Tetanus

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Written by Zhang Da Wei
General Surgery
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How many days after getting a tetanus shot can you drink alcohol?

Tetanus is a serious disease with a prognosis that generally causes specific infection issues. The incubation period is usually around one day, but it can be as long as 50 days or even longer in some patients. However, once there is a possibility of a tetanus infection, it is necessary to inject antiviral medication for tetanus to treat and improve the condition. Generally, this can be effective. After this injection, it is definitely not advisable to consume alcohol. Typically, one should consider drinking alcohol only after at least half a month. At the same time, it is also best to avoid spicy, cold, and stimulating foods to enhance the therapeutic effects of the tetanus injection. This can also aid in better adjustments later on. Therefore, in such cases, it is crucial to abstain completely from alcohol to avoid affecting the effectiveness of the tetanus injection. This is the best approach.

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Written by Ai Bing Quan
General Surgery
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A tetanus shot is used for what?

The tetanus shot is a type of vaccine primarily used to prevent infection by the tetanus bacterium. Tetanus bacteria are anaerobic and can typically be found on rusty nails, rusty blades, and other objects that cause cuts. In such cases, an intramuscular injection of tetanus antitoxin is needed to prevent infection by the tetanus bacterium. Although the chances of contracting tetanus are relatively low, the mortality rate is quite high if one does get infected. Therefore, it is crucial to take it seriously to avoid severe adverse consequences.

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Written by Zhang Peng
General Surgery
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How many times do you need to get a tetanus shot?

The number of tetanus shots required depends on the specific condition of the wound and the patient's previous immunization history. Generally, for smaller, superficial, and cleaner wounds, which are considered to have a low risk of tetanus infection, the body can produce protective antibodies on its own. In such cases, a tetanus toxoid injection is given once a month, usually three times in total, allowing the patient's body to produce active antibodies and obtain long-term protection. If the wound is large, deep, and contaminated, with a substantial amount of foreign material or necrotic tissue, the chances of tetanus infection are very high. In such cases, passive immunization is actively conducted, usually involving tetanus antitoxin or immunoglobulin. Here, typically three doses of tetanus toxoid are administered to stimulate the body to produce active antibodies and achieve long-term protection.

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Written by Xu Jun Hui
General Surgery
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What is the function of a tetanus shot?

A tetanus shot is used to prevent infection by the tetanus bacillus, because certain wounds, such as those that are deep and small or heavily contaminated, are susceptible to colonization by the tetanus bacillus. This bacterium thrives in anaerobic conditions. It typically enters the body through the skin or mucous membranes and produces toxins that cause muscle spasms, a specific type of infection. This often leads to symptoms like lockjaw, spontaneous spasms, and compulsory spasms, commonly affecting the jaw muscles, abdominal muscles, and limbs, and can be life-threatening. Therefore, for wounds that are heavily contaminated, deep, and small, it is essential to administer anti-tetanus treatment.

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Written by Li Jin Quan
General Surgery
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Do you still need a skin test for tetanus allergy?

Under normal circumstances, if there is an allergy to tetanus, a skin test is not required. If tetanus vaccination is indeed necessary, human immunoglobulin can be injected, and this does not require a skin test. 250 units can be injected directly. Additionally, tetanus antitoxin desensitization injections can be used. The so-called desensitization injection involves diluting 1500 units of tetanus antitoxin into doses of 0.1 ml, 0.2 ml, 0.3 ml, and 0.4 ml, totaling 1 ml, and administering it in four doses, each 20 minutes apart. After the injections are completed, an observation period of 30 minutes is required to ensure there are no adverse reactions before the patient can leave.

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Written by Gao Sen
General Surgery
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The likelihood of a wound being infected with tetanus

Tetanus is a specific infection often associated with trauma, with a high contamination rate of tetanus bacillus in traumatic wounds. On the battlefield, the contamination rate can reach 25% to 80%, although the incidence of tetanus in contaminated wounds is only about 10% to 20%. This suggests that other factors are necessary for the disease to occur, with the main factor being an anaerobic environment. If the wound is deep, with a small external opening, and contains necrotic tissue, blood clots, or is too tightly packed, this can lead to local ischemia. Additionally, if there is a co-infection with aerobic bacteria consuming residual oxygen in the wound, it creates an anaerobic environment conducive to the growth of the bacteria, thus increasing the likelihood of tetanus infection in the wound.

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Written by Li Jin Quan
General Surgery
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Can tetanus be cured?

In clinical practice, the vast majority of tetanus patients can be cured, provided there are no severe complications. Typically, tetanus is caused by the toxin produced by Clostridium tetani within the human body, leading to a specific type of infection. Clinically, it usually manifests as muscle tension and rigidity, and some patients might experience lockjaw, difficulty opening the mouth, a sardonic smile, and even stiff neck and opisthotonos. Severe cases can lead to difficulty breathing, respiratory arrest, or even cardiac arrest. Tetanus patients should go to the hospital for systematic, formal treatment and care. The vast majority of tetanus patients can be cured.

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Written by Zhang Peng
General Surgery
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Is tetanus fatal?

Tetanus infection is quite frightening, with current statistics showing that the mortality rate of tetanus infections can be as high as 40%, and about a million people die from tetanus globally each year. The current principle is to promptly inject tetanus antitoxin or tetanus immunoglobulin for sharp, deep wounds. For tetanus infection, the main symptoms manifest as local or systemic muscle rigidity and spasms. The incubation period varies; if a tetanus vaccination has been previously administered, or depending on the infection and treatment of the wound, the severity of the onset can differ. The prodromal period typically presents symptoms like dizziness, headache, heightened reflexes, restlessness, and possible difficulty opening the mouth; during the convulsive phase, there is continuous muscle contraction, eventually causing persistent spasms in the diaphragm and intercostal muscles.

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Written by Liu Huan Huan
General Surgery
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How long does a tetanus skin test take?

Tetanus is widely used clinically and is formally known as tetanus antitoxin. Therefore, if a patient is injured and the wound is deep, such as reaching the subcutaneous fat layer or even the muscle layer in severe cases, it is necessary to prevent tetanus infection by injecting tetanus antitoxin. Before injecting the tetanus antitoxin, it is mandatory to perform a skin test to prevent the patient from experiencing allergies, even severe clinical symptoms such as anaphylactic shock. During the skin test, generally, 0.1ml of tetanus antitoxin is diluted in 0.9ml of saline, and a skin test is performed on the forearm, observing for at least half an hour.

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Written by Zhang Peng
General Surgery
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How long does a tetanus shot last?

Regarding how long a tetanus shot lasts, it depends on which type has been administered. Generally, there are two types of tetanus injections: tetanus immunoglobulin and tetanus antitoxin. Typically, doctors perform a skin test before administering the tetanus antitoxin; if the patient has a positive skin test and cannot tolerate desensitization treatment, tetanus immunoglobulin can be administered instead. These two medications have different metabolic times and their preventive effects vary. The metabolic time for tetanus antitoxin is generally one week, whereas for tetanus immunoglobulin, it can last about 28 days. Therefore, how long a tetanus shot lasts depends on the specific circumstances of the patient’s injection.