How many times do you need to get a tetanus shot?

Written by Xu Jun Hui
General Surgery
Updated on February 19, 2025
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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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Written by Liu Huan Huan
General Surgery
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Can you get a tetanus shot when you have a cold?

The patient is in a state of having a cold. During this time, if a part of the body is injured and the wound is deep, there is a possibility of infection by tetanus bacillus, which can cause corresponding clinical symptoms. This is because the deep wound facilitates the growth and reproduction of tetanus bacillus, producing exotoxins, mainly the spasm toxin, which can cause the patient to exhibit symptoms related to tetanus. Therefore, even if the patient has a cold, it is advised to seek timely medical treatment at a hospital for wound disinfection and to receive a tetanus antitoxin injection. Having a cold is not a contraindication for receiving a tetanus shot.

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Written by Li Jin Quan
General Surgery
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Is tetanus serious?

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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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 He Zong Quan
General Surgery
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Can a festering wound lead to tetanus?

Wound suppuration and contracting tetanus are two different concepts. Wound suppuration primarily occurs when there is an infection at the wound site, which spreads due to lack of significant control over the infection focus. We need to actively locate the infection source, perform thorough surgical debridement and drainage, use sensitive antibiotics as needed globally, and change dressings in a timely manner to manage the infection. Tetanus, on the other hand, is typically considered when the wound is too deep and visibly contaminated, often by rusty, sharp objects causing the infection. In such cases, thorough surgical cleansing of the wound is essential to prevent surface contamination, along with the systemic use of tetanus antitoxin to reduce or prevent a tetanus infection.

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Written by Liu Huan Huan
General Surgery
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Can you get tetanus from a plastic scratch?

In clinical practice, all injuries, if the wound is relatively deep, such as being cut by a sharp object into the subcutaneous tissue or even damaging the tendons, reaching the muscle tissue, can potentially be infected by tetanus. Wounds inflicted by plastic can also be infected by tetanus. In such deep wounds, Clostridium tetani can easily grow and reproduce. This bacterium can produce a toxin that causes muscle spasms, leading to related clinical symptoms. Therefore, if a plastic injury results in a deep wound, there is a risk of tetanus infection. It is advised that the patient seeks medical attention promptly, undergoes wound disinfection, and receives an injection of tetanus antitoxin to prevent infection.