, wounds contaminated with dirt, feces, soil, or saliva; puncture wound; avulsions; and wounds resulting...

American Family Physician

https://www.aafp.org/afp/2008/1015/afp20081015p945.pdf

afp20090101p56-s1.pdf

...3. Diphtheria and tetanus toxoids and acellular pertussis vaccine (DTaP). (Minimum age: 6 weeks) at least 6 months have elapsed since the third dose. 4. Haemophilus influenzae type b conjugate vaccine (Hib). (Minimum age: 6 weeks) 2 and 4 months, a dose at age 6 months...

American Family Physician

https://www.aafp.org/afp/2009/0101/afp20090101p56-s1.pdf

afp20110201p318.pdf

...of Tdap for children seven to 10 years of age who have not com- pleted a series of diphtheria and tetanus tox- oids and acellular pertussis vaccine (DTaP). This is an off-label recommendation. • Elimination of the recommended inter- val between administration of tetanus and...

American Family Physician

https://www.aafp.org/afp/2011/0201/afp20110201p318.pdf

ACIP Releases 2012 Immunization Schedules

...Tetanus, diphtheria, pertussis (Td/Tdap)3,* Varicella4,* Human papillomavirus (HPV)5,* Female Human papillomavirus (HPV)5,* Male Zoster6 Measles, mumps, rubella (MMR)7,* Pneumococcal (polysaccharide)8,9 Meningococcal10,* Hepatitis A11,* Hepatitis B12,*...

American Family Physician

https://www.aafp.org/afp/2012/0201/afp20120201p281-s3.pdf

afp20190201p185.pdf

...Commentary Thankfully, R.E. has recovered. As her symptoms dragged on, we both began to worry about more sinister diagnoses. Pertussis is notoriously difficult to diagnose in adults, but her story has made me much more likely to think of it in adults with prolonged cough. R.E.’s...

American Family Physician

https://www.aafp.org/afp/2019/0201/afp20190201p185.pdf

afp20200815p205.pdf

...reported receiving an influenza vaccina- tion, whereas 54.4% reported receiving a tetanus toxoid, reduced diphtheria toxoid, and acellular pertussis (Tdap) vaccination.1 Important new data on the immunology of immunization in pregnancy provide greater support for and infor- mation...

American Family Physician

https://www.aafp.org/afp/2020/0815/afp20200815p205.pdf

Community-Acquired Pneumonia in Infants and Children - American Family Physician

...of CAP in older children and adolescents.10,11 Pertussis should be considered in all children with CAP, especially if immunizations are not current. Mycobacterium tubercu- losis also may cause CAP in children at risk for exposure. Coinfection with two or more microbial agents is...

American Family Physician

https://www.aafp.org/afp/2004/0901/afp20040901p899.pdf

afp20070101p117-s1.pdf

...3. Diphtheria and tetanus toxoids and acellular pertussis vaccine (DTaP). (Minimum age: 6 weeks) • The fourth dose of DTaP may be administered as early as age 12 months, provided 6 months have elapsed since the third dose. • Administer the final dose in the series at age 4-6...

American Family Physician

https://www.aafp.org/afp/2007/0101/afp20070101p117-s1.pdf

AAFP Helped Spur CMS’ Final Rule in Favor

...ACIP Expands Pertussis, Meningococcal Vaccination Recommendations With the pertussis outbreak in California nearing a 60-year high in the number of cases reported, the Centers for Disease Control and Prevention’s (CDC’s) Advisory Com- mittee on Immunization Practices (ACIP) recently...

American Family Physician

https://www.aafp.org/afp/2010/1201/afp20101201p1315.pdf

Recommendations for Preconception Counseling and Care

...Tdap = tetanus toxoid, reduced diphtheria toxoid, and acellular pertussis. A = consistent, good-quality patient-oriented evidence; B = inconsistent or limited-quality patient-oriented evidence; C = consensus, disease-oriented evidence, usual practice, expert opinion, or case...

American Family Physician

https://www.aafp.org/afp/2013/1015/afp20131015p499.pdf

The Pretravel Consultation

...Tetanus, diphtheria, pertussis (Td, Tdap) All travelers Td is given every 10 years for adults Tdap should be given to adolescents at 11 to 18 years of age instead of Td; adults 19 years and older should receive a single dose of Tdap instead of Td if they did not receive Tdap...

