What will you do for him now?
a. Human Ig only
b. Human Ig and TT
c. Full course of tetanus vaccine only
d. Human Ig and full course of tetanus vaccine
e. Antibiotic
answer A
Active immunisation
1st year of life: TT vaccine
Boosters given: starting school and leaving school
This man has completed his schedule, he only needs immunoglobulin
Tetanus Prophylaxis
- for both tetanus and diphtheria, a total of 5 doses of vaccine at the appropriate intervals are considered to give lifelong immunity.
- in individuals, who have received a full 5 course of tetanus vaccine, suffers a tetanus prone wound,
- No vaccine
- Immunglobulin
- in individuals who have completed their primary immunisation
course and who are up to date with their tetanus immunisation
schedule
- the same rationale applies
- for those people whose primary immunisation is unknown, incomplete or booster schedule is not up to date,
- Vaccine
- Immunglobulin
- for travellers to areas where medical attention may not be accessible should a tetanus prone injury occur and whose last dose of a tetanus containing vaccine was more than 10 years ago, a booster dose of Td/IPV should be given, even if the individual has received 5 doses of vaccine previously. This is a precautionary measure in case immunoglobulin is not available to the individual should a tetanus prone injury occur
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