What are the situations for tetanus shots?

Written by Li Xiao Lin
Emergency Department
Updated on January 25, 2025
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Objects carrying tetanus bacillus, or tissues damaged by animals, require tetanus vaccination to prevent tetanus, such as rusty nails, animal claws, animal bites, venomous snake bites, and wounds contaminated by dirt can easily lead to infection by tetanus bacillus. Tetanus is a possible condition, so after an injury, it is necessary to immediately rinse the wound with soap and water or running water to wash away the toxins, which helps reduce the chance of infection. Then thoroughly disinfect the wound with iodophor, which can also reduce infection, and go to the hospital to receive tetanus antitoxin or tetanus immunoglobulin within 24 hours to prevent the onset of tetanus. The incubation period for tetanus is generally three to seven days, but it can be longer, so it is advised to go to the hospital for an injection as soon as possible after injury, to prevent the onset of the disease and avoid serious events.

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Written by Li Jin Quan
General Surgery
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Where is the tetanus shot administered?

When there is a risk of tetanus infection due to contamination and suspected foreign objects in a wound, it is best to go to the hospital within 24 hours to get a tetanus vaccine. Currently, there are mainly two injection sites for the tetanus vaccine: one is the deltoid area of the upper arm, and the other is the upper outer side of the gluteus maximus in the buttocks. Most hospitals now advocate administering the tetanus injection in the gluteus maximus. After the injection, observe for half an hour before leaving.

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Written by Liu Huan Huan
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Can superficial wounds get tetanus?

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 Zhang Da Wei
General Surgery
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Does tetanus cause fever in its early stages?

Tetanus is actually a disease caused by the tetanus bacillus, generally entering the body after mucous membrane damage. In the early stages of tetanus, there usually are no fever symptoms. Fever typically appears in the middle to late stages. Generally, it is preceded by symptoms like episodic muscle spasms or tonic spasms. During this period, the incubation period can be about one week. In this time, the patient may experience symptoms such as general fatigue, headaches, and dizziness. Under circumstances where infection is likely, it is crucial to administer tetanus antitoxin promptly to effectively prevent the disease. Since the disease's morbidity and danger increase significantly in its middle to late stages, and the likelihood of death is also relatively high.

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Written by Xu Jun Hui
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How to administer an injection if the tetanus skin test is negative

A negative tetanus skin test indicates that there is no allergy to tetanus antitoxin, and 1500 to 3000 units of tetanus antitoxin can be directly administered via intramuscular injection in the upper arm or buttock. If the wound is heavily contaminated or the injection is not timely, the dose may be doubled or tripled at discretion, and it is also necessary to clean and dress the wound. The purpose of administering tetanus antitoxin via intramuscular injection is to prevent infection by Clostridium tetani. Therefore, patients with heavily contaminated or deep wounds must receive tetanus antitoxin treatment.

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How long should you avoid certain foods after getting a tetanus shot?

Tetanus antitoxin medication serves a preventative function and is commonly used as a vaccine. Receiving a tetanus shot is essentially aimed at preventing infections from the tetanus bacterium. Generally, there are dietary restrictions to follow after getting the shot. The effect of this medication typically lasts about a week, during which it is necessary to observe these dietary restrictions. It is usually advisable to avoid spicy or cold foods, such as chili peppers, beef, lamb, dog meat, or seafood. These should be eaten sparingly or avoided altogether. Otherwise, these spicy foods might directly affect the efficacy of the tetanus antitoxin. In such cases, the prevention of tetanus infections could be significantly reduced, thereby increasing the likelihood of contracting tetanus bacterium.