Occupational pertussis vaccination of healthcare workers. About Public Health England, Public Health England exists to protect and improve the nation s health and wellbeing. and reduce health inequalities We do this through world leading science knowledge. and intelligence advocacy partnerships and the delivery of specialist public health. services We are an executive agency of the Department of Health and Social Care. and a distinct delivery organisation with operational autonomy We provide. government local government the NHS Parliament industry and the public with. evidence based professional scientific and delivery expertise and support. Public Health England,Wellington House,133 155 Waterloo Road. London SE1 8UG,Tel 020 7654 8000,www gov uk phe,Twitter PHE uk. Facebook www facebook com PublicHealthEngland,Prepared by Sally MacVinish. For queries relating to this document please contact. gayatri amirthalingam phe gov uk,Crown copyright 2019. You may re use this information excluding logos free of charge in any format or. medium under the terms of the Open Government Licence v3 0 To view this licence. visit OGL Where we have identified any third party copyright information you will need. to obtain permission from the copyright holders concerned. Published July 2019 v1 0,PHE publications PHE supports the UN. gateway number 2019057 Sustainable Development Goals. Occupational pertussis vaccination of healthcare workers. About Public Health England 2,Background 4,Pertussis 4. Pertussis and healthcare workers 4,Benefits of vaccinating healthcare workers 4. Recommendations 5,Recommended groups for vaccination 5. When healthcare workers should be vaccinated 5,The vaccine 6. Incidents and outbreaks in healthcare settings 7, Occupational pertussis vaccination of healthcare workers. Background, Pertussis whooping cough is an acute bacterial respiratory infection Initial symptoms. resemble a common cold which can progress to include spasmodic coughing choking. spells and vomiting after coughing, The risk of severe complications is highest in very young babies nearly 90 of the. deaths from pertussis in the last 10 years have been in infants aged 3 months or less. who cannot be fully protected by immunisation, In adults the characteristic whoop noise can be absent on coughing but it is usually. an unpleasant illness that can be difficult to diagnose sometimes the only symptom is a. cough which can be severe and may persist for months. The bacteria are present in the back of the throat and can be spread by coughing and. sneezing An infected person can pass the infection to other people for 21 days from the. onset of their symptoms if not treated with appropriate antibiotics. Pertussis and healthcare workers, Healthcare workers HCWs can be an important source of infection to vulnerable. infants In recent years the number of reported cases and incidents linked to healthcare. settings in England has increased In addition to putting vulnerable infants at risk of. disease such incidents have been disruptive and resource intensive requiring staff. exclusion extensive contact tracing antibiotic chemoprophylaxis and vaccination in line. with PHE guidelines https www gov uk government publications pertussis guidelines. for public health management in a healthcare setting. Benefits of vaccinating healthcare workers, Vaccination of HCWs with pertussis vaccine can help prevent nosocomial transmission. to infants Therefore in 2016 the Joint Committee on Vaccination and Immunisation. JCVI advised that HCWs with direct contact with vulnerable patients pregnant women. and or infants are priority groups for immunisation However due to a global shortage. of pertussis vaccine it has not been possible to implement the JCVI advice to date. Supplies of vaccine are now improving and from July 2019 pertussis vaccine will. become available to order by NHS occupational health departments for recommended. staff groups, Occupational pertussis vaccination of healthcare workers. Recommendations,Recommended groups for vaccination. JCVI has advised that health professionals who have not received a pertussis. containing vaccine in the last 5 years and have regular contact with pregnant women. and or young infants1 are prioritised for occupational vaccination Given the variability in. intensity and frequency of contact with pregnant women and or infants and the current. limited availability of vaccine these HCWs are categorised into three groups who will be. offered vaccine in order of priority, Priority group 1 HCWs with regular and close clinical contact with severely ill young. infants1 and women in the last month of pregnancy, This includes clinical staff working with women in the last month of pregnancy e g in. midwifery obstetrics and maternity settings and neonatal and paediatric intensive care. staff who are likely to have close and or prolonged clinical contact with severely ill. young infants1, Priority group 2 HCWs with regular clinical contact with young unimmunised infants in. hospital or community settings, This includes general paediatric paediatric cardiology paediatric surgery and health. visitor staff, Priority group 3 HCWs with intermitted clinical contact with young unimmunised. infants in the community,This includes HCWs in general practice. When healthcare workers should be vaccinated, All HCWs in Priority Group 1 are recommended to be offered the vaccine from July. 1 Young infants are considered those under 3 months of age. Occupational pertussis vaccination of healthcare workers. HCWs in this group who are pregnant should be vaccinated as recommended under the. maternal pertussis programme ideally between 20 and 32 weeks although vaccine. can be given from as early as 16 weeks, Vaccine demand will be closely monitored and extension of vaccine to priority groups. two and three will occur once stocks allow Eligible HCWs should be given a single. booster dose There are currently no recommendations for additional booster doses. The vaccine, The recommended vaccines are the acellular pertussis containing vaccines Repevax. and Boostrix IPV These are combination vaccines that in addition to pertussis. antigens contain diphtheria toxoid tetanus toxoid and inactivated poliovirus. Repevax diphtheria tetanus 5 component acellular pertussis inactivated polio. vaccine dTaP IPV manufactured by Sanofi Pasteur Occupational Health. departments should contact 0800 854 430 option 1 or gb. vaccinecustomerservices sanofi com to order vaccines. Boostrix IPV diphtheria tetanus 3 component acellular pertussis inactivated polio. vaccine dTaP IPV manufactured by GlaxoSmithKline Occupational Health. departments should contact AAH Pharmaceuticals on 0344 561 8899 option 1 to. order vaccines, All pertussis containing vaccines are supplied as single doses of 0 5 ml They are. inactivated so do not contain live organisms and cannot cause the diseases which they. protect against, Vaccines should be stored in the original packaging at 2 C to 8 C and protected from. Contraindications, There are very few individuals who cannot receive pertussis containing vaccines When. there is doubt appropriate advice should be sought from their consultant if applicable. a local Screening and Immunisation team or a consultant in Health Protection rather. than withhold vaccine, The vaccines should not be given to those who have had. a confirmed anaphylactic reaction to a previous dose of a diphtheria tetanus polio. or pertussis containing vaccine or, a confirmed anaphylactic reaction to neomycin streptomycin or polymyxin B which. may be present in the vaccine in trace amounts, Occupational pertussis vaccination of healthcare workers. Precautions, Minor illnesses without fever or systemic upset are not valid reasons to postpone. immunisation If an individual is acutely unwell immunisation should be postponed until. they have fully recovered, Pertussis containing vaccines are recommended for all pregnant women from 16 weeks. gestation and can be given to those who are breastfeeding Pertussis vaccines can also. be given to those with immunosuppression and HIV infection but they may not make a. full antibody response and may require re immunisation on specialist advice. Incidents and outbreaks in healthcare settings, Guidelines for the Public Health Management of Pertussis in Healthcare Settings still apply and. are available here, https assets publishing service gov uk government uploads system uploads attachment data fi. le 564657 Guidelines for the Public Health Management of Pertussis in Healthcare Settin.
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