What should I do if the tetanus skin test is positive?

Written by Gao Tian
General Surgery
Updated on February 04, 2025
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For patients, what to do if there is a positive tetanus skin test? Generally if it's positive, you can undergo desensitization injections or use anti-protein drugs. Therefore, in such cases, getting a tetanus injection is also a preventative measure against infection. It's recommended to visit a surgeon to complete relevant examinations and then decide on the next steps. At the same time, thorough debridement and disinfection should be carried out. Afterwards, rest, pay attention to diet by avoiding spicy and irritating foods, maintain cleanliness and dryness, change dressings regularly, and have regular follow-ups. With proper control, recovery is possible.

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Written by Liu Huan Huan
General Surgery
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Do you need a tetanus shot for a scraped skin?

Tetanus bacterial infection generally refers to relatively deeper wounds. A deeper wound creates an anaerobic environment locally, where tetanus-causing bacteria can reproduce and grow, leading to infection. If the wound is just a scrape and not deep, it's less likely to form an anaerobic environment. In such cases, the likelihood of developing tetanus is extremely low. From personal experience, if it's just a minor scrape, simply disinfecting the area with iodine is sufficient; there is generally no need for a tetanus antitoxin injection.

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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 Li Jin Quan
General Surgery
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Can tetanus be treated?

Tetanus is a specific infectious disease, most cases of which present as muscle tension and rigidity. Specific symptoms include difficulty opening the mouth, a sardonic smile, stiff neck, and opisthotonus. In severe cases, difficulties in breathing or even cessation of breathing can occur, and in critical cases, the heartbeat may also stop. Once tetanus occurs, it is crucial to seek active treatment at a hospital. With proper and systematic treatment provided by hospitals, most patients can be cured. Therefore, tetanus is a curable infectious disease.

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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 Li Jin Quan
General Surgery
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Tetanus nursing measures

Tetanus Patient Care: First, isolate the patient and maintain a quiet environment to minimize disturbances. Second, communicate carefully with the patient to alleviate their anxiety and boost their confidence in overcoming the illness. Third, install bed rails on both sides of the bed to prevent the patient from falling out. Additionally, use a mouth guard to prevent tongue injuries during spasms. Fourth, pay attention to the care of the patient's oral cavity and skin to prevent the development of oral ulcers, skin breakdown, or pressure sores.