Where is the tetanus shot administered?

Written by Li Jin Quan
General Surgery
Updated on April 17, 2025
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When there is a risk of tetanus infection due to contamination and suspected foreign objects in a wound, it is best to go to the hospital within 24 hours to get a tetanus vaccine. Currently, there are mainly two injection sites for the tetanus vaccine: one is the deltoid area of the upper arm, and the other is the upper outer side of the gluteus maximus in the buttocks. Most hospitals now advocate administering the tetanus injection in the gluteus maximus. After the injection, observe for half an hour before leaving.

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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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How to administer a tetanus shot if it is negative?

A negative tetanus needle test indicates that the patient is not allergic to the tetanus antitoxin and can continue with intramuscular injections, typically administered in the upper arm or buttock muscles, in doses ranging from 1000 to 3000 units each time. If the infection is severe or the tetanus injection is not timely, the dosage may be appropriately increased, generally by one to two times. The purpose of administering tetanus antitoxin treatment is to prevent infection by Clostridium tetani, an anaerobic bacterium. For patients with deep wounds or heavily contaminated wounds, such as those contaminated with soil or rust, Clostridium tetani can easily colonize. Therefore, for such patients, it is essential to perform tetanus antitoxin treatment while cleaning and dressing the wound.

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

Tetanus is a curable disease. It is usually caused by an infection with the tetanus bacillus, which produces a specific infection in the human body. Clinically, it is mainly manifested as muscle tension and rigidity, with the primary symptoms being difficulty opening the mouth, a sardonic smile, neck stiffness, and opisthotonos. In severe cases, it can lead to respiratory confusion, respiratory arrest, or cardiac arrest. Therefore, patients with tetanus should go to the hospital for treatment as soon as possible. With standardized and systematic treatment, the vast majority of patients can be cured.

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Written by Gao Tian
General Surgery
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Can you get tetanus if there's no rust?

For patients, if a wound occurs without rusting, there is still a possibility of tetanus. This is because if the wound is deep, it can lead to an infection by anaerobic bacteria. Therefore, it is recommended to go to the surgical department for thorough debridement and disinfection as soon as possible. At the same time, pay attention to resting, keeping the wound clean and dry, changing dressings on time, and taking oral antibiotics if necessary, such as cephalosporins, to prevent infection. Generally, with good control, recovery will be quick. However, tetanus can still occur, so it is still necessary to pay attention. Afterwards, keep the wound clean and dry, be mindful of your diet, avoid spicy and irritating foods, and follow up with your doctor.

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Written by Li Jin Quan
General Surgery
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Does tetanus cause fever?

When a person is infected with tetanus, the early symptoms mainly include dizziness, headache, fatigue, decreased appetite, weak chewing, sore jaw muscles, some muscle tension, or some hyperactive reflexes. As the condition worsens, typical clinical manifestations occur, such as difficulty opening the mouth, a sardonic smile, opisthotonos or neck stiffness, muscle spasms, muscle rigidity, and in severe cases, respiratory weakness or respiratory arrest. Some patients may develop a fever after being infected with tetanus. Therefore, some tetanus patients do show symptoms of fever.