How to administer a tetanus shot: steps

Written by Ma Xian Shi
General Surgery
Updated on January 10, 2025
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First, an allergy test must be conducted. Based on the results of the allergy test, the application of tetanus antitoxin is decided. The allergy test involves drawing 0.1 ml of antitoxin serum, diluting it with 0.9 ml of isotonic saline, and then injecting 0.05 to 0.1 ml of the diluted solution intradermally on the flexor side of the forearm. An equivalent amount of isotonic saline is injected on the other forearm as a control. Observe for 15-30 minutes. If there is no nodule or resistance at the injection site, it is a negative result. Patients with a negative result can have the rest of the original liquid injected subcutaneously. If a red nodule of about one centimeter or resistance appears at the serum injection site, the allergy test is positive. In this case, a desensitization injection is needed. The desensitization injection involves diluting the required injection fluid and the antitoxin serum with isotonic saline to ten times the volume and administering it subcutaneously in divided doses. After dilution to ten times the volume, which is 10 ml, the initial dose of 1 ml is administered, followed by 2 ml, 3 ml, and 4 ml, with each injection spaced 30 minutes apart until completed.

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Written by Li Jin Quan
General Surgery
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Do you need a tetanus shot for a scrape?

Whether tetanus vaccination is necessary for an abrasion depends on the severity of the injury. For a minor abrasion where the wound is not deep, you can repeatedly rinse the wound with hydrogen peroxide or saline solution to wash off contaminants. After that, disinfect with iodine and perform simple bandaging. Change the dressing as needed. Such abrasions do not require a tetanus shot. However, if the abrasion is severe, the wound is deep, heavily contaminated, or caused by rusty metal, it is essential to receive tetanus vaccination while cleaning the wound in the hospital to prevent tetanus.

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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 Zhang Da Wei
General Surgery
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How long after a tetanus shot can you drink alcohol?

Tetanus antitoxin has a certain role in preventing the recurrence of diseases within the human body. One should not drink alcohol before the wound has fully healed. Drinking alcohol can directly affect local blood circulation, accelerate bacterial growth, and lead to infections. Generally, it is also possible that drinking after receiving a tetanus shot could affect the function of the injection. Therefore, it is advisable not to consume alcohol for at least half a month, especially within the first half month after the tetanus shot. Of course, it would be better to extend this period, such as avoiding alcohol for up to 3 months. This can achieve the best preventive effects of the tetanus toxin, and the medication can perform optimally.

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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.

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Written by Ma Xian Shi
General Surgery
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How long does it take for tetanus to develop?

Tetanus is an acute, specific infection caused by the invasion of Clostridium tetani into a human wound, where it grows and reproduces, producing toxins. Tetanus is a Gram-positive, anaerobic, spore-forming bacillus that is widely present in the external environment. Tetanus occurs only when tetanus bacillus grows and reproduces locally in a wound and produces exotoxins, which are the cause of the disease. The toxins of tetanus include spasm toxin and hemolysin. The incubation period of tetanus generally ranges from six to ten days. In some cases, it can occur within 24 hours or take as long as 20 to 30 days, or even months, particularly following the removal of foreign bodies or shrapnel. Neonatal tetanus generally occurs seven days after umbilical cord separation, clinically also known as the "seven-day wind." Generally, the shorter the duration of the incubation period or prodromal symptoms, the more severe the symptoms and the higher the mortality rate.