Tetanus

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Written by Liu Huan Huan
General Surgery
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Cut your finger, need a tetanus shot

The key is to assess the severity of the finger cut. If it's just a superficial skin scratch, then the wound is shallow, and it only requires disinfection with agents like iodophor or alcohol; there's no need for a tetanus shot. Conversely, if the cut on the finger is deep, such as reaching the subcutaneous fat or, in severe cases, the muscle layer, such deep wounds can easily lead to the growth and reproduction of tetanus bacillus, producing toxins and causing clinical symptoms in patients. Therefore, in such cases, it is recommended that patients go to the hospital to receive a tetanus antitoxin injection.

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Written by Li Chang Yue
General Surgery
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Does tetanus infect others?

Tetanus occurs when wounds are contaminated by Clostridium tetani, which then proliferates and grows within the human body, ultimately causing tetanus. Generally, tetanus is not transmitted from person to person; it usually occurs when bacteria invade the body through external injuries or wounds. Additionally, newborns may contract tetanus through the birth canal during delivery. Therefore, for deep or large wounds, especially in heavily contaminated conditions, it is crucial to clean and possibly stitch the wounds promptly. If necessary, tetanus immune globulin injections and vaccinations against these bacteria can be administered to thoroughly prevent the occurrence of tetanus.

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Written by Tang Da Wei
General Surgery
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When to get a tetanus shot

A tetanus shot is generally recommended to be administered immediately after an injury for the best efficacy. If given within 12 or 24 hours, it still provides certain preventive effects. The tetanus shot mainly consists of tetanus antitoxin and represents passive immunization. It is usually advised in cases of deep wounds with small surface areas that can create anaerobic conditions inside. If tetanus bacillus is present in the wound and proliferates massively under anaerobic conditions, the patient may exhibit symptoms such as opisthotonos, asphyxiation, or even death. Therefore, it is necessary to administer tetanus antitoxin for prevention.

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Written by Liu Huan Huan
General Surgery
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Can superficial wounds get tetanus?

Tetanus infection commonly occurs in deeper wounds, for instance, wounds that reach the subcutaneous fat layer, and in severe cases, even the muscle layer. Such deep wounds can create an anaerobic environment, and Clostridium tetani, an anaerobic bacterium, thrives in this oxygen-free environment. It can secrete various bacterial toxins, thereby causing tetanus in patients. Therefore, tetanus generally occurs in deep wounds. For superficial wounds, the chance of contracting tetanus is almost zero if the wound is properly disinfected locally.

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Written by Gao Jun
Emergency Surgery
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What should I do if the tetanus test is positive?

A positive tetanus result generally refers to a positive result in the tetanus antitoxin skin test. Tetanus antitoxin is primarily used to prevent tetanus infections. Some patients may experience allergic reactions to tetanus, manifesting as localized swelling, mild fever, and general discomfort during the skin test. In such cases, a desensitization injection method can be chosen, which involves administering the tetanus shot in several doses at intervals. Alternatively, tetanus immunoglobulin can be used, which is more expensive on the market but has the advantage of not requiring a skin test. It can be administered directly, safely, and effectively.

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Written by Zhang Da Wei
General Surgery
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What are the dietary restrictions for treating tetanus?

There are actually quite a few dietary restrictions after receiving a tetanus shot, particularly if the wound is deep, which generally necessitates the administration of a tetanus injection to achieve some preventative effects. Of course, after getting a tetanus shot, there certainly needs to be certain foods you should avoid. For instance, spicy, cold, and irritating foods should be avoided as much as possible to achieve the desired effect. Then, it's necessary to analyze the specific situation. Sometimes dietary restrictions might be just one aspect to consider. After getting a tetanus shot, it's important to rest adequately, avoid smoking, drinking alcohol, and other bad habits, which all could potentially render the tetanus bacterium ineffective. Therefore, a specific situation might require a second injection. In general, these conditions don’t have a significant impact, as long as you remember to adopt a light diet when such issues arise, which helps the wound heal better.

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Written by Tang Da Wei
General Surgery
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Where is the tetanus shot given?

Tetanus injections require administration into the muscle, typically in the deltoid or gluteus maximus, which is below the patient's shoulder or on the buttocks. Before administering a tetanus shot, a skin test is usually performed. The test takes place on the inner side of the forearm, where 0.1ml of the solution is injected. Patients might experience some pain during the tetanus shot, but most can tolerate it. The tetanus shot effectively prevents tetanus infections, especially in cases where the wound is deep with a small surface area that can create anaerobic conditions conducive to the colonization and proliferation of Clostridium tetani, leading to tetanus infection. Vaccination can effectively prevent some serious diseases.

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Written by Xu Jun Hui
General Surgery
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Can I eat tomatoes after a tetanus shot?

You can eat tomatoes after receiving a tetanus shot. There are two types of tetanus injections: tetanus toxoid, which requires a skin test, and tetanus immunoglobulin, which does not require a skin test. If you are to receive the tetanus toxoid, it is essential to perform a skin test beforehand. If an allergy is present, its use is prohibited. Furthermore, it is advised to abstain from alcohol before getting a tetanus shot to avoid any skin redness caused by drinking, which can affect the outcome of the skin test, leading to a failure in the indication for the tetanus injection. There are no contraindications regarding eating tomatoes after a tetanus shot. It is generally recommended to get the tetanus shot within 24 hours after injury.

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Written by Xu Jun Hui
General Surgery
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How many times do you need to get a tetanus shot?

If tetanus vaccination is required due to an injury, one injection is sufficient. There are two types of tetanus shots. One is called tetanus antitoxin, which is extracted from horse serum. For this, a skin test is needed to check for allergies. If allergic, tetanus antitoxin cannot be used; if not, it can be used. The other type is refined tetanus antitoxin, also known as tetanus immune globulin, extracted from human serum. This type does not require a skin test and can be used directly, but it is more expensive than tetanus antitoxin. If tetanus treatment is needed for each injury, one injection is sufficient.

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Written by Xu Jun Hui
General Surgery
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How many tetanus shots are administered?

A tetanus shot is sufficient; tetanus treatment can be divided into tetanus toxoid, which requires a skin test, and tetanus immunoglobulin, which does not require a skin test. The tetanus bacillus is commonly found in anaerobic wounds and heavily contaminated wounds, such as those contaminated with soil and rust etc., which can lead to colonization of tetanus bacilli on human mucous membranes and invasion of the body, producing toxins that affect the jaw muscles and respiratory muscles, causing difficulty in breathing and, in severe cases, endangering life. Therefore, for patients who need antitetanus treatment, it is imperative to undergo such treatment, generally with just one injection.