Tetanus from abrasions
Yesterday, my brother fell off his bike while wearing long pants.
He got some abrasions through the fabric, but it has been over 24 hours and there are no issues at the moment.
About 3 to 4 years ago, he also went to the emergency room due to a car accident, and the nurse mentioned giving him a tetanus shot, but I'm not sure if it was a vaccine.
Could you please advise if he needs to go to the hospital for another tetanus shot? Thank you, doctor, and sorry for the disturbance.
Lala, 20~29 year old female. Ask Date: 2022/02/12
Dr. Chen Bingze reply Surgery
Hello, the vaccine you received was likely the tetanus vaccine, which typically provides protection for about five years with a single dose, so there is usually no need for a booster shot.
Reply Date: 2022/02/12
More Info
When it comes to determining whether your brother needs a tetanus shot after a minor scrape from a fall, there are several factors to consider. Tetanus is a serious bacterial infection caused by Clostridium tetani, which can enter the body through wounds, especially those that are deep or contaminated. The tetanus vaccine is crucial for preventing this infection, and it is typically administered as part of routine childhood vaccinations, followed by booster shots every ten years.
In your brother's case, since the scrape occurred over 24 hours ago and he has not shown any signs of infection, the immediate concern may not be as pressing. However, the decision to get a tetanus shot depends on a few key factors:
1. Vaccination History: If your brother received a tetanus shot within the last 10 years, he may not need another one for this minor scrape. However, if it has been more than 10 years since his last booster, it is advisable to get a tetanus shot, especially if the scrape is deep or if there is any risk of contamination.
2. Nature of the Wound: Minor scrapes that are clean and not deep may not require a tetanus shot if the vaccination is up to date. However, if the scrape was caused by a rusty object or if there is any dirt or debris in the wound, it is safer to get a booster, regardless of the last vaccination date.
3. Symptoms: If your brother starts to experience symptoms such as muscle stiffness, spasms, or difficulty swallowing, he should seek medical attention immediately, as these could be signs of tetanus.
4. Previous Injuries: You mentioned that he had a car accident a few years ago and received a tetanus shot at that time. If that was indeed a tetanus booster, it would still count towards his vaccination history. However, it’s important to confirm the timing of that shot.
Given that your brother has not experienced any issues since the scrape and if he is up to date with his tetanus vaccinations, he may not need to go to the hospital for a shot. However, if there is any uncertainty about his vaccination status or if he has not had a booster in the last ten years, it is better to err on the side of caution and consult with a healthcare professional.
In summary, if your brother's last tetanus shot was more than ten years ago, or if the scrape was caused by a potentially contaminated object, it would be prudent for him to receive a tetanus booster. If he is unsure about his vaccination history, it is always a good idea to check with a healthcare provider for personalized advice. Keeping up with vaccinations is an important part of maintaining health and preventing serious infections like tetanus.
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