Vaccine dose + 1 dose TIG in a different site Vaccine dose “booster” + 1 dose TIG in a different site Primary course* UTD but boosters not up to date (includes over 5s with no booster) Under 5s who have had full primary course*Īge 5-10 with primary course* and 1 boosterįurther doses of vaccine as per usual recommended schedule Wound or burns requiring surgery that is delayed >6 hoursĬertain animal bites- agricultural setting Wound containing foreign body (especially wood splinters)

Is tetanus-containing vaccine and or Tetanus Immunoglobulin (TIG) required? (Table 2).

Assess if wound is tetanus prone or high-risk tetanus prone (table 1).

Patients who are severely immunosuppressed may not be adequately protected against tetanus, despite having been fully immunised – All should be discussed with ED senior. A clean wound is a non-penetrating wound with negligible tissue damage and <6 hours old. Children who have received their primary immunisations but not had their 1 st booster are fully immunised up until the age of 5.

In all wounds other than clean minor wounds, the risk of tetanus should be considered.

2 nd booster- 10 years after 1 st booster or can be given minimum 5 years after 1 st booster if course delayed.

1 st booster- at least 3 years after primary course, usually at age 3 ½ - 5 years old or can be given 1 year post 3 rd dose of primary immunisation course if delayed.

Primary Immunisation- 3 doses of tetanus containing vaccine at least one month apart (usually at 2, 3, and 4 months of age).

Tetanus is an acute disease caused by the action of tetanus toxin, released following infection by the bacterium Clostridium tetani.

Tetanus shot 5 or 10 years