INFECTIOUS DISEASE
TETANUS
PromptWounds that favour tetanus
ResponseCompound fracture
Bites
Deep penetrating wound
Wound with extensive tissue damage (Burn/contusion)
Wound with foreign body (especially wood splinter)
Contaminated wounds (dust/soil, manure)
Wounds with delayed surgical debridement (>6hr)
Wound complicated by pyogenic infection
IVDU especially with dirty needles
Avulsed tooth.
Bites
Deep penetrating wound
Wound with extensive tissue damage (Burn/contusion)
Wound with foreign body (especially wood splinter)
Contaminated wounds (dust/soil, manure)
Wounds with delayed surgical debridement (>6hr)
Wound complicated by pyogenic infection
IVDU especially with dirty needles
Avulsed tooth.
PromptIndications for tetanus vaccination
Response
PromptIndications for tetanus immunoglobulin
ResponseTetanus vaccination - <3 doses or unknown/uncertain
Time since last dose >10 years (?)
Type of wound other than “Clean minor wound”
Immunocompromised (eg: HIV) with any tetanus prone wound (above)
Time since last dose >10 years (?)
Type of wound other than “Clean minor wound”
Immunocompromised (eg: HIV) with any tetanus prone wound (above)
PromptDTPa Vs ADT
ResponseDTPa - age >50, Pregnant (3rd trimester), Work (healthcare, childcare)