Breaks in the skin, such as contaminated wounds

Tetanus is transmitted when Clostridium tetani spores enter the body via...

Person-to-person respiratory droplets

Pertussis is transmitted when Bordetella pertussis bacteria enter the body via:

Pain, redness, and swelling at the injection site

The most common adverse reaction after Tdap vaccination is:

Person-to-person respiratory secretions

Diphtheria is transmitted when Corynebacterium diphtheria bacteria enter the body via...

Tdap is FDA-licensed for people aged 10-years and older

Which statement about tetanus-containing vaccines is true?

Adults older than 50-years

Tetanus cases in the United States, while rare, are more likely to be reported in which age group, due to waning immunity after primary vaccination?

Tdap

A 65-year-old man presents for a booster dose of tetanus vaccine, since it has been more than 10 years since his last vaccination. He has never received a pertussis-containing vaccine as an adult. Which immunization should he receive?

Injectable toxoid vaccine, made from altered tetanus and diphtheria toxins

What kind of vaccine is Td?

Doses at ages 4-months, 6-months, 15-18-months, and 4-6-years

A 2-month-old infant just received her first dose of DTaP. What is the recommended schedule for her next doses of DTaP?

Td dose in 4 weeks, and Td dose again in 6 months, and Td booster every 10 years

A 20-year-old man had never received tetanus vaccine. He received his first dose of Tdap today. What additional doses are recommended for him?

40-year-old who developed encephalopathy not due to another identifiable cause 3 days after childhood receipt of pertussis-containing vaccine

The following patients present for booster protection against tetanus. Which one should not receive Tdap vaccine?

Yes

Y/N A 30-year-old woman is 8 months pregnant. She received all of her recommended childhood vaccines and Tdap during her last pregnancy 3 years ago. Should she receive Tdap vaccine today?

Td (or Tdap) vaccine and tetanus immune globulin (TIG)

A 40-year-old man stepped on a rusty nail. He received 2 doses of tetanus-containing vaccine as a child. His wound is cleaned in the clinic. What other treatment should he receive today?

Td (or Tdap) vaccine only

A 30-year-old military service member has a deep cut that is contaminated with dirt. He received 3 lifetime doses of tetanus-containing vaccine, with the last dose at service entry 7 years ago. What immunization should he receive today?

10-year-old who has never received DTaP vaccine

Which child should not receive DTaP vaccination?

0.5 mL intramuscularly

The correct dose and route for Td or Tdap administration is...

30-year-old who developed hives and difficulty breathing after last tetanus vaccine

The following patients present for booster protection against tetanus. Which one should not receive Td vaccine?

0.5 mL IM in vastus lateralis muscle

The correct dose, route, and site for DTaP administration in infants is...

Tdap today, additional Td dose in one month, and additional Td dose six months later

A 25-year-old woman is 8 months pregnant. She has never received tetanus or pertussis-containing vaccines. Appropriate recommendations include:

All of the above (Muscle spasms, including trismus ["lockjaw"], Respiratory compromise and Complications from prolonged intubation and hospitalization)

People who develop tetanus may experience:

All of the above (Paroxysms of coughing ["whooping cough"], High rates of complications and potential for death in young infants and Mild symptoms in older adults, who may still spread pertussis in respiratory secretions)

Pertussis is characterized by:

No treatment to prevent tetanus is required

A 19-year-old woman sliced her hand with a clean knife while opening a letter. She received all recommended childhood vaccines, including Tdap at age 12-years. What treatment is indicated to prevent tetanus?