jb00727
Forum Elite
Topics: 82
Posts: 190
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A 32-year-old farmer presents to the emergency room with a crushing injury of the index finger and thumb that occurred while he was working with machinery in his barn. Records show that he received three doses of Td in the past, and that his last dose was given when he was 25 years old. In addition to proper wound cleaning and management, which of the following is the most appropriate prevention intervention?
a. No additional prophylaxis
b. Administration of tetanus toxoid
c. Administration of tetanus immunoglobulin only
d. Administration of tetanus toxoid and immunoglobulin
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| asmi
Forum Hero
Topics: 1043
Posts: 4,609
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D..BOTH VACCINE AND TIG
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| fahmed777
Forum Newbie
Topics: 0
Posts: 9
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I htink the wound should be thoroughly cleaned and taken care of. His immunization schedule looks on time. He is due to recieve next booster at age 35. Now he is 32. So instead of immunoglobulin, he should receieve only tetanus toxoid at the most. ans b
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| ayeshah_l
Forum Elite
Topics: 29
Posts: 284
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since his immunization status is current, i don't think he requires any prophylaxis..am i right jb00727?
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| Idiopathic
Forum Guru
Topics: 19
Posts: 641
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The guidelines say no additional prophylaxis required, but I bet you would be best off giving tetanus toxoid...
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| ANISHA
Forum Newbie
Topics: 0
Posts: 19
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answer is B
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