Tetanus


Can you drink alcohol with tetanus?
After receiving a tetanus vaccine, it is not recommended to drink alcohol. It is best to avoid spicy, stimulating, and greasy foods. Usually, when patients are injured, they may need to receive a tetanus vaccine. Especially when injured by rusty metal, the tetanus vaccine can effectively prevent tetanus. However, drinking alcohol at the same time as receiving the tetanus vaccine can easily lead to a drug reaction, causing adverse reactions. For example, increased heart rate, dizziness, palpitations, vomiting, and even shock, which can be life-threatening in severe cases. Furthermore, drinking alcohol is also detrimental to the healing of wounds. Depending on the recovery of the body, patients can generally drink a small amount of alcohol after a week.


Do not get a tetanus shot before a certain age.
Tetanus antitoxin, this type of vaccine, generally has no significant age restrictions. It is usually best not to administer it before the age of one, as it involves using a toxin to combat toxins and prevent certain diseases. Therefore, it is advised not to vaccinate before one year of age. However, not everyone needs to be vaccinated against tetanus; it only serves as a preventive measure and is only necessary if there is a possibility of infection. For instance, vaccination is required when there are deep wounds or apparent injuries from rusty metal, as these conditions have a higher risk of infection. In such cases, administering tetanus antitoxin can effectively prevent infection. Thus, vaccination should depend on the specific situation rather than on age.


How many times can a tetanus shot be administered in a year?
The tetanus toxin vaccine is used for emergency vaccination. The main ingredient of this vaccine is the tetanus antitoxin. It is best to be vaccinated within 24 hours, and the sooner the vaccination is administered, the stronger the potential for protection. However, the duration of protection provided by the vaccine is not very long, and the effect of the tetanus antitoxin medication generally lasts about a week. Therefore, vaccination within 24 hours can effectively prevent problems that may occur within that week. Generally, there is no specific number for the annual frequency, but it is usually recommended not to exceed three times per year. Of course, this depends on the degree of injury. If there is a risk of infection, then the vaccine should be administered since its preventive effect is currently considered the best and can achieve significant efficacy.


How deep is a tetanus wound?
There is no clear boundary concerning how deep a wound needs to be to carry a risk of tetanus; mainly, it depends on whether the conditions allow for anaerobic bacteria to thrive. Particularly, wounds that are very small on the surface but deep can lead to substantial proliferation of tetanus bacilli. A common example is a foot wound caused by stepping on a nail, where the exterior opening of the wound is small, but it is deep inside, and the nail surface may be rusty and also carry a large amount of tetanus bacilli. If the wound is not promptly and thoroughly cleaned, it can lead to massive growth of tetanus bacilli, resulting in the onset of severe illness in the patient.


Symptoms of Tetanus
What are the symptoms of tetanus? Generally, the prodromal symptoms include overall weakness, headache, difficulty swallowing, or limited movement of the head and neck. If the condition progresses further, there may be typical symptoms such as difficulty opening the mouth or tense jaw muscles, leading to muscle spasms in the limbs, possibly causing spasms of the larynx, which can lead to breathing difficulties or even suffocation. Hence, it is a particularly severe manifestation. Some individuals may experience generalized tonic muscle spasms throughout the body, a milder manifestation with a typically longer incubation period. Therefore, in the treatment of tetanus, proactive active immunization should be pursued.


What are the complications of tetanus?
The main complications of tetanus primarily include suffocation, atelectasis, and pulmonary infections. Patients with severe conditions should have a tracheotomy performed as soon as possible to improve ventilation and clear the respiratory tract secretions. At the same time, artificial assisted breathing can be conducted, and hyperbaric oxygen therapy can be used as an adjunctive treatment. Care during tracheotomy should focus on airway management, including airway nebulization, humidification, flushing, and prevention of pressure sores, utilizing strict aseptic techniques to prevent cross-infection and subsequent pulmonary infections. Antibiotics should be selected based on the type of bacteria, and dedicated personnel should be assigned for nursing to prevent injuries from biting the tongue.


Can you eat eggs if you have tetanus?
Tetanus patients should eat more light food, with low fat and sodium content, and avoid strong irritants, such as spicy foods. They can eat more foods containing protein, because sufficient protein in the body can help heal wounds and also provide enough energy for the patients, which is beneficial to their condition. Therefore, tetanus patients can eat a moderate amount of eggs.


Do you need a tetanus shot for a scraped skin?
Tetanus bacterial infection generally refers to relatively deeper wounds. A deeper wound creates an anaerobic environment locally, where tetanus-causing bacteria can reproduce and grow, leading to infection. If the wound is just a scrape and not deep, it's less likely to form an anaerobic environment. In such cases, the likelihood of developing tetanus is extremely low. From personal experience, if it's just a minor scrape, simply disinfecting the area with iodine is sufficient; there is generally no need for a tetanus antitoxin injection.


Do you get a fever during the early stages of tetanus?
Tetanus symptoms can potentially begin with a fever during the early stage, generally occurring between six and ten days after injury, meaning symptoms can appear within 24 hours or several weeks post-injury. The shorter the incubation period, the more severe the symptoms and the higher the risk. Some patients may experience fatigue, headache, dizziness, restlessness, and possibly fever. Subsequently, typical symptoms of tetanus occur, primarily characterized by intense muscle contractions starting with the facial muscles. This includes difficulties in opening the mouth and lockjaw, among others. Thus, prevention is crucial for tetanus. When there is a local tissue injury, it is essential to promptly disinfect with hydrogen peroxide or iodine, followed by cleaning and suturing the wound and timely tetanus vaccination to prevent the disease.


How long does the tetanus shot last?
The duration of the effectiveness of a tetanus shot depends on whether tetanus antitoxin or tetanus immunoglobulin is administered following a suspected tetanus infection. Both types are forms of artificial passive immunity, providing immediate specific immunity after injection, mainly for treatment or emergency prevention. The metabolism and immune duration of these two injections vary: generally, tetanus antitoxin lasts about seven days, while tetanus immunoglobulin can last up to three weeks. Therefore, the specific duration of the effectiveness of a tetanus shot must be determined based on the individual injection circumstances. For suspected tetanus infections, it is generally advised to administer the injection as soon as possible. It's not that the injection will be ineffective if administered after a certain time, but rather that effective prevention before the onset of the disease can still be beneficial.