Is tetanus serious?

Written by Li Jin Quan
General Surgery
Updated on September 25, 2024
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Firstly, it must be acknowledged that tetanus is a curable, specific infectious disease. When the human body is infected with tetanus, the initial symptoms mainly include dizziness, headache, fatigue, decreased appetite, difficulty in chewing, muscle soreness, or some heightened reflexes. As the condition worsens, muscle spasms and rigidity can occur, such as grimacing, lockjaw, difficulty opening the mouth, stiff neck, and opisthotonos. In severe cases, there may be difficulty breathing, respiratory arrest, and even cardiac arrest. If someone is suffering from tetanus, they should promptly seek systematic and formal treatment at a hospital. As long as there are no serious complications, the vast majority of tetanus patients can be cured, so tetanus is not as frightening as it may seem.

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Written by Xu Jun Hui
General Surgery
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What is tetanus?

Tetanus infection occurs when Clostridium tetani invades the human body through skin and mucosal membranes, producing certain neurotoxins that lead to symptoms. As Clostridium tetani is an anaerobic bacterium, it typically thrives in anaerobic environments and is often found in heavily contaminated, muddy, or rusty conditions. Therefore, if there is an infection in a wound that is deep, located in an oxygen-poor environment, or heavily contaminated with dirt or rust, or in cases of extensive open fractures, explosion injuries, etc., anti-tetanus treatment is essential. It is generally recommended to administer an injection within 24 hours of the injury, which includes tetanus toxoid that requires a skin test—this is not to be used by patients with allergies—and tetanus immunoglobulin, which does not require a skin test.

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

Tetanus is an infectious disease that can be cured. Generally, tetanus is considered to be caused by the infection of Clostridium tetani, which produces toxins. Clinically, it is mainly characterized by muscle tension and rigidity, such as lockjaw, difficulty opening the mouth, risus sardonicus, stiff neck, and opisthotonos. In severe cases, it can involve the respiratory muscles and diaphragm, causing difficulty breathing, respiratory arrest, and even cardiac arrest. When patients with tetanus receive standardized and systematic hospital treatment, and if there are no severe complications, the vast majority of patients can be cured.

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Written by Zhang Da Wei
General Surgery
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How long is a tetanus shot effective?

It is definitely better to get a tetanus shot as soon as possible, ideally within 24 hours after injury, as the chance of prevention is much higher compared to other times. Once an injury occurs, it is essential to go to a formal hospital for wound treatment, and then use disinfectant products, typically hydrogen peroxide or iodophor, to assist in disinfection. Generally, for open wounds, stitching may be necessary, but such wounds should generally not be bandaged because bandaging can lead to anaerobic bacterial infection. Since the incubation period for Clostridium tetani, the bacterium that causes tetanus, is five to seven days, an infection could potentially develop during this time. Therefore, it is advisable to get vaccinated against tetanus infection within a week. If this timeframe is exceeded, it might impact the effectiveness of the preventative measure, thus rendering it significantly less meaningful.

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Written by Liu Huan Huan
General Surgery
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Which department do I go to for a tetanus shot?

Tetanus shots are widely used clinically, and patients generally receive the injection after sustaining an injury. Therefore, it is recommended that patients visit the surgical department. If at a community hospital, they should go to the surgical outpatient clinic. If in a secondary or tertiary hospital, patients can go to the surgical outpatient clinic or the emergency surgery department for treatment. After wound treatment, they can receive a tetanus shot as required. Thus, patients usually go to the surgical department or emergency surgery for the tetanus injection.

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Written by He Zong Quan
General Surgery
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How to avoid tetanus with minor wounds

If minor wounds are not properly handled, they can lead to serious problems, including tetanus. Treatment for minor wounds should be based on the integrity of the skin, the depth of the wound, and whether the object causing the wound was rusty. For simple minor wounds where the integrity of the skin is maintained and only abrasions are present, disinfection of the affected skin area may suffice. If the wound has compromised the integrity of the skin and is deep, especially if caused by rusty, sharp objects, it is necessary to thoroughly remove any foreign materials, clean the wound, and suture it. Dressing changes might be required, along with tetanus vaccination to prevent tetanus infection.