Tetanus is what it means.

Written by Li Jin Quan
General Surgery
Updated on September 13, 2024
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The pathogen of tetanus is Clostridium tetani, which abundantly exists in our surrounding environment, such as rusty iron and moist soil. When the skin or mucous membranes of the human body are damaged, Clostridium tetani enters the body through these breaches. In an anaerobic environment, it grows and proliferates extensively, thereby producing toxins that cause a specific infection called tetanus. The main clinical manifestations are lockjaw, muscle spasms, and rigidity.

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What is tetanus?

Tetanus infection occurs when Clostridium tetani invades the human body through skin and mucosal membranes, producing certain neurotoxins that lead to symptoms. As Clostridium tetani is an anaerobic bacterium, it typically thrives in anaerobic environments and is often found in heavily contaminated, muddy, or rusty conditions. Therefore, if there is an infection in a wound that is deep, located in an oxygen-poor environment, or heavily contaminated with dirt or rust, or in cases of extensive open fractures, explosion injuries, etc., anti-tetanus treatment is essential. It is generally recommended to administer an injection within 24 hours of the injury, which includes tetanus toxoid that requires a skin test—this is not to be used by patients with allergies—and tetanus immunoglobulin, which does not require a skin test.

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Can tetanus be cured?

Tetanus is an infectious disease that can be cured. Generally, tetanus is considered to be caused by the infection of Clostridium tetani, which produces toxins. Clinically, it is mainly characterized by muscle tension and rigidity, such as lockjaw, difficulty opening the mouth, risus sardonicus, stiff neck, and opisthotonos. In severe cases, it can involve the respiratory muscles and diaphragm, causing difficulty breathing, respiratory arrest, and even cardiac arrest. When patients with tetanus receive standardized and systematic hospital treatment, and if there are no severe complications, the vast majority of patients can be cured.

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How long does a tetanus shot last?

Regarding how long a tetanus shot lasts, it depends on which type has been administered. Generally, there are two types of tetanus injections: tetanus immunoglobulin and tetanus antitoxin. Typically, doctors perform a skin test before administering the tetanus antitoxin; if the patient has a positive skin test and cannot tolerate desensitization treatment, tetanus immunoglobulin can be administered instead. These two medications have different metabolic times and their preventive effects vary. The metabolic time for tetanus antitoxin is generally one week, whereas for tetanus immunoglobulin, it can last about 28 days. Therefore, how long a tetanus shot lasts depends on the specific circumstances of the patient’s injection.

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How long is the incubation period for tetanus generally?

Tetanus is a specific infection caused by the bacterium Clostridium tetani entering the human body through wounds in the skin and mucous membranes, proliferating massively in an anaerobic environment, and producing toxins. It is primarily characterized clinically by lockjaw and episodic or sustained muscle spasms. The incubation period of tetanus is usually seven to eight days, but it can be as short as twenty-four hours or as long as several months, or even years.

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What should I do if the tetanus test is positive?

A positive tetanus result generally refers to a positive result in the tetanus antitoxin skin test. Tetanus antitoxin is primarily used to prevent tetanus infections. Some patients may experience allergic reactions to tetanus, manifesting as localized swelling, mild fever, and general discomfort during the skin test. In such cases, a desensitization injection method can be chosen, which involves administering the tetanus shot in several doses at intervals. Alternatively, tetanus immunoglobulin can be used, which is more expensive on the market but has the advantage of not requiring a skin test. It can be administered directly, safely, and effectively.