Tetanus

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Written by Zhang Da Wei
General Surgery
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The scientific name of a tetanus shot is called "tetanus toxoid vaccine."

Tetanus is a relatively common disease in daily life, and its prevention and treatment are very important because, in severe cases, it can even endanger a person's life safety. Commonly in clinical practice, tetanus injections are referred to as tetanus antitoxin. In such situations, the use of this prophylactic injection still plays a role, depending on the specific health condition and circumstances of the patient. If the wound is not superficial, it is generally after debridement that a tetanus shot can be administered based on the specific situation. Furthermore, tetanus shots usually need to be confirmed through methods like skin tests because some patients may have allergic reactions, which could significantly impact their health and pose a great risk.

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Written by Wang Xiang Li
Emergency Medicine
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What should I do if I am allergic to tetanus shots?

The full name of the tetanus shot is tetanus antitoxin serum, which is mainly made from horse serum and has certain allergenic properties. If a patient is allergic to tetanus antitoxin serum, desensitization injections can be used, which involves gradually injecting one milliliter of the tetanus antitoxin serum into the body in four or more sessions, with each injection spaced about twenty to thirty minutes apart. After each injection, it is important to closely observe the patient's reaction, including checking for signs of itching in the nose, hives throughout the body, or difficulty breathing. If any of these symptoms occur, emergency treatment should be administered. If the injections of tetanus antitoxin serum cannot be completed multiple times, or if the patient is unwilling to accept this method of injection, tetanus immunoglobulin can be administered instead of tetanus antitoxin serum. Tetanus immunoglobulin does not require a sensitivity test and can be directly injected into the body without causing an allergic reaction, although it is more expensive.

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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.