When does tetanus occur?

Written by Xu Jun Hui
General Surgery
Updated on March 17, 2025
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Tetanus is an infection caused by the invasion of the body by Clostridium tetani. Clostridium tetani is an anaerobic bacterium and an opportunistic pathogen, which is likely to cause tetanus in conditions such as anaerobic environments, deep wounds, or heavily contaminated wounds. Therefore, in cases where wounds are relatively small yet deep, and are considered to be in an anaerobic environment, or are contaminated with rust or soil, or in situations such as open fractures, blast injuries, gunshot wounds, and animal bites, tetanus injection treatment is necessary. It is generally recommended to administer the injection within 24 hours, and a skin test should be conducted before the injection, with alcohol consumption prohibited.

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What are the dietary restrictions for treating tetanus?

There are actually quite a few dietary restrictions after receiving a tetanus shot, particularly if the wound is deep, which generally necessitates the administration of a tetanus injection to achieve some preventative effects. Of course, after getting a tetanus shot, there certainly needs to be certain foods you should avoid. For instance, spicy, cold, and irritating foods should be avoided as much as possible to achieve the desired effect. Then, it's necessary to analyze the specific situation. Sometimes dietary restrictions might be just one aspect to consider. After getting a tetanus shot, it's important to rest adequately, avoid smoking, drinking alcohol, and other bad habits, which all could potentially render the tetanus bacterium ineffective. Therefore, a specific situation might require a second injection. In general, these conditions don’t have a significant impact, as long as you remember to adopt a light diet when such issues arise, which helps the wound heal better.

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Can tetanus be cured?

Tetanus has a high mortality rate from infection, but it is not incurable. Even in primitive tribes in Africa, as long as the patient can survive the initial complications such as respiratory muscle spasms leading to suffocation, heart failure, lung infections, etc., they may be lucky to survive. However, in our daily lives today, if we accidentally sustain skin injuries or abrasions, we must not take them lightly and should head to the hospital to follow the doctor's advice. If a tetanus antitoxin injection is needed, it must be administered. Do not neglect it due to inconvenience, as it may lead to severe consequences. The initial symptoms of tetanus might include general weakness, muscle soreness, and spasms of the chewing muscles, which can later lead to severe muscle contractions and forceful spasms throughout the body. The patient remains fully conscious and can painfully experience the disease. Most patients may die from complications such as respiratory muscle spasms, suffocation, heart failure, and lung infections.

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Can tetanus be treated?

Tetanus is a specific infection caused by toxins produced by the bacterium Clostridium tetani in the human body. If treated systematically and without severe complications, the vast majority of tetanus patients can be cured. Whenever there is a wound, it should be cleaned with hydrogen peroxide or saline and the patient should go to the hospital as soon as possible for a tetanus vaccine injection. If tetanus occurs, it is imperative to seek timely treatment at a hospital. Most tetanus patients exhibit muscle tension and rigidity, such as risus sardonicus, difficulty opening the mouth, neck stiffness, and opisthotonus. In severe cases, respiratory arrest or difficulty breathing may occur. Therefore, tetanus patients, as long as they go to the hospital for early treatment, the vast majority can be cured.

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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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What department should I go to for tetanus?

Tetanus is a special type of infection that should be treated through routine surgery or emergency surgery. It is caused by the tetanus bacillus, an anaerobic bacterium typically found in feces. Tetanus is easily contracted after an injury, especially in deep wounds. Clinically, tetanus manifests initially with difficulty in opening the mouth, followed by a grimacing smile, convulsions, and respiratory difficulties later on. Preventive measures include going to the hospital immediately after an injury to have the wound cleaned at the department of general surgery or emergency surgery and concurrently receiving a tetanus serum injection.