DTap/ Tdap combos Can you switch between the three

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Hello everyone,

I am in school for my FNP. A question came up in class that I am having some difficulty obtaining the answer for.

combo 1 DTP or DTaP/Tdap,

combo 2 DTP-Hib or DTaP-Hib

combo 3 other DTaP or DTP combinations

When administering 1 of these in the five series that is suggested in children from 2months to 6 years can you interchange the combinations

Example if I administered DTaP at 2 months can I give DTaP-Hib at 4 months and a combination DTap like pediarix at 6 months or do you have to stay with the series you started with????

If someone could provide the answer that would be great - and where you got the answer would be even better. I have viewed the CDC and AAP but I couldn't find what i was looking for.

Thank you for any help offered

Sam

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Hello everyone,

I am in school for my FNP. A question came up in class that I am having some difficulty obtaining the answer for.

combo 1 DTP or DTaP/Tdap,

combo 2 DTP-Hib or DTaP-Hib

combo 3 other DTaP or DTP combinations

When administering 1 of these in the five series that is suggested in children from 2months to 6 years can you interchange the combinations

Example if I administered DTaP at 2 months can I give DTaP-Hib at 4 months and a combination DTap like pediarix at 6 months or do you have to stay with the series you started with????

If someone could provide the answer that would be great - and where you got the answer would be even better. I have viewed the CDC and AAP but I couldn't find what i was looking for.

Thank you for any help offered

Sam

You can find your answers here:

http://aapredbook.aappublications.org/resources/08_0-6yrs.pdf

To answer your specific question:

"TriHIBit® (DTaP/Hib) combination products should not be used for primary immunization but can be used as boosters following any Hib vaccine in children age 12 months or older."

If I remember correctly you shouldn't mix doses. The information for PEDIARX says you should give it for all three doses since there is no data on mixing it:

http://us.gsk.com/products/assets/us_pediarix.pdf

So you have to figure out what you are going to use up front and stick to that. You should not be using DTaP/Hib in those under 12 months (although from what I hear many do).

Redbook and peds - a necessity.

http://aapredbook.aappublications.org/

David Carpenter, PA-C

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