tetanus

Question 1

how mny times do you get the tetanus vaccine

Answer 1

5 doses !!
- 2, 3, 4months, 3-5yrs, 13-18yrs

Question 2

management if patient has had full course of tetanus vaccines + last dose was 10yrs ago

Answer 2

nothing !!

• no vaccine or Ig required, no matter wound severity

Question 3

mx if Patient has had a full course of tetanus vaccines, with the last dose > 10 years ago

Answer 3

tetanus prone wound = renforcing dose of vaccine

high risc wounds = reinforcing dose vaccine + tetanus Immunoglobulin

Question 4

high ris wounds for tetanus

Answer 4

compund fractures
delayed surgical intervention
significant degree of devitalised tissue

heavy contmination with soil, manure

Question 5

mx if vaccine history incomplete or unnown

Answer 5

reinforcing dose of vaccine

high ris wounds = vaccine + tetanus immunoglobulin