study_ing
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true or false?
1.Older women are NOT susceptible; a majority of those > 55 years of age do not have protective levels of tetanus antibody but this is not a significant finding.
2.Diabetics are at increased risk. Reported tetanus is about 3 times more common in diabetics and fatalities are about 4 times more common.
3.Non-acute wounds (e.g., chronic ulcers, gangrene, abscesses/cellulitis) account for about 1 in 6 cases of reported tetanus; 1 in 12 reported cases had no reported injury or lesion.
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| study_ing
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4. if 3 or more doses and ≤5 years since last dose, we do not need to give Tetanus ig or the vaccine in a MINOR wound
5.if 3 or more doses and ≤5 years since last dose, we do not need to give Tetanus ig or the vaccine in a dirty wound
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| study_ing
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6. IF 3 or more doses and >10 years since last dose management regarding tetanus prophylaxis is similar ( for minor and 'all other wounds' )
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| study_ing
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http://www.bt.cdc.gov/disasters/hurricanes/katrin...
nice summary 
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| study_ing
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APPROACH TO Q
- has the pt been given <3 or > 3 doses of TT?
IF less than 3, always give tetanus toxin.
THEN look at CLEAN vs DIRTY
clean wound..no tig, dirty--GIve TIG
- IF more than 3 doses, TIG WILL NOT BE GIVEN
we have to decide on TT
if clean and last dose >10 yrs give TT
if dirty and last dose > 5 yrs give TT
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