Download What is diphtheria?

dTpa BOOSTRIX VACCINE
What is diphtheria?
Diphtheria is an acute bacterial disease which is spread by droplet infection. It has an
incubation period of 2 – 5 days. The disease can be severe and cause acute infection
of the upper respiratory tract which can obstruct. Effective protection against
diphtheria has been achieved by active immunisation with diphtheria vaccine.
What is tetanus?
Tetanus is an acute disease caused by spores of bacteria which can enter wounds on
contaminated soil etc. Toxins produced in the body can act on the central nervous
system and cause painful spasms and muscle rigidity. Tetanus is often fatal.
What is pertussis?
Pertussis or whooping cough is a bacterial respiratory disease which is highly infectious
and spread by respiratory droplets. In babies it is characterized by severe coughing
followed by a distressing inspiratory whoop. School aged children and adults often do
not have the inspiratory whoop but the cough may last up to 3 months and may include
vomiting.
What is Boostrix vaccine?
Boostrix vaccine contains: diphtheria toxoid, tetanus toxoid, acellular pertussis
toxoid, with hydroxide, phosphate and phenoxyethanol as preservatives.
Indications for use of Boostrix vaccine
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Adolescents at 15 – 16 years of age
Before planning pregnancy
Adults working with young children
Worthwhile for any adult as long as a primary course of DTP vaccine has been
given in the past.
As soon as possible after the birth of your baby if not had before becoming
pregnant.
Pre immunisation checklist
You should tell the nurse if any of the following apply:
 Are unwell on the day of immunisation
 Have had a severe reaction to any vaccine
 Have any allergies
 Are pregnant
Possible side effects of Boostrix vaccine
The vaccine is well tolerated and most side effects are minor and quickly disappear.
Common side effects:
 Mild temperature
 Pain, redness, swelling at injection site
 Feeling unwell
These side effects can be reduced by: taking extra fluids to drink apply a cool compress
to the site, take oral paracetamol to reduce any discomfort.
S:immunisation\forms/BoostrixVaccine orderform.doc
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CONSENT FOR ADULT BOOSTRIX VACCINE
The information you provide on this form will be kept confidential and identifying
information will not be disclosed for any other purpose. You can access your information
by contacting your immunisation provider
Name:
Address:
Telephone:
Date of Birth:
YES: I request that I be immunised with the vaccine below
(please  appropriate box below)
YES: I request that I be immunised with the vaccines below
ADULT BOOSTRIX VACCINE = $35.00
Signature:
Date:
Completed order forms, together with your payment, may be forwarded to the City of
Yarra.
By mail
In person
City of Yarra
PO Box 168
RICHMOND
VIC
3121
City of Yarra Cashier (hours: 8.30am to 5.00pm Monday to Friday)
at either:
Collingwood Town Hall
140 Hoddle Street
ABBOTSFORD 3067
OR
Richmond Town Hall
333 Bridge Road
RICHMOND 3121
Alternatively payment can be made at the immunisation session by cash, cheque or credit card, no eftpos
available.
Cashier Office Use Only:
Account code:
IMMU 1885
Immunisation Office Use Only:
Receipt number:
Date:
YRR number
S:immunisation\forms/BoostrixVaccine orderform.doc
March2006