Is tetanus administered intramuscularly or subcutaneously?

Written by Liu Huan Huan
General Surgery
Updated on April 02, 2025
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Tetanus is widely used clinically and is known as tetanus antitoxin, intended solely to prevent the clinical symptoms caused by infection with Clostridium tetani. Therefore, a skin test must be conducted before administering tetanus injections. The common skin test involves creating a skin wheal intradermally; if the skin test is negative, one can proceed with the tetanus antitoxin injection. The injection can be administered intramuscularly or subcutaneously. For example, the common sites include the deltoid attachment area on the upper arm for subcutaneous injections, and the deltoid or the lateral part of the buttock for intramuscular injections, among others. These are the injection sites for tetanus.

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Written by Xu Jun Hui
General Surgery
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What is the function of a tetanus shot?

The function of the tetanus shot is to activate the body's immune system to produce antibodies that can specifically bind to the tetanus toxin, preventing the toxin from binding with nerve cells and causing a toxic reaction that could lead to respiratory arrest, asphyxiation, and endanger life safety. Tetanus infection occurs when the Clostridium tetani bacteria enter the body through mucous membranes following an injury, producing toxins that affect certain muscle groups, such as the jaw and respiratory muscles, thus threatening life safety. Therefore, the role of the tetanus shot is to produce antibodies that bind to the tetanus toxin, preventing it from producing a toxic reaction with nerve cells. Thus, if some wounds are deep and heavily contaminated, it is essential to undergo anti-tetanus treatment.

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Written by Xu Jun Hui
General Surgery
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Can I take a bath after getting a tetanus shot?

It's not recommended to take a bath immediately after receiving a tetanus shot. First, the wound requiring a tetanus shot may either be deep, heavily contaminated, or relatively large. After receiving a tetanus shot in the buttocks or the deltoid muscle of the upper arm, it is essential to enhance wound dressing changes and keep the wound dry, which is why bathing is not advised. If it's just a simple tetanus injection site, it can generally be exposed to water a few hours later. However, other wounds on the body should be kept dry. Therefore, it is better to take a bath when wounds on other parts of the body have healed well to avoid worsening infections and delaying healing.

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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.

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

If the patient does not have severe complications, most cases of tetanus can be cured. Tetanus is usually a specific infection caused by toxins secreted by Clostridium tetani. The incubation period for tetanus is usually six to seven days, but it can be as short as within 24 hours or as long as several months or even years. Therefore, after cleaning a wound, it is important to get a tetanus vaccine at a formal hospital. When tetanus occurs, we should actively go to the hospital for formal and systematic treatment, as the vast majority of patients can be cured.

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Written by Liu Wu Cai
Hepatobiliary Surgery
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Do you get a fever during the early stages of tetanus?

Tetanus symptoms can potentially begin with a fever during the early stage, generally occurring between six and ten days after injury, meaning symptoms can appear within 24 hours or several weeks post-injury. The shorter the incubation period, the more severe the symptoms and the higher the risk. Some patients may experience fatigue, headache, dizziness, restlessness, and possibly fever. Subsequently, typical symptoms of tetanus occur, primarily characterized by intense muscle contractions starting with the facial muscles. This includes difficulties in opening the mouth and lockjaw, among others. Thus, prevention is crucial for tetanus. When there is a local tissue injury, it is essential to promptly disinfect with hydrogen peroxide or iodine, followed by cleaning and suturing the wound and timely tetanus vaccination to prevent the disease.