How many tetanus shots are administered?

Written by Xu Jun Hui
General Surgery
Updated on February 19, 2025
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A tetanus shot is sufficient; tetanus treatment can be divided into tetanus toxoid, which requires a skin test, and tetanus immunoglobulin, which does not require a skin test. The tetanus bacillus is commonly found in anaerobic wounds and heavily contaminated wounds, such as those contaminated with soil and rust etc., which can lead to colonization of tetanus bacilli on human mucous membranes and invasion of the body, producing toxins that affect the jaw muscles and respiratory muscles, causing difficulty in breathing and, in severe cases, endangering life. Therefore, for patients who need antitetanus treatment, it is imperative to undergo such treatment, generally with just one injection.

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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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How is tetanus diagnosed?

The diagnosis of tetanus requires comprehensive consideration. If the patient has a history of trauma with skin or mucosal wounds, and shows signs of muscle spasms, such as difficulty opening the mouth, stiffening of the neck, and increased reflexes, the possibility of a tetanus infection should be considered. Further, a culture of the wound can be conducted to see if Clostridium tetani can be cultured. If the culture is positive, a definitive diagnosis can be made. Additionally, tetanus needs to be differentiated from other diseases such as purulent meningitis, rabies, epilepsy, hysteria, and so on.

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

If the patient does not have severe complications, most cases of tetanus can be cured. Tetanus is usually a specific infection caused by toxins secreted by Clostridium tetani. The incubation period for tetanus is usually six to seven days, but it can be as short as within 24 hours or as long as several months or even years. Therefore, after cleaning a wound, it is important to get a tetanus vaccine at a formal hospital. When tetanus occurs, we should actively go to the hospital for formal and systematic treatment, as the vast majority of patients can be cured.

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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 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.