Daptacel, Infanrix, Tripedia (DTaP)

Question 1

TYPE:

Answer 1

Inactive

Question 2

ROUTE:

Answer 2

IM

Question 3

INDICATION:

Answer 3

For active immunization against diphtheria, tetanus, and pertussis as a 5-dose series in infants and children 6 weeks to 7 years of age
– Try to use same DTaP brand for each dose

Question 4

DOSE:

Answer 4

0.5 mL

Question 5

OF DOSES:

Answer 5

5 doses

Question 6

FREQUENCY:

Answer 6

• • Give at 2 mo, 4 mo, 6 mo, 15-18 mo, 4-6 yr
• • ONLY give DTaP/DT to children < 7 yo
• • Try to use same brand product for each dose

Question 7

CONTRAINDICATIONS:

Answer 7

A) Severe allergic reaction (e.g. anaphylaxis) after a previous dose or to a vaccine component
B) Encephalopathy not attributable to an identifiable cause, within 7 days of previous DTaP dose

Question 8

PRECAUTIONS:

Answer 8

A) Moderate or severe acute illness with or without fever
B) History of arthus reaction following a prior dose of tetanus toxoid-containing vaccine
C) Guillain-Barre Syndrome (GBS) within 6 wks after previous dose of tetanus toxoid-containing vaccine
D) Progressive or unstable neurologic disorder, uncontrolled seizures, or progressive encephalopathy until a treatment regimen has been established and the condition has stabilized
E) Any of these events following a previous dose of DTP/DTaP:
– Within 48 hrs: >=105 temp, continuous crying >3 hrs, collapse/shock-like state
– Within 3 days: seizure

Question 9

ADVERSE REACTIONS:

Answer 9

Adverse reactions by dose number (mostly accurate):

• • Systemic: 1 - 3
    
    • • Fever, fussiness/irritability, inconsolable crying, & decreased activity/lethargy
• • Injection Site: 4 & 5
    
    • • Tenderness, redness, and increase in arm circumference