A 48-year-old man is evaluated during a follow-up visit for hypertension. He has no symptoms. He received the tetanus toxoid, reduced diphtheria toxoid, and acellular pertussis vaccine 9 years ago and the influenza vaccine during the most recent influenza season. He is a current smoker with a 25-pack-year history. His only medication is chlorthalidone. On physical examination, vital signs are normal, and the remainder of the examination is unremarkable.

What is the most appropriate vaccine to administer to this patient?

Question

24-08-2023
Medicine

College

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A 48-year-old man is evaluated during a follow-up visit for hypertension. He has no symptoms. He received the tetanus toxoid, reduced diphtheria toxoid, and acellular pertussis vaccine 9 years ago and the influenza vaccine during the most recent influenza season. He is a current smoker with a 25-pack-year history. His only medication is chlorthalidone. On physical examination, vital signs are normal, and the remainder of the examination is unremarkable.

What is the most appropriate vaccine to administer to this patient?

Answer :

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SophiaJudy SophiaJudy · Answer 1 · 2024-05-16T16:59:46-04:00

Final answer:

The most appropriate vaccine to administer is the Td (tetanus and diphtheria) booster, as it is recommended every 10 years and 9 years have passed since his last Td-containing vaccine. An annual influenza vaccine is also recommended.

Explanation:

The most appropriate vaccine to administer to a 48-year-old man with a history of receiving the tetanus toxoid, reduced diphtheria toxoid, and acellular pertussis (Tdap) vaccine 9 years ago would be the tetanus and diphtheria (Td) booster. Since the Td booster is recommended every 10 years, and it has been 9 years since his last Td-containing vaccine, it would be appropriate to offer it at this time. This Td booster would help maintain protection against tetanus and diphtheria. It is also worth noting that while the patient received the influenza vaccine during the most recent season, individuals should receive the flu vaccine annually, so he should ensure to get this vaccine again in the upcoming influenza season.