Is there still a cure for tetanus attacks?

Written by Li Jin Quan
General Surgery
Updated on May 28, 2025
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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.

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Written by Liu Huan Huan
General Surgery
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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.

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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 Zhang Da Wei
General Surgery
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Does tetanus cause fever in its early stages?

Tetanus is actually a disease caused by the tetanus bacillus, generally entering the body after mucous membrane damage. In the early stages of tetanus, there usually are no fever symptoms. Fever typically appears in the middle to late stages. Generally, it is preceded by symptoms like episodic muscle spasms or tonic spasms. During this period, the incubation period can be about one week. In this time, the patient may experience symptoms such as general fatigue, headaches, and dizziness. Under circumstances where infection is likely, it is crucial to administer tetanus antitoxin promptly to effectively prevent the disease. Since the disease's morbidity and danger increase significantly in its middle to late stages, and the likelihood of death is also relatively high.

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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 Xu Jun Hui
General Surgery
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Which part of the body is the tetanus shot administered?

Tetanus injections are given as intramuscular injections in the upper arm or the buttock. Tetanus vaccines include tetanus antitoxin, which requires a skin test. Patients with a positive skin test must either undergo desensitization therapy or avoid using it, and can switch to tetanus immunoglobulin, which doesn't require a skin test but is more expensive than tetanus antitoxin. The purpose of the tetanus shot is to prevent infection by Clostridium tetani, an anaerobic bacterium. It is particularly important for patients with deep wounds or heavily contaminated wounds; or wounds contaminated with rust or soil to receive tetanus treatment to prevent Clostridium tetani from colonizing the body through wound mucosa and producing neurotoxins that affect breathing.