Do I Need a Tetanus Shot After a Dog Bite Injury? - Surgery

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Do I still need to get a tetanus shot?


Hello Dr.
Lee! I was bitten by a dog on my arm two and a half years ago, and I went to a clinic for wound care and received a tetanus shot at that time.
Now, I have been bitten by a dog again on my wrist; this time, it bit my clothing sleeve.
Initially, the wound did not bleed, but later it started to ooze blood.
I rinsed it with water and applied iodine at home.
Since this happened close to midnight, by the time I checked the wound in the morning, the blood had already clotted.
I went to the same clinic as two and a half years ago for wound care, and the doctor only prescribed anti-inflammatory medication while the nurse applied ointment.
At that time, I didn’t think much about it and only realized when I got home that I hadn’t received a shot! I would like to ask Dr.
Lee, since I received a tetanus shot two and a half years ago, do I need to get another one?

A Cheng, 30~39 year old female. Ask Date: 2021/03/11

Dr. Li Zhonghuai reply Surgery


Hello! There is no need for a tetanus shot, but if it’s a wild dog, be cautious of rabies.
Stay safe! Changhua Hospital cares about you!

Reply Date: 2021/03/11

More Info


When it comes to dog bites and the need for a tetanus shot, there are several factors to consider. Tetanus is a serious bacterial infection caused by Clostridium tetani, which can enter the body through wounds or cuts. The risk of tetanus infection is particularly relevant for deep puncture wounds or wounds contaminated with dirt, saliva, or feces.
In your case, since you were bitten on the wrist and the wound initially did not bleed but later began to ooze blood, it is important to assess the nature of the injury. If the wound is superficial and clean, the risk of tetanus is lower. However, since you have a history of being bitten by a dog and have received a tetanus shot two and a half years ago, it is essential to consider the timing of your vaccinations.

The general recommendation for tetanus vaccinations is that adults should receive a booster shot every 10 years. However, if you sustain a dirty or deep wound, a booster may be recommended if it has been more than five years since your last shot. Given that your last tetanus shot was two and a half years ago, you are still within the safe window for your next booster, assuming your previous vaccinations were up to date.

Since you mentioned that you have already cleaned the wound with water and iodine, that is a good first step in wound care. It is crucial to keep the wound clean and monitor it for any signs of infection, such as increased redness, swelling, warmth, or pus. If you notice any of these symptoms, or if the wound does not heal properly, you should seek medical attention.

Regarding the need for a tetanus shot, it is advisable to consult with a healthcare professional. They can evaluate your wound and determine whether a booster is necessary based on the specifics of your injury and your vaccination history. If you are unsure about your tetanus vaccination status or if you have any concerns about the wound, it is always better to err on the side of caution and get a professional opinion.

In summary, while you may not need a tetanus shot immediately after this particular dog bite, it is essential to keep track of your vaccination history and consult with a healthcare provider to ensure you are adequately protected. Additionally, if you have any concerns about the possibility of rabies, especially if the dog that bit you is unknown or unvaccinated, it is crucial to discuss this with your doctor as well. Rabies is a serious viral infection that can be fatal if not treated promptly, so it is important to take any potential exposure seriously.

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