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Is it acceptable to administer Tdap to a 25-year-old healthcare worker who had physician diagnosed pertussis (not lab diagnosed) within the last 5 months?

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Is it acceptable to administer Tdap to a 25-year-old healthcare worker who had physician diagnosed pertussis (not lab diagnosed) within the last 5 months?

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Yes, especially if the healthcare provider works with children. You should not consider withholding a dose of Tdap because of disease history, unless you have culture-confirmed disease within the last 5-10 years. Shorter intervals (shorter than 2 years from last tetanus-toxoid-containing vaccine) can be used with healthcare providers. You must use Adacel for anyone 19 through 64 years of age.

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