Can superficial wounds get tetanus?

Written by Liu Huan Huan
General Surgery
Updated on February 23, 2025
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Tetanus infection commonly occurs in deeper wounds, for instance, wounds that reach the subcutaneous fat layer, and in severe cases, even the muscle layer. Such deep wounds can create an anaerobic environment, and Clostridium tetani, an anaerobic bacterium, thrives in this oxygen-free environment. It can secrete various bacterial toxins, thereby causing tetanus in patients. Therefore, tetanus generally occurs in deep wounds. For superficial wounds, the chance of contracting tetanus is almost zero if the wound is properly disinfected locally.

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Written by Gao Jun
Emergency Surgery
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Can tetanus be cured?

Tetanus has a high mortality rate from infection, but it is not incurable. Even in primitive tribes in Africa, as long as the patient can survive the initial complications such as respiratory muscle spasms leading to suffocation, heart failure, lung infections, etc., they may be lucky to survive. However, in our daily lives today, if we accidentally sustain skin injuries or abrasions, we must not take them lightly and should head to the hospital to follow the doctor's advice. If a tetanus antitoxin injection is needed, it must be administered. Do not neglect it due to inconvenience, as it may lead to severe consequences. The initial symptoms of tetanus might include general weakness, muscle soreness, and spasms of the chewing muscles, which can later lead to severe muscle contractions and forceful spasms throughout the body. The patient remains fully conscious and can painfully experience the disease. Most patients may die from complications such as respiratory muscle spasms, suffocation, heart failure, and lung infections.

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Written by Zhang Da Wei
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How many times can a tetanus shot be administered in a year?

The tetanus toxin vaccine is used for emergency vaccination. The main ingredient of this vaccine is the tetanus antitoxin. It is best to be vaccinated within 24 hours, and the sooner the vaccination is administered, the stronger the potential for protection. However, the duration of protection provided by the vaccine is not very long, and the effect of the tetanus antitoxin medication generally lasts about a week. Therefore, vaccination within 24 hours can effectively prevent problems that may occur within that week. Generally, there is no specific number for the annual frequency, but it is usually recommended not to exceed three times per year. Of course, this depends on the degree of injury. If there is a risk of infection, then the vaccine should be administered since its preventive effect is currently considered the best and can achieve significant efficacy.

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Written by Ai Bing Quan
General Surgery
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What will happen with tetanus?

In clinical settings, tetanus is a type of surgical-specific infectious disease caused by the infiltration of Clostridium tetani through human skin, mucous membranes, or wounds. Tetanus toxin is a true anaerobic bacterium that thrives in oxygen-deprived environments and is highly resistant to environmental conditions. Clostridium tetani mainly produces tetanus toxin and tetanolysin, which can cause whole-body muscle spasms, including facial muscle spasms and difficulty opening the mouth. It can also lead to persistent spasms of the respiratory muscles and diaphragm, causing respiratory arrest and, in severe cases, can result in patient death.

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How to treat mild tetanus?

The treatment for mild tetanus mainly includes the following aspects: First, to control convulsions, diazepam or midazolam can be administered via muscle injection or intravenous injection. If necessary, phenytoin sodium can be combined to control seizures. If the convulsions last a long time and the symptoms are pronounced, sedative medications can be continuously used to control the convulsions. Second, use large amounts of penicillin and anti-tetanus bacillus treatment to control the infection. Third, maintain a quiet indoor environment to reduce stimuli. Fourth, after the patient regains consciousness, attention should be paid to diet: avoid spicy and stimulating foods, do not smoke or drink alcohol, and it is advised to drink more water and eat more fresh vegetables and fruits. (Please use medication under the guidance of a doctor)

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Cut your finger, need a tetanus shot

The key is to assess the severity of the finger cut. If it's just a superficial skin scratch, then the wound is shallow, and it only requires disinfection with agents like iodophor or alcohol; there's no need for a tetanus shot. Conversely, if the cut on the finger is deep, such as reaching the subcutaneous fat or, in severe cases, the muscle layer, such deep wounds can easily lead to the growth and reproduction of tetanus bacillus, producing toxins and causing clinical symptoms in patients. Therefore, in such cases, it is recommended that patients go to the hospital to receive a tetanus antitoxin injection.