Tetanus

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Written by Xu Jun Hui
General Surgery
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Can you drink alcohol after a tetanus shot?

Tetanus shots are not recommended with alcohol consumption. Because tetanus shots are divided into tetanus toxoid, which requires a skin test and is relatively cheap, and tetanus immunoglobulin, which does not require a skin test and is quite expensive. The majority of outpatient and emergency departments use tetanus toxoid, which requires a skin test treatment. Patients who are allergic to the skin test are prohibited from using it. Drinking alcohol causes dilation of the capillaries throughout the body and skin flushing, which can affect the results of the skin test, bringing risks to the treatment, and also increasing the cost of treatment. It is generally recommended that the tetanus shot be administered within 24 hours of injury, especially for patients with deep wounds, heavily contaminated wounds, contamination with soil or rust, or large open fractures.

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Written by Xu Jun Hui
General Surgery
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What is tetanus used for?

Tetanus is a disease caused by the invasion of Clostridium tetani through skin and mucous membrane wounds into the human body. It reproduces and produces toxins in an anaerobic environment, leading to a specific type of infection. Tetanus toxin mainly attacks the motor neurons, causing clinical symptoms such as episodic spasms, lockjaw, and rigid spasms. It mainly affects the masseter muscle, abdominal muscles, spinal muscles, etc., and can be life-threatening if not treated promptly. If the wound is heavily contaminated, deep, or contaminated with soil and rust, timely anti-tetanus symptomatic treatment should be administered.

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Written by Chen Xiao Jun
Emergency Department
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Will tetanus cause itching all over the body?

After the human body is infected with tetanus, it generally does not cause symptoms such as itching all over the body. After being infected with tetanus, there will be photophobia and fear of wind, and there will be stiff muscle spasms. Upon hearing the sound of wind or water, the patient will experience panic and fear, with involuntary spasms of the facial chewing muscles and other muscles. These symptoms should be considered as tetanus. The onset of tetanus is related to infection with the tetanus bacillus. Generalized itching is commonly seen in allergic diseases, caused by various reasons leading to systemic allergies. For generalized itching, anti-allergic medications should be used for treatment to alleviate the symptoms of itching all over the body.

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Written by Zhang Peng
General Surgery
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Can tetanus be cured now?

Tetanus infection is a rather terrifying disease. Currently, the World Health Organization considers that in environments lacking medical intervention, the mortality rate of tetanus can reach up to 100%. However, with current comprehensive and active treatment measures, the global mortality rate generally reaches about 20%-40%. In severe cases, especially in children or elderly patients, the fatality rate can exceed 70%. Yet, in most cases, if preventive treatments are promptly administered, they can be highly effective. Typically, within 12 to 24 hours after injury, passive immunization should be promptly conducted, usually choosing tetanus antitoxin or tetanus immunoglobulin. If this time period is exceeded and the patient has not shown symptoms, vaccination can still be administered. Even if symptoms develop, administering injections can still save lives and alleviate symptoms.

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Written by Liu Huan Huan
General Surgery
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Does tetanus require a skin test?

After a patient is injured, if the wound is relatively deep, such as reaching the subcutaneous fat or deeper to the muscles, it is generally required to administer a tetanus shot. The most commonly used tetanus remedy in clinical practice is called tetanus antitoxin. Before administering tetanus antitoxin, a skin test must be conducted. This is because if an allergic reaction to tetanus antitoxin occurs, it can lead to anaphylactic shock, characterized by increased heart rate, decreased blood pressure, reduced blood oxygen saturation, with severe cases resulting in coma or even death. Therefore, it is clinically required to perform a skin test before administering a tetanus shot to prevent allergic reactions and the occurrence of anaphylactic shock.

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Written by Li Jin Quan
General Surgery
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What are the symptoms of a tetanus wound?

Under normal circumstances, the wounds of tetanus are usually small and deep. There may be redness and swelling at the wound site. After a tetanus infection, when symptoms occur, the redness seen is different from the usual redness - it typically appears as a dark red. The wound might have a deep infection and produce pus, which is either white or blood-tinged. Additionally, there will be pain at the wound site, which feels severely painful to the touch, and sometimes the severe pain is felt even without touching it.

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Written by Zhang Da Wei
General Surgery
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Can tetanus in humans be cured?

Tetanus is a curable infectious disease, which is often misunderstood as incurable due to the severity of its symptoms upon infection. Typically, the production of toxins leads to specific infectious manifestations. Clinically, it mainly presents with symptoms of rigidity or muscle spasms and tension, including stiffness in the neck and possibly opisthotonos among other conditions; it may even cause diaphragmatic spasms and respiratory difficulties. Therefore, it is crucial to handle such infections promptly, as timely treatment can lead to a complete cure. Of course, once infected, this disease can also pose a significant threat to life safety, and currently, the clinical mortality rate is relatively high.

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Written by Xu Jun Hui
General Surgery
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Which department should I go to for tetanus?

To administer tetanus antitoxin treatment, one typically goes to the emergency department of a standard hospital where a tetanus antitoxin muscle injection can be administered, usually in the buttocks or upper arm muscles. A skin test is required before the injection, and for patients with a positive skin test, it is recommended to switch to tetanus immunoglobulin, which does not require a skin test. Tetanus is caused by the colonization of Clostridium tetani through mucous membranes or wounds in the human body, producing a neurotoxin that affects the muscle groups of the body, leading to respiratory arrest. Therefore, for patients with deep wounds or heavily contaminated wounds, it is essential to administer tetanus antitoxin treatment while performing wound cleaning and dressing changes.

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Written by Liu Huan Huan
General Surgery
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How long does the tetanus skin test take?

If a patient is injured and the injury is relatively deep, it is recommended to visit the hospital to receive a tetanus antitoxin injection to prevent tetanus infection. Before injecting the tetanus antitoxin, a skin test must be conducted to prevent allergic reactions, including severe complications such as anaphylactic shock. A common method for the skin test is to dilute 0.1ml of tetanus antitoxin in 0.9ml of saline to make a solution and take 0.05ml of it for a skin prick test on the forearm. The observation time for this test is generally 30 minutes, to monitor for any positive reactions at the site of the test.

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Written by Tang Da Wei
General Surgery
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Does the tetanus shot hurt?

When receiving a tetanus shot, there is some pain involved, but the pain is generally not very severe, and most patients can tolerate it. Tetanus shots are primarily for preventing tetanus infection. Before administering the shot, a skin test is usually required, which involves injecting the drug intradermally on the inner side of the forearm. The skin test may cause more noticeable pain. Patients typically need a tetanus shot when they have wounds, usually deep wounds, which may create anaerobic conditions within the wound. This can lead to a significant proliferation of Clostridium tetani, thus necessitating the administration of tetanus antitoxin to prevent tetanus infection.