Which part of the body is the tetanus shot administered?

Written by Xu Jun Hui
General Surgery
Updated on April 11, 2025
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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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tetanus early symptoms

Tetanus is an infection caused by Clostridium tetani, which enters the body through broken skin or mucous membranes and thrives in an anaerobic environment, producing toxins. Clinically, tetanus is characterized by lockjaw, episodic spasms, and rigid spasms, primarily affecting the muscles such as the masseter, latissimus dorsi, abdominal muscles, and limb muscles. Early symptoms of tetanus infection include general weakness, dizziness, headache, weak chewing, localized muscle tightness, pulling pain, and heightened reflexes.

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Written by Li Xiao Lin
Emergency Department
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Can tetanus cause back pain?

Tetanus attacks can cause back pain. The main symptoms of tetanus are convulsions, impaired consciousness, and frothing at the mouth. If the attacks continue, not only will there be back pain, but also pain in the limbs, and severe cases may lead to fractures. Therefore, when tetanus occurs, the patient should be taken to the hospital immediately for emergency treatment. Sedatives should be administered, and if necessary, anesthesia should be used to control the symptoms and reduce complications. Attention should also be paid to keeping the airway clear to minimize the occurrence of asphyxiation. If necessary, tracheal intubation and ventilator treatment should be applied.

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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.

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Written by Xu Jun Hui
General Surgery
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Can I get a tetanus shot in the emergency room?

The injection of tetanus shots is performed in the emergency department of regular hospitals. Tetanus shots are divided into tetanus toxoid, which requires a skin test, and tetanus immunoglobulin, which does not require a skin test. If the skin test for tetanus toxoid is positive, indicating an allergy, it cannot be injected, and must be replaced with the slightly more expensive tetanus immunoglobulin. It is generally recommended to administer the injection within 24 hours after injury to prevent infection by Clostridium tetani. Clostridium tetani is an anaerobic bacterium. It is necessary to administer tetanus treatment for injuries that are deep, in anaerobic conditions, contaminated, heavily contaminated with soil, rust, open fractures, etc., since these conditions can be conducive to tetanus infection.

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Written by Liu Huan Huan
General Surgery
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Will a scrape lead to tetanus?

When a tetanus infection occurs, the wound is generally quite deep, for instance, reaching the subcutaneous fat or even the muscle layer in severe cases. Such deep wounds can create an anaerobic environment, which is conducive for the growth and reproduction of Clostridium tetani, an anaerobic bacterium. This bacterium produces exotoxins, primarily the tetanospasmin, which causes the associated clinical symptoms in patients. If it's merely a scrape or a superficial wound, tetanus infection is unlikely. Clinically, what is needed for such abrasions is to disinfect the area with iodine and then bandage it appropriately.