Where to get a tetanus shot?

Written by Ai Bing Quan
General Surgery
Updated on November 20, 2024
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Tetanus can be treated in any department, but generally, after an injury, one would first go to the emergency room. Therefore, tetanus is very common in emergency medicine. Tetanus is a type of anaerobic bacterium that is ubiquitous in nature. If a person has a wound that is small and deep, the internal environment can become anaerobic, which easily leads to rapid proliferation of tetanus. At this point, it is necessary to inject tetanus immunoglobulin into such wounds. It is best done within 24 hours because after a long period, the tetanus bacillus might have already proliferated in the wound. A skin test should be performed before the injection, and the injection can only proceed if the skin test is negative. If the wound is relatively large and severe, it generally will not be infected by tetanus bacillus.

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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 Li Jin Quan
General Surgery
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How much is the tetanus serum?

When there is a potential risk of tetanus infection in our wounds, we should promptly receive a tetanus shot. The tetanus treatments commonly used today include tetanus antitoxin and tetanus immunoglobulin, also known as tetanus serum. Generally, the price of tetanus antitoxin is about seven to eight yuan each. Tetanus serum can be divided into two types: human tetanus immunoglobulin and horse tetanus immunoglobulin. The price of human tetanus immunoglobulin is slightly over 80 yuan, while horse tetanus immunoglobulin costs slightly over 30 yuan. Horse tetanus immunoglobulin requires a skin test before it can be administered.

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Written by Ai Bing Quan
General Surgery
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How to treat tetanus?

Generally speaking, a tetanus shot needs to be administered intramuscularly, but a skin test must be conducted before injection because tetanus vaccines can easily cause allergic reactions. The skin test usually involves a subcutaneous injection on the palm side of the forearm, followed by an observation period of 15 to 20 minutes. If there is no redness or itching, and the skin test is negative, then the vaccine can be administered intramuscularly, usually in the buttock. However, if the skin test is positive, as indicated by symptoms like redness, significant itching, or even systemic symptoms such as dizziness and cold sweats, it shows that the skin test for tetanus is positive. In this case, one can opt for a desensitization injection of diluted tetanus vaccine, followed by intramuscular injections four times, once every half hour, needing about two hours to complete.

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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 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.