American Family Physician

https://www.aafp.org/afp/2016/1015/afp20161015p620.pdf

afp20181101p595.pdf

...aggravated: acute/chronic asthma, viral upper respiratory tract infection (including influenza), allergic rhinitis, pneumonia, pertussis Obstetric: physiologic rhinitis of pregnancy Rash General: pustules, vesicles/blisters, erythema, pruritus Nonobstetric: condyloma,...

American Family Physician

https://www.aafp.org/afp/2018/1101/afp20181101p595.pdf

afp20220200p128.pdf

...Hypertension, Pertussis, Splenomegaly, Breast Cancer, SGLT2 Inhibitors, Blood Pressure How do hydrochlorothiazide and chlorthalidone compare in managing hypertension? Chlorthalidone reduces systolic blood pressure (SBP) by 10 mm Hg more than hydrochloro- thiazide at equal dosages...

American Family Physician

https://www.aafp.org/afp/2022/0200/afp20220200p128.pdf

CDC and HICPAC Release Updated Guidelines on the Prevention of Health-Care-Associated ...

Aug 1, 2004 - Recommendations on reducing the incidence of pneumonia and other severe, acute lower respiratory tract infections in acute-care hospitals and in other health care settings have been released by the Centers for Disease Control and Prevention (CDC) and the Healthcare Infection Control ...

American Family Physician : Practice Guidelines

https://www.aafp.org/afp/2004/0801/p596.html

~jan 1 smr r1

...Diphtheria, DTaP DTaP DTaP DTaPor DTP‡ DTaP Td tetanus, or DTP or DTP or DTP or DTP pertussis‡ Haemophilus Hib Hib Hib Hib influenzae type b (Hib)§ Polio || Polio || Polio Polio || Polio Measles, mumps, MMR MMR¶ MMR¶ rubella (MMR)¶ Varicella-zoster Var Var** virus...

American Family Physician

https://www.aafp.org/afp/1998/0101/afp19980101p153-s1.pdf

jan 1 SMR

...Diphtheria, tetanus, DTaP DTaP DTaP DTaP‡ DTaP Td pertussis‡ Haemophilus Hib Hib Hib Hib influenzae type b (Hib)§ Polio || IPV IPV Polio || Polio Rotavirus (Rv)¶ Rv¶ Rv¶ Rv¶ Measles, mumps, MMR MMR# MMR# rubella (MMR)# Varicella-zoster Var Var** virus vaccine (Var)**...

American Family Physician

https://www.aafp.org/afp/1999/0101/afp19990101p203-s1.pdf

afp20070901p683.pdf

...the Advisory Committee on Immunization Practices (ACIP). Preventing tetanus, diphtheria, and pertussis among adolescents: use of tetanus toxoid, reduced diphtheria toxoid and acellular pertussis vac- cines recommendations of the Advisory Committee on Immunization Practices (ACIP)....

American Family Physician

https://www.aafp.org/afp/2007/0901/afp20070901p683.pdf

afp20080901p583.pdf

...Foundation; Pap = Papanicolaou; Td = tetanus and diphtheria toxoid; Tdap = tetanus toxoid, reduced diphtheria toxoid, and acellular pertussis; USPSTF = U.S. Preventive Services Task Force. Information from references 8 through 11 and 13 through 34. The uSPSTF21 and the american...

American Family Physician

https://www.aafp.org/afp/2008/0901/afp20080901p583.pdf

American Family Physician

...1. Tetanus, diphtheria, and acellular pertussis (Td/Tdap) vaccination Tdap should replace a single dose of Td for adults aged 19 through 64 years who have not received a dose of Tdap previously Adults with uncertain or incomplete history of primary vaccination series with...

American Family Physician

https://www.aafp.org/afp/2009/0115/afp20090115p152-s1.pdf

afp20110201p318-s2.pdf

...Tetanus, diphtheria, pertussis (Td/Tdap)2,* Substitute 1-time dose of Tdap for Td booster; then boost with Td every 10 yrs Td booster every 10 yrs Human papillomavirus (HPV)4,* 3 doses through age 26 yrs Tetanus, diphtheria, pertussis (Td/Tdap)2,* Substitute 1-time dose of...

American Family Physician

https://www.aafp.org/afp/2011/0201/afp20110201p318-s2.pdf

Primary Care for Refugees

...= pediatric formulation diphtheria and tetanus toxoids; DTaP = diphtheria and tetanus toxoids and acellular pertussis vaccine; DTP = diphtheria and tetanus toxoids and pertussis vaccine; Hib = Haemophilus influenzae type b conjugate vaccine; IPV = inactivated poliovirus vaccine...

