What will happen with tetanus?

Written by Ai Bing Quan
General Surgery
Updated on March 20, 2025
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In clinical settings, tetanus is a type of surgical-specific infectious disease caused by the infiltration of Clostridium tetani through human skin, mucous membranes, or wounds. Tetanus toxin is a true anaerobic bacterium that thrives in oxygen-deprived environments and is highly resistant to environmental conditions. Clostridium tetani mainly produces tetanus toxin and tetanolysin, which can cause whole-body muscle spasms, including facial muscle spasms and difficulty opening the mouth. It can also lead to persistent spasms of the respiratory muscles and diaphragm, causing respiratory arrest and, in severe cases, can result in patient death.

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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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Is tetanus administered intramuscularly or subcutaneously?

Tetanus is widely used clinically and is known as tetanus antitoxin, intended solely to prevent the clinical symptoms caused by infection with Clostridium tetani. Therefore, a skin test must be conducted before administering tetanus injections. The common skin test involves creating a skin wheal intradermally; if the skin test is negative, one can proceed with the tetanus antitoxin injection. The injection can be administered intramuscularly or subcutaneously. For example, the common sites include the deltoid attachment area on the upper arm for subcutaneous injections, and the deltoid or the lateral part of the buttock for intramuscular injections, among others. These are the injection sites for tetanus.

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Do not get a tetanus shot before a certain age.

Tetanus antitoxin, this type of vaccine, generally has no significant age restrictions. It is usually best not to administer it before the age of one, as it involves using a toxin to combat toxins and prevent certain diseases. Therefore, it is advised not to vaccinate before one year of age. However, not everyone needs to be vaccinated against tetanus; it only serves as a preventive measure and is only necessary if there is a possibility of infection. For instance, vaccination is required when there are deep wounds or apparent injuries from rusty metal, as these conditions have a higher risk of infection. In such cases, administering tetanus antitoxin can effectively prevent infection. Thus, vaccination should depend on the specific situation rather than on age.

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Written by Ai Bing Quan
General Surgery
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What department should I go to for tetanus?

Tetanus is a special type of infection that should be treated through routine surgery or emergency surgery. It is caused by the tetanus bacillus, an anaerobic bacterium typically found in feces. Tetanus is easily contracted after an injury, especially in deep wounds. Clinically, tetanus manifests initially with difficulty in opening the mouth, followed by a grimacing smile, convulsions, and respiratory difficulties later on. Preventive measures include going to the hospital immediately after an injury to have the wound cleaned at the department of general surgery or emergency surgery and concurrently receiving a tetanus serum injection.

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Written by Ai Bing Quan
General Surgery
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Can you drink alcohol with tetanus?

After receiving a tetanus vaccine, it is not recommended to drink alcohol. It is best to avoid spicy, stimulating, and greasy foods. Usually, when patients are injured, they may need to receive a tetanus vaccine. Especially when injured by rusty metal, the tetanus vaccine can effectively prevent tetanus. However, drinking alcohol at the same time as receiving the tetanus vaccine can easily lead to a drug reaction, causing adverse reactions. For example, increased heart rate, dizziness, palpitations, vomiting, and even shock, which can be life-threatening in severe cases. Furthermore, drinking alcohol is also detrimental to the healing of wounds. Depending on the recovery of the body, patients can generally drink a small amount of alcohol after a week.