Tetanus

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Written by Xu Jun Hui
General Surgery
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Does a tetanus shot stimulate the brain?

Tetanus shot, if administering tetanus toxoid, a skin test is required before injection. If the skin test is negative and there is no allergy, then the injection can proceed without stimulating the brain. A small proportion of patients undergoing anti-tetanus treatment might experience some uncomfortable reactions, commonly allergies, fever, and symptoms of vomiting. Generally, these can be alleviated with rest or symptomatic treatment. Only less than 1% of patients may experience seizures or coma, which are very rare reactions. If such reactions occur, it is urgent to go to a formal hospital for symptomatic and supportive treatment. For the vast majority of tetanus shots, if administered in a formal hospital and the patient has a negative skin test, or if given tetanus immunoglobulin, it does not stimulate the brain.

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Written by Ma Xian Shi
General Surgery
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Tetanus incubation period

Tetanus is a specific infection caused by Clostridium tetani. The incubation period of tetanus is generally seven to eight days, but it can be as short as 24 hours or as long as several months to years. Patients with shorter incubation periods have a worse prognosis. Tetanus occurs within two weeks after injury in 90% of patients, presenting symptoms such as general weakness, headache, dizziness, chewing difficulty, local muscle tightness, painful pulling, and increased reflexes. Typical symptoms include muscle tonic contraction, opisthotonus, and facial expressions characterized by lockjaw and a sardonic smile.

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Written by Gao Tian
General Surgery
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How long does a tetanus shot last?

About how long a tetanus shot lasts, it generally lasts from half a year to a year without any issues. So, if there is a wound, it is crucial to go to a surgical department for wound debridement and disinfection as soon as possible, especially after rinsing with hydrogen peroxide, keep the wound clean and dry. Secondly, change dressings. Generally, if it is not an infected wound, change the dressing every 1 to 2 days, and if infected, change the dressing daily. If necessary, take oral antibiotics to prevent infection. If you are not allergic to cephalosporins, it is usual to take some cephalosporin-based medications. Afterwards, be mindful of your diet and avoid spicy and irritating foods, and have regular check-ups. (Please use medication under the guidance of a doctor)

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Written by Ai Bing Quan
General Surgery
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How to determine if a wound has tetanus

Tetanus wounds are mainly characterized by deep wound redness, accompanied by a certain degree of pain, and sometimes there is pus discharge. The incubation period is usually around seven days. After infection with Clostridium tetani, symptoms such as lockjaw and excessive arching of the back occur, which are caused by excessive muscle spasms. During the acute phase of clinical treatment, it is crucial to actively use antitoxins and antibiotics to treat the infection. Otherwise, muscle spasms may lead to paralysis of the respiratory muscles, ultimately resulting in death by suffocation. Prevention of tetanus is more important than treatment, and care should be taken to avoid injuries from rusty nails.

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Written by Gao Tian
General Surgery
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Tetanus needle skin test allergic symptoms

For tetanus shot skin allergy symptoms, they generally include redness, swelling, and itching of the skin. Severe cases can cause an increase in body temperature. Therefore, if an allergy occurs, caution is needed, and desensitization treatment may be necessary. It's important to rest normally. Tetanus vaccine is mainly a medication used to prevent tetanus infection. Thus, after an injury, it is necessary to get the shot. Also, take care to rest, avoid spicy and stimulating foods as well as those high in hormone levels, adjust your mindset, change dressings regularly, and have regular check-ups.

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Written by Li Xiao Lin
Emergency Department
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How to treat mild tetanus?

The treatment for mild tetanus mainly includes the following aspects: First, to control convulsions, diazepam or midazolam can be administered via muscle injection or intravenous injection. If necessary, phenytoin sodium can be combined to control seizures. If the convulsions last a long time and the symptoms are pronounced, sedative medications can be continuously used to control the convulsions. Second, use large amounts of penicillin and anti-tetanus bacillus treatment to control the infection. Third, maintain a quiet indoor environment to reduce stimuli. Fourth, after the patient regains consciousness, attention should be paid to diet: avoid spicy and stimulating foods, do not smoke or drink alcohol, and it is advised to drink more water and eat more fresh vegetables and fruits. (Please use medication under the guidance of a doctor)

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

Tetanus prophylactic treatment is advised to be carried out as soon as possible, ideally within 24 hours for optimal effectiveness. However, prevention treatment can still be carried out after 24 hours, as long as the disease has not manifested. Current research does not prove that tetanus prevention is ineffective after this period. Therefore, timely and effective preventive treatment should be implemented following high-risk tetanus infection factors, choosing either tetanus antitoxin or tetanus immunoglobulin. The incubation period for tetanus infection is about a week, and as long as the disease has not manifested, choosing appropriate medication can have a preventive effect. Tetanus antitoxin and tetanus immunoglobulin have different metabolic cycles; the half-life of tetanus antitoxin is generally about three days, whereas tetanus immunoglobulin can last up to three weeks.

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Written by Xu Jun Hui
General Surgery
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How many days after a tetanus shot should you not drink alcohol?

Tetanus injections are divided into tetanus toxoid, which requires a skin test, and tetanus immunoglobulin, which does not require a skin test. It is advised not to drink alcohol before receiving a tetanus toxoid injection, as alcohol can cause dilation of the capillaries throughout the body, leading to flushed skin, which can affect the outcome of the skin test and result in false positive or false negative results, impacting treatment. Wounds requiring tetanus injections are generally either very deep, severely contaminated, or involve an open fracture, typically indicating a severe wound. It is advised not to consume alcohol during the wound healing period to avoid delaying recovery. Therefore, alcohol should be avoided for 24 hours before the tetanus shot and during the subsequent recovery period of the wound.

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Written by Gao Tian
General Surgery
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What should I do if the tetanus skin test is positive?

For patients, what to do if there is a positive tetanus skin test? Generally if it's positive, you can undergo desensitization injections or use anti-protein drugs. Therefore, in such cases, getting a tetanus injection is also a preventative measure against infection. It's recommended to visit a surgeon to complete relevant examinations and then decide on the next steps. At the same time, thorough debridement and disinfection should be carried out. Afterwards, rest, pay attention to diet by avoiding spicy and irritating foods, maintain cleanliness and dryness, change dressings regularly, and have regular follow-ups. With proper control, recovery is possible.

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Written by Ai Bing Quan
General Surgery
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Tetanus vaccination is effective if administered within a few days.

A tetanus shot is best administered within 24 hours after injury, and it is still effective if given within 48 hours. If not feasible, the injection can be administered within a week. Tetanus is caused by an infection with tetanus bacillus and is usually very severe. The incubation period for tetanus bacillus is about one week, hence, tetanus antitoxin should be administered as soon as possible after injury to prevent infection. If a tetanus antitoxin skin test is positive, tetanus immunoglobulin can be administered for immunologic skin testing. Symptoms of tetanus, when they appear, mainly include trismus, a forced grin, throat swelling, choking, opisthotonus, etc. If not promptly treated, these symptoms can lead to death.