Tetanus


How many shots are given for tetanus?
Generally, a single injection is enough. Therefore, it is recommended to go to surgery for thorough debridement and disinfection. Subsequent treatment will be based on the results, and generally, if handled promptly, there shouldn't be any major issues. Also, avoid spicy and irritating foods during the treatment period, and consider eating some foods that help with wound healing, such as proteins. Afterwards, keep the wound clean and dry, change dressings regularly, and have regular check-ups. This is not a big issue and can recover quickly with proper care.


Can I drink alcohol after getting a tetanus shot?
After receiving a tetanus shot, it is generally advised not to consume alcohol in the short term. Alcohol should particularly be avoided on the day of the injection. This is because tetanus shots typically involve tetanus antitoxin, to which many individuals might have an allergic reaction. A skin test is required before the injection, and those who test positive are prohibited from using it. Drinking alcohol after receiving the tetanus shot can affect the effectiveness of the vaccine and increase the risk of delayed allergic reactions, therefore, it is advised not to drink alcohol on the same day. Moreover, tetanus shots are usually administered for deep wounds or heavily contaminated injuries, and consuming alcohol can hinder the healing of the wound. Thus, it is recommended not to drink alcohol on the day of receiving a tetanus shot.


Where is the tetanus shot injected?
Tetanus antitoxin is generally administered via intramuscular injection, commonly in the buttock muscles. If a patient is injured by a rusty iron object, and the wound is small and deep, it is generally recommended to consider administering tetanus antitoxin actively within 24 hours after the injury to help prevent tetanus. Additionally, for local wound care, the patient needs to rinse the wound with soap and water under running water, then clean, apply, rinse, and dry with hydrogen peroxide before disinfecting with iodine. Afterwards, covering the wound with sterile Vaseline gauze and sterile dressings is appropriate. Furthermore, the patient should keep the wound dry for up to three weeks after the injury as getting it wet may delay healing or increase the risk of incisional infection. Moreover, the patient should avoid alcohol and minimize the intake of spicy and irritating foods within a month after the injury.


Is tetanus shot a vaccine?
Tetanus shots are not vaccines; they are a type of passive immunization. To understand this, we need to know about the pathogenesis of tetanus. Tetanus infection generally refers to an infection by Clostridium tetani, an anaerobic bacterium that proliferates and grows in wounds and can produce exotoxins, leading to corresponding clinical symptoms in patients. Therefore, tetanus shots include tetanus antitoxin and tetanus immunoglobulin. Their main function is to neutralize the bacterial exotoxins, hence they are considered passive immunization agents and belong to the antibody category, not vaccines.


How to use a tetanus shot
If the wound is deeply infected in an anaerobic environment, or heavily contaminated, such as with polluted soil, rust, or in cases of open fractures, tetanus prophylaxis treatment is required. Tetanus treatment includes tetanus toxoid, which requires a skin test, and tetanus immunoglobulin, which does not require a skin test. The injection is generally administered in the buttock or the deltoid muscle of the upper arm. It is generally recommended to administer the injection within 24 hours of injury for optimal effectiveness, and it is advised not to drink alcohol before receiving the injection. Since most hospitals use tetanus toxoid because it is economical and affordable, a skin test is necessary, and patients with a positive skin test should not use it, instead, they should use tetanus immunoglobulin that does not require a skin test. Do not drink alcohol before the injection to avoid skin flushing, which can affect the results of the skin test.


Precautions for Tetanus
Tetanus is an acute, specific infection caused by the invasion of Clostridium tetani into a human wound, where it grows, proliferates, and produces toxins. Clostridium tetani is a Gram-positive, anaerobic, spore-forming bacillus. What should be considered in cases of tetanus? Patients with tetanus must be isolated in a single room. The environment should be as quiet as possible to avoid any auditory or visual stimuli. It is important to prevent falls from the bed or bedsores, control or relieve spasms as a key aspect of treatment, and on this basis, prevent asphyxiation and pulmonary infections. Patients with mild conditions can be treated with sedatives and sleeping pills. Severe cases may require the intravenous administration of chlorpromazine. Patients with severe convulsions or those suffering from laryngeal edema may require a tracheotomy.


Can tetanus cause back pain?
Tetanus attacks can cause back pain. The main symptoms of tetanus are convulsions, impaired consciousness, and frothing at the mouth. If the attacks continue, not only will there be back pain, but also pain in the limbs, and severe cases may lead to fractures. Therefore, when tetanus occurs, the patient should be taken to the hospital immediately for emergency treatment. Sedatives should be administered, and if necessary, anesthesia should be used to control the symptoms and reduce complications. Attention should also be paid to keeping the airway clear to minimize the occurrence of asphyxiation. If necessary, tracheal intubation and ventilator treatment should be applied.


Does tetanus hurt?
Generally speaking, receiving a tetanus shot can be painful. If there is a suspicion of infection with tetanus bacillus, it is necessary to go to the hospital to obtain tetanus antitoxin. A skin test must be performed before the injection, and the routine skin test is usually done on the inner front wall. Naturally, when the skin test needle is injected into the skin, the pain will be quite apparent. If the skin test result is negative, the tetanus antitoxin can be injected into the muscle, which may also cause pain and discomfort. If the skin test is positive, tetanus immunoglobulin, which does not require a skin test, needs to be administered. Typically, if a person has a relatively small but deep wound, particularly one caused by rusty and dirty objects, there might be a risk of infection by tetanus bacillus. In such cases, it is advisable to get the tetanus injection at the hospital as soon as possible, ideally within 12 hours.


What situations require a tetanus shot?
Usually, tetanus is caused by the toxin produced within the human body by Clostridium tetani, entering through broken skin or mucosa, leading to a specific type of infection. Tetanus is commonly found in our surroundings, such as in moist soil, rusty iron, or on bamboo sticks. When wounds are large, deep, severely contaminated, contain foreign bodies, or in cases of severe burns, scalds, or certain open fractures, it is crucial to seek timely vaccination at medical institutions.


How to get a tetanus shot if you are not allergic
Tetanus allergy refers to the body not being allergic to tetanus antitoxin, which can be directly diluted with saline and then administered intramuscularly into the buttocks or upper arm. Alternatively, tetanus immunoglobulin, which does not require a skin test, can also be administered intramuscularly. The purpose of the tetanus shot is to prevent infection by the tetanus bacillus, an anaerobic bacterium. In deep wounds in an anaerobic environment, or in heavily contaminated wounds with dirt or rust, there is a high risk of colonization by tetanus bacilli in the human body, requiring tetanus vaccination treatment.