Tetanus


Which department do I go to for a tetanus shot?
Tetanus injections are generally given in the emergency department of public hospitals, and include tetanus toxoid and tetanus immunoglobulin. A skin test is required for tetanus toxoid, and it is contraindicated for patients with allergies. Tetanus immunoglobulin does not require a skin test and can be used directly. It is advisable not to drink alcohol before getting a tetanus shot, and for best effectiveness, it is recommended to administer the shot within 24 hours of injury. It is essential to administer the tetanus shot promptly for deeper wounds, small openings, open fractures, and wounds contaminated with rust or dirt.


How long after stepping on a nail should you get a tetanus shot?
Generally, a tetanus shot can be administered within 24 hours after a trauma. Therefore, it is recommended to promptly visit a surgical department for thorough wound cleaning and disinfection, keep the wound clean and dry, and then promptly address tetanus prevention to avoid infection. Afterwards, rest well, pay attention to your diet, avoid spicy and irritating foods, maintain a good mood, and regular follow-up checks should suffice. Generally, as long as it is actively managed, it should not cause discomfort.


Is there still a cure for tetanus attacks?
Tetanus is usually a specific infection caused by Clostridium tetani in the human body. In the early stages of tetanus, it mainly manifests as dizziness, headache, fatigue, decreased appetite, weak chewing, some muscle soreness, or increased muscle reflexes. As the condition worsens, muscle spasms and rigidity may occur. During a tetanus attack, symptoms mainly include lockjaw, difficulty opening the mouth, a sardonic smile, stiffness in the neck, opisthotonus, and in severe cases, difficulty breathing, respiratory arrest, or cardiac arrest. When a tetanus attack occurs, it is imperative to go to the hospital for treatment timely. Through standard treatment and care, most cases of tetanus can be cured if there are no particularly severe complications.


Contraindications after a tetanus shot
Generally, after receiving a tetanus shot, it is important to check for signs of redness and itching, which are indicators of an allergic reaction. If there are no signs of an allergy, there generally is no need for concern. However, if allergic reactions do occur, it is usually necessary to administer the vaccine in divided doses using a desensitization method to effectively prevent the worsening of allergic symptoms. Of course, after such reactions, it is crucial to avoid certain foods and to improve lifestyle habits. Dietary irritants or stimulants from tobacco and alcohol can potentially damage the vaccine, leading to its ineffectiveness. Therefore, the situation should generally be assessed based on the individual's condition. Additionally, it is important to ensure timely local disinfection to prevent infections.


Where to get a tetanus shot?
First, if a patient has a traumatic injury with a deep wound, there is a possibility of infection by tetanus bacillus. It's necessary to inject a tetanus shot into the muscle. After administering the tetanus shot, the wound must be thoroughly debrided. Generally, hydrogen peroxide and saline should be used to repeatedly rinse the wound, reaching the deepest part to ensure that the tetanus bacillus is completely killed. For getting a tetanus shot, one can go to regular hospitals, outpatient clinics, or emergency departments. It is also possible to get vaccinated at community health centers and township health centers where vaccinations are available.


In what situations should tetanus shots not be administered?
Tetanus is caused by Clostridium tetani, which settles in the human body through mucous membranes and wounds, producing spasm-inducing neurotoxins that affect the body's muscle groups, particularly the masseter and respiratory muscles, leading to the ceasing of respiratory circulation and endangering life. Therefore, for patients with deep wounds, heavily contaminated wounds, and extensive open fractures, it is essential to administer tetanus antitoxin treatment. If the wound is superficial, clean, and dry, the patient may consider forgoing tetanus antitoxin treatment under the condition of proper wound debridement and dressing changes. However, for patients with large wound areas, deep and severely contaminated wounds, and those whose wounds are not redressed timely, it is crucial to administer tetanus antitoxin treatment.


Cut by scissors on the hand requires a tetanus shot.
If the patient's hands were cut by scissors, first check if the scissors were rusty. If the scissors are rusty and the wound is small and deep, there's a higher risk of tetanus infection. It is advised that the patient should first rinse the wound under running water with soap repeatedly, then use hydrogen peroxide for local rinsing and scrubbing, followed by applying sterile iodophor for disinfection, and then cover with sterile dressing. It is recommended that the patient receive an injection of tetanus antitoxin within 24 hours for proactive prevention. If the scissors were made of stainless steel and relatively clean, and the wound is shallow, local treatment may suffice, and tetanus antitoxin injection generally isn't necessary. Additionally, during recovery, the patient should change dressings timely to prevent infection or the possibility of the wound splitting. If necessary, after cleaning and disinfecting, active suturing treatment should be considered.


Does tetanus infect people?
Tetanus is not contagious. Tetanus can be prevented through vaccination, and it is currently the only non-contagious disease that can be prevented by vaccines. Typically, the DTP (diphtheria, tetanus, and pertussis) combination vaccine is used. The immunization schedule includes injections at the age of 3, 4, 5, and 18 months after birth, with a booster shot at the age of 6 years. Such a schedule can provide long-lasting immunity, generally maintaining protection for over 10 years. In cases of wounds suspected of being contaminated with tetanus, passive immunization should be performed promptly. Typically, tetanus antitoxin or tetanus immunoglobulin is chosen, ideally administered within 12 hours, though it can still be effective if given after this time.


tetanus incidence rate
Tetanus is caused by the invasion of tetanus bacillus into the body through skin and mucous membranes. It generally grows faster in an anaerobic environment, causing specific changes in muscles, and in severe cases, can lead to body spasms and other issues. It usually invades nerves, leading to nerve damage. The incidence rate depends on the patient's health status. If the patient's immunity is low, the incidence rate can reach over 90%, and more than 90% of patients will show symptoms within two weeks of injury, potentially retaining some infectious issues. Therefore, timely handling of tetanus bacillus infections is necessary to achieve the best preventive effects. The incubation period for tetanus is usually about one week.


Can you drink alcohol after a tetanus shot?
Regarding whether you can drink alcohol after getting a tetanus shot, you should not drink alcohol as it could worsen the condition and lead to infection. The tetanus shot is mainly to prevent tetanus infection. Therefore, if there is a wound, it is advisable to go to the surgical department as soon as possible to clarify the cause, such as undergoing wound cleaning and disinfection. If necessary, take oral antibiotics to prevent infection, especially cephalosporins. However, cephalosporins and alcohol are incompatible. So, it is advisable to rest, pay attention to diet, avoid spicy and stimulating foods, adjust your mindset, change dressings on time, and consume more high-protein foods to aid in wound healing.