Summary
guide to tetanus prophylaxis in routine wound management, 1991
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|
Clean, minor wounds
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All other wounds *
|
| History of
adsorbed tetanus toxoid (doses) |
Td†
|
TIG
|
Td†
|
TIG
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| Unknown or < 3 |
Yes
|
No
|
Yes
|
Yes
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| 3 or More‡ |
No∫∫
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No
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No
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No
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* Such as, but not limited
to, wounds contaminated with dirt, feces, soil, and saliva;
puncture wounds; avulsions; and wounds resulting from missiles,
crushing, burns
and frostbite.
†For children <7
years old; DTP (DT, if pertussis vaccine is contraindicated) is
preferred to tetanus toxoid alone.
For persons >= 7 years of age, Td is preferred to
tetanus toxoid alone.
‡ If only three doses of fluid toxoid have been received, then a fourth
dose of toxoid,
preferably an adsorbed toxoid, should be given.
∫∫Yes, if >10 years since last dose.
Yes, if >5 years since last dose.
(More frequent boosters are not needed and can
accentuate side effects).
Diptheria,
tetnus and pertussis: recommendations for vaccine use and other preventive
measures. Recommendations of theAdvisory Committee on Immunization Practices
(ACIP). Morbidity and Mortality Weekly Report, 1991. 40(RR-10): p. 1-28.
http://www.cdc.gov/mmwr/preview/mmwrhtml/00041645.htm
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