Flash FAX : 2011-01-04 - Combined Professional Staff Meeting; Tdap Recommendations

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About nine months ago, The Joint Commission released a series of changes to one of its standards that particularly affect professional staff activities and the activities of the professional staff executive committee (PSEC).  After extensive work, review by the PSEC and input from the professional staff, the PSEC approved the changes at their December meeting.  This allows the changes to go forward for an up-or-down vote by the active professional staff.  The meeting to present the final changes for a vote will be held on Thursday, January 20, 2011, at 5:30 pm in the auditorium at Dayton Children’s.

The changes have already been posted on the website and will remain there for review right up to the meeting.  Keep in mind that at the meeting you will be asked to approve the entire package as it stands.  Should there be any requests for modifications or additions/deletions, those would be considered as part of the routine amendment process.  Hope to see you at the meeting.  More information should arrive soon.


In response to an increased incidence of pertussis in the US, in October 2010, the CDC’s Advisory Committee on Immunization Practices (ACIP) voted on the following new recommendations for the use of Tdap vaccine:

  • Tdap can be given regardless of the interval since the last Td was given.  There is NO need to wait 2 to 5 years to administer Tdap following a dose of Td.
  • Adolescents should receive a one-time dose of Tdap at the 11 to 12 year old visit.
  • Adolescents and adults younger than age 65 years who have not received a dose of Tdap, or for whom vaccine status is unknown, should be immunized as soon as feasible.  (As stated above, Tdap can be administered regardless of interval since the previous Td dose.)
  • Adults age 65 years and older who have not previously received a dose of Tdap, and who have or anticipate having close contact with children younger than age 12 months (eg, grandparents, other relatives, child care providers and health care personnel), should receive a one-time dose to protect infants.  (As stated above, Tdap can be administered regardless of interval since the previous Td dose.)
  • Other adults 65 years and older who are not in contact with an infant, and who have not previously received a dose of Tdap, may receive a single dose of Tdap in place of a dose of Td.
  • Children ages 7 to 10 years who are not fully immunized against pertussis (ie, did not complete a series of pertussis-containing vaccine before their seventh birthday) should receive a one-time dose of Tdap.


Please mark your calendars now for this date.  The Taggart Award will be presented to Emmett Broxson, MD.  The Distinguished Service Awards will be presented to James Bryant, MD, Elizabeth Ey, MD and Craig Horn, MD.  The Emeritus Distinguished Award will be presented to Robert Lutz, MD.  I hope you will be there to celebrate with your colleagues and with the award winners.  Questions?  Call John Jacher at 937-641-3000 extension 8670.


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