Active Immunization

Patients who have recovered from tetanus must undergo active immunization, since the disease does not confer immunity. Adsorbed tetanus toxoid (0.5 mL) should be administered intramuscularly at the time of presentation and at 6 weeks and 6 months after injury. Tetanus-diphtheria (Td) should be administered to patients older than 7 years of age,23 and diphtheria-pertussis-tetanus (DPT) to patients younger than 7 years of age.24 A summary of the guidelines for active tetanus immunization is presented in Table 1,4.0-2.. A summary of the management of tetanus is presented in Ialb]eJ,4;0:l3.

TABLE 140-2 Summary Guide to Tetanus Prophylaxis in Wound Management

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