Tetanus

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Written by Zhang Da Wei
General Surgery
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Can I eat before getting a tetanus shot?

Tetanus shots are a common preventive measure. Once symptoms appear, they can directly impact many aspects of the body, and further judgement is based on specific conditions. Generally, if there are no special problems, a normal diet is acceptable. However, during eating, it is advisable to avoid spicy and irritating foods, as such foods can directly affect certain functions or enhance immunity, which is the most important treatment approach. Additionally, it is necessary to consider the patient's physical condition to assess whether the tetanus bacillus injection can still be effective beforehand, or if a light diet is required. This can provide a very precise approach, which is more beneficial for the prevention of subsequent vaccinations.

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Written by Liu Huan Huan
General Surgery
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Can you get tetanus from a plastic scratch?

In clinical practice, all injuries, if the wound is relatively deep, such as being cut by a sharp object into the subcutaneous tissue or even damaging the tendons, reaching the muscle tissue, can potentially be infected by tetanus. Wounds inflicted by plastic can also be infected by tetanus. In such deep wounds, Clostridium tetani can easily grow and reproduce. This bacterium can produce a toxin that causes muscle spasms, leading to related clinical symptoms. Therefore, if a plastic injury results in a deep wound, there is a risk of tetanus infection. It is advised that the patient seeks medical attention promptly, undergoes wound disinfection, and receives an injection of tetanus antitoxin to prevent infection.

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Written by Xing Wen Jun
General Surgery
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Do I need a tetanus shot for a cut?

For patients with a cut on the epidermis, it is first important to determine what object caused the injury. If the injury is from a rusty iron object and the wound is small and deep, it is mostly considered that the patient needs local treatment. Firstly, the patient should wash the wound repeatedly under running water with soapy water, and then clean and disinfect locally with hydrogen peroxide. After air-drying, apply iodophor for disinfection, and finally cover with sterile dressing or a bandage. It is generally recommended that patients avoid getting the area wet for up to three weeks. Additionally, patients should consider getting a tetanus antitoxin or tetanus immunoglobulin injection within 24 hours. If the injury is from another type of object and the patient has already dressed the wound after local treatment, the likelihood of tetanus infection is generally considered lower. It is recommended that the patient change dressings in a timely manner and keep an eye on it. Moreover, within a month, the patient should avoid alcohol and eat less spicy and irritating foods.

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Written by Xu Jun Hui
General Surgery
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What is the function of a tetanus shot?

The function of the tetanus shot is to activate the body's immune system to produce antibodies that can specifically bind to the tetanus toxin, preventing the toxin from binding with nerve cells and causing a toxic reaction that could lead to respiratory arrest, asphyxiation, and endanger life safety. Tetanus infection occurs when the Clostridium tetani bacteria enter the body through mucous membranes following an injury, producing toxins that affect certain muscle groups, such as the jaw and respiratory muscles, thus threatening life safety. Therefore, the role of the tetanus shot is to produce antibodies that bind to the tetanus toxin, preventing it from producing a toxic reaction with nerve cells. Thus, if some wounds are deep and heavily contaminated, it is essential to undergo anti-tetanus treatment.

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Written by Xu Jun Hui
General Surgery
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Where to get a tetanus shot

Tetanus shots can be administered at the emergency department of a regular public hospital. Tetanus toxoid requires a skin test, and if the result is positive indicating an allergy, it cannot be administered; tetanus immunoglobulin does not require a skin test and can be used directly. Alcohol consumption should be avoided before receiving a tetanus shot, as it can affect the results of the skin test, leading to inaccurate indications for the tetanus injection, and impacting its effectiveness. Tetanus shots can be administered at the emergency department of a public hospital.

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Written by Tang Da Wei
General Surgery
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Is the risk of tetanus high?

Tetanus occurs infrequently, but once it appears, the condition can be very severe and may lead to death if not treated promptly. Tetanus infection is mainly caused by infection with the tetanus bacillus. The tetanus bacillus is an anaerobic bacterium that exists everywhere in nature. If the wound is very deep with a small surface area, and the conditions inside the wound become anaerobic, if the tetanus bacilli inside the wound are not thoroughly cleaned, it could lead to the rapid reproduction of the tetanus bacilli, releasing tetanus toxin and causing a tetanus infection in the patient.

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Written by Tang Da Wei
General Surgery
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Can getting ear piercings lead to tetanus?

Piercing ears generally does not result in a tetanus infection. Since the wounds from ear piercings are relatively small, they basically reach aerobic conditions. Tetanus bacillus are anaerobic bacteria and generally do not proliferate in an aerobic environment. In an anaerobic environment, however, tetanus bacillus can proliferate extensively, which is when a patient might show symptoms of tetanus. However, the specific condition of the patient's ears must also be considered. If the patient’s earlobes are very thick, the small external opening from the piercing might create an anaerobic environment within the middle of the earlobe. If tetanus bacillus colonizes inside the wound, it may lead to extensive proliferation of the bacteria.

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Written by Zhang Peng
General Surgery
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What are the circumstances in which a tetanus shot should not be administered?

Tetanus is a strict anaerobic bacterium. Clinically, for deeper contaminated wounds, especially those contaminated by soil or punctured by rusty iron objects, an active injection of tetanus vaccine is recommended. Generally, for superficial scratches or clean and shallow wounds, as long as proper wound cleaning is performed, it is usually not necessary to administer a tetanus shot. For patients who have completed a full course of immunization or booster immunization within the last ten years and have high antibody levels in the body, if the wound is small, superficial, and free of foreign bodies or necrotic tissue residue, it is not necessary to inject the tetanus vaccine. For wounds that are larger, deeper, and heavily contaminated, with substantial residues of foreign bodies and necrotic tissue, or in cases where thorough wound cleaning is not achievable, an enhanced injection of tetanus antitoxin or immunoglobulin should be administered.

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Written by Liu Huan Huan
General Surgery
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Criteria for a Positive Tetanus Diagnosis

After a person is injured, if the wound reaches deeper parts such as the subcutaneous fat layer or even the muscle layer, it is essential to administer tetanus antitoxin to prevent infection from tetanus bacillus. Before injecting the tetanus antitoxin, a skin test must be conducted to prevent allergies and anaphylactic shock. Generally, after injecting the test agent, observations are made for 30 minutes. If there is an enlargement of the wheal, redness and swelling that infiltrates surrounding areas, and the patient feels itching, it indicates a positive result.

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Written by Ai Bing Quan
General Surgery
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Is tetanus painful?

Tetanus is a specific infectious disease in surgery, caused by the exotoxin of Clostridium tetani. Tetanus infection can lead to rigid muscle spasms, which is a disease with a high mortality rate. Although its treatment is difficult, the prevention is effective, so tetanus infections can be avoided by vaccinating with the tetanus vaccine. The tetanus shot includes human tetanus immunoglobulin and tetanus antitoxin serum. The injection of human tetanus immunoglobulin is administered via muscle and is not very painful, generally tolerable. The injection of tetanus antitoxin serum, being a foreign protein to the body, requires an initial sensitivity test. The pain is evident, as the sensitivity test involves a skin prick.