Do I need a tetanus shot for a cut?

Written by Xing Wen Jun
General Surgery
Updated on January 02, 2025
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For patients with a cut on the epidermis, it is first important to determine what object caused the injury. If the injury is from a rusty iron object and the wound is small and deep, it is mostly considered that the patient needs local treatment. Firstly, the patient should wash the wound repeatedly under running water with soapy water, and then clean and disinfect locally with hydrogen peroxide. After air-drying, apply iodophor for disinfection, and finally cover with sterile dressing or a bandage. It is generally recommended that patients avoid getting the area wet for up to three weeks. Additionally, patients should consider getting a tetanus antitoxin or tetanus immunoglobulin injection within 24 hours. If the injury is from another type of object and the patient has already dressed the wound after local treatment, the likelihood of tetanus infection is generally considered lower. It is recommended that the patient change dressings in a timely manner and keep an eye on it. Moreover, within a month, the patient should avoid alcohol and eat less spicy and irritating foods.

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How to avoid tetanus with minor wounds

If minor wounds are not properly handled, they can lead to serious problems, including tetanus. Treatment for minor wounds should be based on the integrity of the skin, the depth of the wound, and whether the object causing the wound was rusty. For simple minor wounds where the integrity of the skin is maintained and only abrasions are present, disinfection of the affected skin area may suffice. If the wound has compromised the integrity of the skin and is deep, especially if caused by rusty, sharp objects, it is necessary to thoroughly remove any foreign materials, clean the wound, and suture it. Dressing changes might be required, along with tetanus vaccination to prevent tetanus infection.

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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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How long does a tetanus shot last?

The duration of effectiveness for a tetanus shot depends on the specific type of injection used, as different injections vary in their duration of protection. Generally, the protection lasts about two to three days. In cases of infection, it is usually necessary to administer the vaccine within 24 hours. Under these circumstances, a period of about two to three days can be used to clean the wound, thereby achieving the best preventive effect. Additionally, there are other vaccines that are ten to twenty times more effective than this type of vaccine, with a typical prevention time ranging up to 15 days or even about a month. Of course, after receiving the tetanus vaccine, it is important to monitor for any allergic reactions, as different injections may vary in their degree of allergenicity, and individual reactions can differ based on personal health conditions.

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What will happen with tetanus?

Firstly, it should be noted that tetanus is a curable specific infection. Typically, after being infected with tetanus, the early symptoms mainly include dizziness, headache, fatigue, decreased appetite, refusal of weakness, jaw pain, or some hyperreflexia. As the condition worsens, symptoms such as muscle spasms, muscle rigidity, risus sardonicus, difficulty opening the mouth, lockjaw, opisthotonos, and stiffness in the neck can occur. In severe cases, there may be difficulty breathing, respiratory arrest, and even cardiac arrest. The vast majority of tetanus patients can fully recover through proper and systematic treatment.

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Can a tetanus shot be administered again?

If a tetanus shot is administered within 24 to 48 hours after injury, it can effectively prevent tetanus. However, if the tetanus shot is given a week or more after the injury, the effectiveness and relevance of the booster are generally not ideal. In such cases, tetanus immunoglobulin can be used for comprehensive antibody therapy to treat and prevent tetanus. Therefore, when the body sustains external injuries or certain infectious foci, it is crucial to promptly administer a tetanus shot intramuscularly, ideally within 24 hours, to effectively stimulate the body to produce the corresponding antibodies for protection.