Where to get a tetanus shot?

Written by Ai Bing Quan
General Surgery
Updated on November 20, 2024
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Tetanus can be treated in any department, but generally, after an injury, one would first go to the emergency room. Therefore, tetanus is very common in emergency medicine. Tetanus is a type of anaerobic bacterium that is ubiquitous in nature. If a person has a wound that is small and deep, the internal environment can become anaerobic, which easily leads to rapid proliferation of tetanus. At this point, it is necessary to inject tetanus immunoglobulin into such wounds. It is best done within 24 hours because after a long period, the tetanus bacillus might have already proliferated in the wound. A skin test should be performed before the injection, and the injection can only proceed if the skin test is negative. If the wound is relatively large and severe, it generally will not be infected by tetanus bacillus.

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Written by Xu Jun Hui
General Surgery
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Where to get a tetanus shot

Tetanus shots can be administered at the emergency department of a regular public hospital. Tetanus toxoid requires a skin test, and if the result is positive indicating an allergy, it cannot be administered; tetanus immunoglobulin does not require a skin test and can be used directly. Alcohol consumption should be avoided before receiving a tetanus shot, as it can affect the results of the skin test, leading to inaccurate indications for the tetanus injection, and impacting its effectiveness. Tetanus shots can be administered at the emergency department of a public hospital.

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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 shots are administered in the buttocks or the muscular part of the upper arm, typically given as a muscle injection. Tetanus shots must not be administered intravenously. Before administering a tetanus shot, a skin test is conducted. If the skin test is positive, it is necessary to switch to a tetanus immune globulin that does not require a skin test; if the skin test is negative, a muscle injection can be performed. Tetanus is caused by the colonization of Clostridium tetani in the human body, producing neurotoxins, leading to a specific type of infection. Therefore, if the wound is deep and heavily contaminated, it is essential to promptly treat with a tetanus shot.

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

Tetanus can be fatal if not treated promptly. When infected with tetanus, early symptoms primarily include dizziness, headache, fatigue, decreased appetite, weak chewing, and sore jaw muscles, some may also exhibit increased reflexes or muscle rigidity. As the condition worsens, some patients show typical tetanus symptoms such as lockjaw, difficulty opening the mouth, risus sardonicus, opisthotonos, and stiff neck. As the condition further deteriorates, it can lead to difficulty breathing, or even respiratory arrest, and cardiac arrest. If not promptly rescued, the patient can die.

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Written by Zhang Peng
General Surgery
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When is the best time to get a tetanus shot?

Tetanus infection carries a certain mortality rate, with current statistics indicating that the death rate from tetanus infection can reach around 40%. Typically, tetanus is caused by an acute, specific infection resulting from the growth and reproduction of Clostridium tetani in human wounds, which produce toxins. Generally, it can only grow and reproduce in an anoxic environment, so it is most commonly found in soil, human and animal feces, and rust. For wounds, especially sharp and deep cuts, it is usually vital to administer a tetanus shot promptly. The choices generally are tetanus immunoglobulin or tetanus antitoxin, which have different half-lives; tetanus antitoxin generally lasts about three days, whereas tetanus immunoglobulin can last up to three weeks. Therefore, in the presence of high-risk infection factors, it is advisable to administer the injection as soon as possible, generally recommended within 24 hours.

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Written by Li Jin Quan
General Surgery
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Does tetanus cause fever?

When a person is infected with tetanus, the early symptoms mainly include dizziness, headache, fatigue, decreased appetite, weak chewing, sore jaw muscles, some muscle tension, or some hyperactive reflexes. As the condition worsens, typical clinical manifestations occur, such as difficulty opening the mouth, a sardonic smile, opisthotonos or neck stiffness, muscle spasms, muscle rigidity, and in severe cases, respiratory weakness or respiratory arrest. Some patients may develop a fever after being infected with tetanus. Therefore, some tetanus patients do show symptoms of fever.