How to administer a tetanus shot if it is negative?

Written by Xu Jun Hui
General Surgery
Updated on November 11, 2024
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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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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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Symptoms of Tetanus

What are the symptoms of tetanus? Generally, the prodromal symptoms include overall weakness, headache, difficulty swallowing, or limited movement of the head and neck. If the condition progresses further, there may be typical symptoms such as difficulty opening the mouth or tense jaw muscles, leading to muscle spasms in the limbs, possibly causing spasms of the larynx, which can lead to breathing difficulties or even suffocation. Hence, it is a particularly severe manifestation. Some individuals may experience generalized tonic muscle spasms throughout the body, a milder manifestation with a typically longer incubation period. Therefore, in the treatment of tetanus, proactive active immunization should be pursued.

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How long does a tetanus shot last?

Regarding how long a tetanus shot lasts, it depends on which type has been administered. Generally, there are two types of tetanus injections: tetanus immunoglobulin and tetanus antitoxin. Typically, doctors perform a skin test before administering the tetanus antitoxin; if the patient has a positive skin test and cannot tolerate desensitization treatment, tetanus immunoglobulin can be administered instead. These two medications have different metabolic times and their preventive effects vary. The metabolic time for tetanus antitoxin is generally one week, whereas for tetanus immunoglobulin, it can last about 28 days. Therefore, how long a tetanus shot lasts depends on the specific circumstances of the patient’s injection.

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What are the symptoms of mild tetanus?

Symptoms of mild tetanus may include the following: Firstly, localized muscle spasms or brief spasms in a single muscle. Additionally, one may experience facial numbness, facial asymmetry, and difficulty swallowing. Generally, these symptoms are mild and do not affect normal life. Therefore, if tetanus occurs, one should first go to the hospital for further relevant examinations and treatment. The general treatment involves administering penicillin for infection control. Additionally, symptomatic treatment includes sedatives to reduce spasms. Attention should also be paid to diet; it is advisable to drink plenty of water and consume fresh vegetables and fruits. One should avoid spicy, stimulating foods, seafood, and yeast-containing foods like beef and mutton to minimize the occurrence of tetanus symptoms.

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How many days after getting a tetanus shot can you drink alcohol?

Tetanus is a serious disease with a prognosis that generally causes specific infection issues. The incubation period is usually around one day, but it can be as long as 50 days or even longer in some patients. However, once there is a possibility of a tetanus infection, it is necessary to inject antiviral medication for tetanus to treat and improve the condition. Generally, this can be effective. After this injection, it is definitely not advisable to consume alcohol. Typically, one should consider drinking alcohol only after at least half a month. At the same time, it is also best to avoid spicy, cold, and stimulating foods to enhance the therapeutic effects of the tetanus injection. This can also aid in better adjustments later on. Therefore, in such cases, it is crucial to abstain completely from alcohol to avoid affecting the effectiveness of the tetanus injection. This is the best approach.