American Family Physician

https://www.aafp.org/afp/2011/0215/afp20110215p429.pdf

Evaluation of the Patient with Chronic Cough

...that is accom- panied by an inspiratory whooping sound (in young children), coughing paroxysms, or post-tussive emesis.3 The incidence of pertussis has been increasing since 2007. Booster immunizations should be administered to persons 18 to 64 years of age and to those 65 years...

American Family Physician

https://www.aafp.org/afp/2011/1015/afp20111015p887.pdf

NEWS NOW

...Midwest Experience Pertussis Outbreaks: Are Parents Responsible? Several states in the West and Midwest have reported significant increases in pertussis cases. In Montana, the Department of Public Health and Human Services has documented more than 200 cases of pertussis, the high-...

American Family Physician

https://www.aafp.org/afp/2012/0701/afp20120701p13.pdf

afp20140215p302.pdf

...reduced diphtheria toxoid, and acel- lular pertussis (Tdap) revaccination appears to be safe and effective, but the pertussis protection wanes quickly, going from 98% effective at one year to 71% effective at five years. However, the pertussis work group is not recommending a second...

American Family Physician

https://www.aafp.org/afp/2014/0215/afp20140215p302.pdf

Dog and Cat Bites<FEFF>

...Prevention. Preventing tetanus, diphtheria, and pertus- sis among adults: use of tetanus toxoid, reduced diphtheria toxoid and acellular pertussis vaccine recommendations of the Advisory Committee on Immunization Practices (ACIP) and recommendation of ACIP, supported by the...

American Family Physician

https://www.aafp.org/afp/2014/0815/afp20140815p239.pdf

Evaluation of Patients with Leukocytosis

...per L]) can occur in patients with pertussis, syphilis, viral infections, hypersensitivity reactions, and certain subtypes of leukemia or lymphoma. Lymphocytosis is more likely to be benign in children than in adults.4 Epstein-Barr virus infection, tuberculosis or fungal disease,...

American Family Physician

https://www.aafp.org/afp/2015/1201/afp20151201p1004.pdf

Health Maintenance in Postmenopausal Women

May 1, 2017:Date xx, xxxx

American Family Physician

https://www.aafp.org/afp/2017/0501/afp20170501p561.pdf

afp20171101p575.pdf

...Pertussis Postinfectious bronchospasm Least common Arteriovenous malformation Bronchiolitis Bronchogenic carcinoma Chronic aspiration Chronic interstitial lung disease Irritation of external auditory canal Persistent pneumonia Psychogenic cough...

American Family Physician

https://www.aafp.org/afp/2017/1101/afp20171101p575.pdf

afp20190901p281.pdf

...(which generally has a longer duration, with a mean of 18 days in adults and 12 days in children2,4), influenza, bacterial sinusitis, and pertussis (Table 1). The primary goals of treatment are reduction of symptom duration and severity. Over-the- counter cold medications should...

American Family Physician

https://www.aafp.org/afp/2019/0901/afp20190901p281.pdf

afp20200215p251.pdf

...Tetanus, Diphtheria, and Pertussis Vaccines ACIP voted unanimously at the October 2019 meeting to allow either the tetanus and diphtheria (Td) or the tetanus tox- oid, reduced diphtheria toxoid, and acellular pertussis (Tdap) vaccine in almost all situations where currently only Td...

American Family Physician

https://www.aafp.org/afp/2020/0215/afp20200215p251.pdf

afp20211200p618.pdf

...and able to tolerate oral intake. Childhood and maternal immunizations against S. pneumoniae, Haemophilus influenzae type b, Borde- tella pertussis, and influenza virus are the key to prevention. (Am Fam Physician. 2021; 104(6): 618-625. Copyright © 2021 American Academy of Family...

American Family Physician

https://www.aafp.org/afp/2021/1200/afp20211200p618.pdf

jan 1 prac guide

...Diphtheria, tetanus, DTaP DTaP DTaP DTaP‡ DTaP Td pertussis‡ Haemophilus Hib Hib Hib Hib influenzae type b (Hib)§ Polio || IPV IPV IPV || IPV || Measles, mumps, MMR MMR¶ MMR¶ rubella (MMR)¶ Varicella-zoster Var Var# virus vaccine (Var)# Hepatitis A** Hep A** in...

American Family Physician

https://www.aafp.org/afp/2000/0101/afp20000101p232-s1.pdf

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