Jump to content

Pertussis Titer instead of vaccination?

Nurses   (38,528 Views 14 Comments)
by GleeGum GleeGum (New Member) New Member

GleeGum has 9 years experience and works as a RN BSN, CEN, Emergency Department.

4,543 Visitors; 179 Posts

advertisement

I was wondering if anyone has had a pertussis titer drawn before to see if the TdaP was even necessary. I know more facilities are requiring the pertussis vaccination. We can submit titers for Hep B, MMR, and Varicella, but why not pertussis? If you have done it and paid for it out of pocket, how much did it cost? Thanks for any insight you have!

Share this post


Link to post
Share on other sites

5,502 Visitors; 410 Posts

CDC recommends that adults 19 to 64 get a Tdap booster, especially when working in the healthcare profession. According to this information sheet, immunity from the childhood pertussis immunization wears off, leaving adults exposed to Pertussis.

Share this post


Link to post
Share on other sites

GleeGum has 9 years experience and works as a RN BSN, CEN, Emergency Department.

4,543 Visitors; 179 Posts

Thanks - I heard the same about the immunization wearing off, but doesn't it make sense to check for immunity first before getting a vaccine?

Share this post


Link to post
Share on other sites

8,365 Visitors; 839 Posts

I don't see why a request to draw a titer would be refused. If you're immune, you're immune. Don't forget, though that the Tdap includes diphtheria and tetanus. You may be due for a booster.

Your employer could ask that you cover the cost, however.

Share this post


Link to post
Share on other sites

5,502 Visitors; 410 Posts

I'm actually glad you posted this... I have to have a TB test this week, and I meant to ask if I could schedule a Tdap at the same time. Entirely forgot until just now. :p

Share this post


Link to post
Share on other sites

GleeGum has 9 years experience and works as a RN BSN, CEN, Emergency Department.

4,543 Visitors; 179 Posts

I agree. However, I'm a traveler and this is my experience: I was offered and accepted a 13 week assignment earlier this year and the details for starting the assignment were being worked out when I found out they required the TdaP within the past year (I think it was year, can't remember exactly). At that time I was not comfortable with receiving yet another vaccine. I asked if a titer would be acceptable and the agency said no. This conversation went on for a couple of days and went up a couple of levels of the chain of command. Ultimately I felt enormous pressure to get the shot and I decided if I wanted to get it it would be if I wanted it not because a three month assignment depended on it. Now I'm seeing that more hospitals are requiring and so I am pursing the issue more.

Share this post


Link to post
Share on other sites
advertisement

GleeGum has 9 years experience and works as a RN BSN, CEN, Emergency Department.

4,543 Visitors; 179 Posts

and I don't mind covering the cost of the titer!

Share this post


Link to post
Share on other sites

ShannonRN2010 works as a Circulating RN.

6,299 Visitors; 359 Posts

Due to a horrible family/person history of vaccination reactions, I am opting out until it's mandatory. I have had titers drawn for everything. Thankfully, I still carry my immunity.

Most cases I have encounters, when I tell them my history and my family history, they are pretty good about not pushing the issue with me.

Share this post


Link to post
Share on other sites

17,759 Visitors; 1,840 Posts

I agree. However, I'm a traveler and this is my experience: I was offered and accepted a 13 week assignment earlier this year and the details for starting the assignment were being worked out when I found out they required the TdaP within the past year (I think it was year, can't remember exactly). At that time I was not comfortable with receiving yet another vaccine. I asked if a titer would be acceptable and the agency said no. This conversation went on for a couple of days and went up a couple of levels of the chain of command. Ultimately I felt enormous pressure to get the shot and I decided if I wanted to get it it would be if I wanted it not because a three month assignment depended on it. Now I'm seeing that more hospitals are requiring and so I am pursing the issue more.

If they are requiring this within the past year, that means you need one every year to work for them? That's crazy!

Share this post


Link to post
Share on other sites

happy2learn works as a Employed at a Level 1 Trauma Center.

7,747 Visitors; 1,118 Posts

I don't see why you can't get the titer done. As far as cost, couldn't tell you for sure. My varicella titer was $99, but I don't have health insurance.

I can totally understand not wanting to get the vaccine, as far as reactions go. My arm was sore for 2 weeks, I could barely move it.

Share this post


Link to post
Share on other sites

Esme12 is a ASN, BSN, RN and works as a Emergency / Trauma Nurse.

4 Followers; 3 Articles; 145,982 Visitors; 20,896 Posts

Thanks - I heard the same about the immunization wearing off, but doesn't it make sense to check for immunity first before getting a vaccine?

NO, what ever immunity you do have will wear off and you will need a booster somewhere down the line. As a healthcare worker you are in a high risk profession. For hospitals to make titers standard is WAY TOO expensive. YOu can pay to have the lab done and prove your immunity but the hospital doesn't have to accept the immunity... per se. Whooping cough is making a resurgence in the US big time.....especially in transient immigrant population with rising numbers in middle America and parent s afraid to immunize their children due to fears of autism and side effects and becomming a huge problem once again.....

Share this post


Link to post
Share on other sites

PedsAtHeart works as a Public Health LPN.

4,084 Visitors; 375 Posts

A sore arm for 2 weeks?? I'd much rather have a little soreness than risk spreading pertussis to an unvaccinated baby...

Personally, I had the vaccine and was not even sore. Not a bit. The shot itself didnt even hurt. I give this vaccine on a regular basis and no one complains of soreness for 2 weeks.

All in all... why not get the vaccine??

Share this post


Link to post
Share on other sites
  • Recently Browsing 0 members

    No registered users viewing this page.

×