Tetanus

Question 1

Tetanus prone wounds

-where can you get them

Answer 1

Puncture injuries in contaminated environment
Wounds with foreign bodies
Open fractures
Wounds/burns => systemic sepsis
Animal bites, scratches

Question 2

When to vaccinate

Answer 2

3 dose primary series
-6wks - 4wk interval - 4 wk interval

3 booster doses with 4 years between doses

• 1-2 years old
• 4-7 years old
• 9-15 years old

Question 3

When to give immunoglobulin

Answer 3

Tetanus immunization incomplete/uncertain + high risk tetanus prone wound

• heavy soil/manure contamination
• wounds/burns with extensive devitalised tissue
• wounds/burns needing surgery with 6hour+ delay