90718 Tetanus and diphtheria toxoids (Td) adsorbed when administered to individuals 7 years or older, for intramuscular use

Name of the Procedure:

Tetanus and Diphtheria Toxoids (Td) Adsorbed
Commonly referred to as the Td vaccine.

Summary

The Td vaccine is an injection given to individuals aged 7 years or older to protect against tetanus and diphtheria. It is administered intramuscularly, typically in the upper arm.

Purpose

The Td vaccine helps prevent tetanus (lockjaw), a condition that causes severe muscle stiffness and spasms, and diphtheria, a serious respiratory illness that can cause breathing problems, heart failure, paralysis, or death.

Indications

• Individuals who have not completed their primary vaccination series against tetanus and diphtheria.
• Adults requiring booster vaccinations every 10 years.
• Children aged 7 years or older transitioning from pediatric to adult vaccination schedules.
• People at risk of exposure to these diseases due to injury or wound.

Preparation

• No specific dietary restrictions or fasting required.
• Inform your healthcare provider about any current medications, allergies, or past adverse reactions to vaccines.
• A brief health assessment may be conducted to ensure suitability for the vaccine.

Procedure Description

1. The patient will sit or lie down.
2. The healthcare provider will clean the injection site, usually the upper arm, with an antiseptic wipe.
3. The Td vaccine is drawn into a sterile syringe.
4. The vaccine is injected into the muscle of the upper arm using the syringe.
5. The site is then pressed with a cotton ball or bandage to prevent bleeding.

Duration

The entire process usually takes about 5-10 minutes.

Setting

The Td vaccination is typically performed in an outpatient clinic, doctor's office, or healthcare facility.

Personnel

• A trained nurse or healthcare provider administers the injection.
• A physician or nurse practitioner may supervise.

Risks and Complications

• Common risks: soreness at the injection site, mild fever, fatigue.
• Rare risks: allergic reactions, severe pain, or muscle weakness at the injection site.
• Management includes over-the-counter pain relievers and consulting a healthcare provider if severe reactions occur.

Benefits

• Long-term protection against tetanus and diphtheria.
• The benefits usually start to be effective within a few weeks after the injection.

Recovery

• Few minutes of observation post-injection to monitor for immediate reactions.
• Normal activities can typically be resumed immediately.
• Minor pain or swelling at the injection site can be managed with pain relievers and cold compresses.
• Follow-up booster doses are recommended every 10 years.

Alternatives

• Combined Tetanus, Diphtheria, and Pertussis (Tdap) vaccine, which also includes protection against pertussis (whooping cough).
• Pros: Tdap provides additional protection against an extra infectious disease.
• Cons: More components may result in more side effects.

Patient Experience

• During the injection, a minor pinch or brief discomfort may be felt.
• After the procedure, some patients may experience mild soreness or swelling at the injection site, which usually subsides within a few days.
• Pain management includes over-the-counter analgesics and keeping the injection site clean and dry.