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

Written by Zhang Peng
General Surgery
Updated on November 04, 2024
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The number of tetanus shots required depends on the specific condition of the wound and the patient's previous immunization history. Generally, for smaller, superficial, and cleaner wounds, which are considered to have a low risk of tetanus infection, the body can produce protective antibodies on its own. In such cases, a tetanus toxoid injection is given once a month, usually three times in total, allowing the patient's body to produce active antibodies and obtain long-term protection. If the wound is large, deep, and contaminated, with a substantial amount of foreign material or necrotic tissue, the chances of tetanus infection are very high. In such cases, passive immunization is actively conducted, usually involving tetanus antitoxin or immunoglobulin. Here, typically three doses of tetanus toxoid are administered to stimulate the body to produce active antibodies and achieve long-term protection.

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tetanus early symptoms

Tetanus is an infection caused by Clostridium tetani, which enters the body through broken skin or mucous membranes and thrives in an anaerobic environment, producing toxins. Clinically, tetanus is characterized by lockjaw, episodic spasms, and rigid spasms, primarily affecting the muscles such as the masseter, latissimus dorsi, abdominal muscles, and limb muscles. Early symptoms of tetanus infection include general weakness, dizziness, headache, weak chewing, localized muscle tightness, pulling pain, and heightened reflexes.

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Tetanus is what it means.

The pathogen of tetanus is Clostridium tetani, which abundantly exists in our surrounding environment, such as rusty iron and moist soil. When the skin or mucous membranes of the human body are damaged, Clostridium tetani enters the body through these breaches. In an anaerobic environment, it grows and proliferates extensively, thereby producing toxins that cause a specific infection called tetanus. The main clinical manifestations are lockjaw, muscle spasms, and rigidity.

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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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Do you get a fever during the early stages of tetanus?

Tetanus symptoms can potentially begin with a fever during the early stage, generally occurring between six and ten days after injury, meaning symptoms can appear within 24 hours or several weeks post-injury. The shorter the incubation period, the more severe the symptoms and the higher the risk. Some patients may experience fatigue, headache, dizziness, restlessness, and possibly fever. Subsequently, typical symptoms of tetanus occur, primarily characterized by intense muscle contractions starting with the facial muscles. This includes difficulties in opening the mouth and lockjaw, among others. Thus, prevention is crucial for tetanus. When there is a local tissue injury, it is essential to promptly disinfect with hydrogen peroxide or iodine, followed by cleaning and suturing the wound and timely tetanus vaccination to prevent the disease.

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Will a scrape lead to tetanus?

When a tetanus infection occurs, the wound is generally quite deep, for instance, reaching the subcutaneous fat or even the muscle layer in severe cases. Such deep wounds can create an anaerobic environment, which is conducive for the growth and reproduction of Clostridium tetani, an anaerobic bacterium. This bacterium produces exotoxins, primarily the tetanospasmin, which causes the associated clinical symptoms in patients. If it's merely a scrape or a superficial wound, tetanus infection is unlikely. Clinically, what is needed for such abrasions is to disinfect the area with iodine and then bandage it appropriately.