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

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Do I need a tetanus shot?


Hello, Doctor.
Today while playing with my dog, we accidentally bumped into each other, and its teeth hit my mouth, causing my gums to tear and bleed.
I immediately rinsed my mouth, but I'm unsure if I need a tetanus shot since it was an injury from my dog's teeth.
Usually, bites are more concerning, but this is a bit unusual and the likelihood seems quite low.
Additionally, my dog is vaccinated against rabies and regularly takes heartworm medication.
Could you please clarify this for me? Thank you.

Uni, 20~29 year old female. Ask Date: 2022/08/27

Dr. Chen Bingze reply Surgery


Hello, the tetanus bacteria are found in soil and animal feces, and they can invade the human body through broken skin surfaces (such as cuts, puncture wounds, or even very minor injuries).
Tetanus can also be contracted after burns or animal bites, but the tetanus bacteria are not transmitted from person to person.
If you are really concerned, you can get vaccinated at a nearby medical facility.
I hope this addresses your concerns!

Reply Date: 2022/08/27

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, particularly deep puncture wounds or cuts. The bacteria thrive in low-oxygen environments, which is why deep wounds are more concerning.
In your case, since you were playing with your dog and your gums were injured by the dog's teeth, it is important to assess the nature of the injury. If the injury is superficial and does not involve deep tissue, the risk of tetanus may be lower. However, the need for a tetanus shot is generally determined by a few key factors:
1. Type of Wound: Tetanus shots are more critical for deep puncture wounds or wounds that are contaminated with dirt, saliva, or feces. Since your injury is in the mouth area, it may be considered a higher risk due to the presence of bacteria in the oral cavity.

2. Tetanus Vaccination History: The Centers for Disease Control and Prevention (CDC) recommends that adults receive a tetanus booster every 10 years. If your last tetanus shot was more than 5 years ago and the wound is considered high risk, you may need a booster. If it has been more than 10 years, you should definitely get a booster.

3. Dog's Vaccination Status: You mentioned that your dog is up-to-date on its rabies vaccinations and is regularly treated for heartworm. This is a good sign, as it reduces the risk of rabies transmission. However, rabies and tetanus are different concerns. The vaccination status of the dog does not directly affect the need for a tetanus shot.

4. Symptoms and Signs of Infection: After any bite or injury, it is important to monitor the wound for signs of infection, such as increased redness, swelling, warmth, or pus. If you notice any of these symptoms, you should seek medical attention promptly.

In summary, while your injury may seem minor, it is still advisable to consult with a healthcare professional regarding the need for a tetanus shot. They will evaluate your wound, vaccination history, and any potential risks associated with the injury. If you are unsure about your vaccination status or if it has been a while since your last booster, it is better to err on the side of caution and get the shot.
Additionally, if you experience any unusual symptoms, such as muscle stiffness or spasms, you should seek medical attention immediately, as these can be signs of tetanus infection. Overall, staying proactive about your health and vaccinations is crucial, especially after any injury involving animals.

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