What should I do if I am allergic to tetanus?

Written by Li Jin Quan
General Surgery
Updated on December 11, 2024
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Mild symptoms of tetanus allergy mainly manifest as skin redness, itching, and the appearance of rashes, some of which occur a few days after the tetanus injection, with redness and itching at the injection site or the appearance of some rashes. Severe tetanus allergies can cause chest tightness, irritability, pale complexion, profuse sweating, low blood pressure, and slow pulse. In severe cases, it can lead to cessation of heartbeat and breathing. Once an allergic reaction to tetanus occurs, the injection of tetanus should be immediately discontinued, a venous pathway should be established, and aggressive treatment with adrenaline, dexamethasone, and calcium agents should be administered for the allergy.

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Written by Li Jin Quan
General Surgery
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How to desensitize 0.75ml tetanus?

Usually, the tetanus desensitization injection is administered in four doses. We start with 0.1 ml of tetanus toxoid plus 0.9 ml of saline diluted to 1 ml for intramuscular injection. After 20 minutes, we use 0.2 ml of tetanus toxoid plus 0.8 ml of saline diluted to 1 ml for another intramuscular injection. Twenty minutes later, we inject 0.3 ml of tetanus toxoid plus 0.7 ml of saline diluted to 1 ml intramuscularly. After another 20 minutes, we dilute the remaining tetanus toxoid with saline to 1 ml for the final intramuscular injection. After the injection, we observe for 30 minutes; if there is no allergic reaction, then it is complete.

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Written by Wang Xiang Li
Emergency Medicine
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What should I do if I am allergic to tetanus shots?

The full name of the tetanus shot is tetanus antitoxin serum, which is mainly made from horse serum and has certain allergenic properties. If a patient is allergic to tetanus antitoxin serum, desensitization injections can be used, which involves gradually injecting one milliliter of the tetanus antitoxin serum into the body in four or more sessions, with each injection spaced about twenty to thirty minutes apart. After each injection, it is important to closely observe the patient's reaction, including checking for signs of itching in the nose, hives throughout the body, or difficulty breathing. If any of these symptoms occur, emergency treatment should be administered. If the injections of tetanus antitoxin serum cannot be completed multiple times, or if the patient is unwilling to accept this method of injection, tetanus immunoglobulin can be administered instead of tetanus antitoxin serum. Tetanus immunoglobulin does not require a sensitivity test and can be directly injected into the body without causing an allergic reaction, although it is more expensive.

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Written by Zhang Da Wei
General Surgery
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How long does a tetanus shot last?

The duration of effectiveness for a tetanus shot depends on the specific type of injection used, as different injections vary in their duration of protection. Generally, the protection lasts about two to three days. In cases of infection, it is usually necessary to administer the vaccine within 24 hours. Under these circumstances, a period of about two to three days can be used to clean the wound, thereby achieving the best preventive effect. Additionally, there are other vaccines that are ten to twenty times more effective than this type of vaccine, with a typical prevention time ranging up to 15 days or even about a month. Of course, after receiving the tetanus vaccine, it is important to monitor for any allergic reactions, as different injections may vary in their degree of allergenicity, and individual reactions can differ based on personal health conditions.

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Written by Li Jin Quan
General Surgery
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Can tetanus be cured?

In clinical practice, the vast majority of tetanus patients can be cured, provided there are no severe complications. Typically, tetanus is caused by the toxin produced by Clostridium tetani within the human body, leading to a specific type of infection. Clinically, it usually manifests as muscle tension and rigidity, and some patients might experience lockjaw, difficulty opening the mouth, a sardonic smile, and even stiff neck and opisthotonos. Severe cases can lead to difficulty breathing, respiratory arrest, or even cardiac arrest. Tetanus patients should go to the hospital for systematic, formal treatment and care. The vast majority of tetanus patients can be cured.

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Written by Ai Bing Quan
General Surgery
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Can I drink alcohol after getting a tetanus shot?

After receiving a tetanus shot, it is not allowed to drink alcohol. Alternatively put, if you drink alcohol, you should not get a tetanus shot. At the same time, one should avoid consuming spicy, stimulating foods, and foods that are likely to cause allergies, to prevent allergic reactions and local wound fever. Tetanus shots are primarily used for injuries, therefore, patients with injuries should not consume the aforementioned substances and are advised to eat foods high in protein and vitamins to promote wound healing. Moreover, it is also necessary to enhance local dressing changes. A tetanus shot is solely used to prevent infections caused by tetanus; only through thorough wound cleaning and improving the anaerobic environment can the presence of tetanus be potentially eliminated.