90702 Diphtheria and tetanus toxoids adsorbed (DT) when administered to individuals younger than 7 years, for intramuscular use

Name of the Procedure:

Diphtheria and Tetanus Toxoids Adsorbed (DT) for Individuals Younger than 7 Years. Commonly referred to as the DT vaccine.

Summary

The Diphtheria and Tetanus Toxoids Adsorbed (DT) vaccine is an immunization shot given to children younger than 7 years to protect against diphtheria and tetanus. It is administered through an intramuscular injection.

Purpose

Addresses:

• Prevents diphtheria, a bacterial infection causing respiratory issues and potential heart failure.
• Prevents tetanus, a serious bacterial infection that causes muscle stiffness and spasms.

Goals:

• To build and enhance the child's immune system against diphtheria and tetanus.
• To reduce the incidence and spread of these potentially life-threatening infections.

Indications

Symptoms/Conditions:

• Routine immunization in children as per vaccination schedule.

  Patient Criteria:

• Children younger than 7 years who have not yet completed their DTaP (Diphtheria, Tetanus, and Pertussis) series.
• Suitable for children who cannot receive the pertussis vaccine (part of DTaP) due to medical reasons.

Preparation

Instructions:

• No specific preparation such as fasting required.

  Assessments:

• Review of the child's medical history and any potential allergies.
• Physical examination to ensure the child is not currently ill.

Procedure Description

Steps:

1. Positioning: The child is positioned comfortably with their thigh or upper arm exposed.
2. Disinfection: The injection site is cleaned with an antiseptic wipe.
3. Injection: Using a sterile syringe, the healthcare provider administers the vaccine intramuscularly.
4. Bandaging: A bandage is applied to the injection site if necessary.

Tools:

• Sterile syringe and needle.
• Antiseptic wipes.
• DT vaccine.
• Bandages.

Anesthesia/Sedation:

• Typically, no anesthesia or sedation is required.

Duration

• The procedure typically takes just a few minutes.

Setting

• Usually performed in a pediatrician’s office, outpatient clinic, or at a health department.

Personnel

• Administered by a healthcare professional, such as a pediatric nurse or doctor.

Risks and Complications

Common Risks:

• Mild fever.
• Redness or swelling at the injection site.

• Fussiness or irritability.

  Rare Risks:

• Severe allergic reactions (anaphylaxis).
• High fever.
• Seizures.

Management:

• Monitoring for immediate adverse reactions.
• Symptomatic treatment for mild side effects.
• Emergency care for severe reactions.

Benefits

• Provides immunity against diphtheria and tetanus.
• Significantly lowers the risk of severe illness and complications from these infections.
• Protection typically begins a few weeks after vaccination.

Recovery

Post-Procedure Care:

• Monitor the injection site for any signs of infection or severe reaction.
• Provide comfort measures such as a cool compress for site soreness.

Recovery Time:

• Children can return to normal activities immediately.
• Any discomfort or mild side effects usually resolve within a few days.

Follow-Up:

• Part of routine immunization schedule; subsequent doses will be administered as per health guidelines.

Alternatives

Other Options:

• DTaP vaccine when pertussis vaccination is appropriate.
• No specific alternatives if DT is medically indicated, but individualized vaccine plans can be discussed with the healthcare provider.

Pros and Cons:

• Pros of DT: Effective for those who need protection from diphtheria and tetanus but can't have the pertussis component.
• Cons: Lacks protection against pertussis, which is included in DTaP.

Patient Experience

During the Procedure:

• The child may feel a small pinch or sting at the injection site.

  After the Procedure:

• Mild discomfort or soreness at the injection site.

• Brief period of fussiness or irritability.

  Pain Management:

• Over-the-counter pain relievers as recommended by the healthcare provider.
• Comfort measures like holding or distracting the child.

Parents and caregivers should provide comfort and reassurance before, during, and after the procedure to help minimize any anxiety or stress the child might experience.