Is tetanus easy to infect?

Written by Xu Jun Hui
General Surgery
Updated on January 24, 2025
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Tetanus is not easily contracted.

Tetanus bacilli belong to anaerobes, and are prone to occur in conditions where the wounds are deep, in an anoxic or low oxygen situation, heavily contaminated wounds such as with dirt or rust, and in cases of open fractures with large wounds. In these situations, tetanus bacilli can colonize the skin and mucous membranes, producing neurotoxins that lead to a series of complications. Therefore, anti-tetanus treatment must be conducted for wounds in an anaerobic environment, such as heavily arsenic-contaminated wounds.

For routine wounds that are shallow and small, it is sufficient to change the dressing.

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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 Liu Huan Huan
General Surgery
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How to rescue from tetanus allergy

In clinical settings, when administering tetanus injections, it is very easy for allergic reactions to occur, even severe complications like anaphylactic shock. In such cases, the following emergency measures can be taken: First, establish an intravenous access immediately, then start the patient on infusion therapy; Second, if the patient experiences a drop in blood pressure, vasopressor agents can be used for pressor therapy; Third, it's essential to provide the patient with cardiac monitoring, oxygenation, and other supportive treatments. In addition, it's crucial to use anti-allergy medications. There are many anti-allergic drugs available clinically, and the specific medication to be used should be decided based on the patient's specific condition. (Please administer medications under the guidance of a professional physician, and do not self-medicate.)

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Written by Liu Huan Huan
General Surgery
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Do you need a tetanus shot for a scraped skin?

Tetanus bacterial infection generally refers to relatively deeper wounds. A deeper wound creates an anaerobic environment locally, where tetanus-causing bacteria can reproduce and grow, leading to infection. If the wound is just a scrape and not deep, it's less likely to form an anaerobic environment. In such cases, the likelihood of developing tetanus is extremely low. From personal experience, if it's just a minor scrape, simply disinfecting the area with iodine is sufficient; there is generally no need for a tetanus antitoxin injection.

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Written by Liu Huan Huan
General Surgery
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Can I get a tetanus shot in the evening?

If a patient has a relatively deep wound, such as reaching the subcutaneous fat layer or even more severely, the muscle layer, it is important to prevent tetanus infection. It is advised that the patient must come to the hospital for a tetanus antitoxin injection into the muscle. After an injury, the sooner the tetanus antitoxin is injected, the better, as delays can affect the effectiveness of the antitoxin. Therefore, tetanus antitoxin can also be administered at night. Generally, one should go to the emergency surgery department of the hospital for the injection, as the emergency surgery department is on duty 24 hours a day, so it is possible to receive the tetanus shot at night.

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Written by Zhang Peng
General Surgery
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How many times do you need to get a tetanus shot?

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.