Tetanus Risk After Rusty Object Injury: What You Need to Know - Surgery

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Concern about tetanus?


Hello, doctor.
Three days ago, I was scratched by a rusty object, and I cleaned the wound about an hour later.
My lower right eyelid has been twitching for several days.
I would like to know if there is a risk of tetanus infection in this situation.

Long, 10~19 year old female. Ask Date: 2023/06/23

Dr. Chen Bingze reply Surgery


Actually, the concern is to quickly get to a medical facility to receive a booster shot for the tetanus vaccine, which would provide more peace of mind.

Reply Date: 2023/06/23

More Info


When it comes to injuries caused by rusty objects, the concern for tetanus infection is valid and important to address. Tetanus is a serious bacterial infection caused by *Clostridium tetani*, which can enter the body through wounds, especially deep puncture wounds or cuts. The bacteria thrive in anaerobic (low-oxygen) environments, which can occur in deep wounds, particularly those caused by rusty or contaminated objects.

In your case, since you were scratched by a rusty object, there is a potential risk for tetanus, especially if the wound was not cleaned promptly. The fact that you waited about an hour to clean the wound could increase the risk, as bacteria may have had time to enter the wound. However, the risk of tetanus also depends on several factors, including your vaccination history and the nature of the injury.

Here are some key points to consider regarding tetanus risk:
1. Vaccination Status: Tetanus vaccinations are typically given in childhood, followed by booster shots every ten years. If you have received your last booster within the last ten years, your risk of tetanus is significantly lower. If it has been more than ten years since your last booster, you may need a booster shot, especially if the injury is considered high-risk.

2. Nature of the Injury: Rusty objects can harbor bacteria, but not all injuries from rusty objects lead to tetanus. The risk is higher with deep puncture wounds or wounds that are contaminated with dirt or feces. If your injury was a superficial scratch, the risk may be lower.

3. Symptoms to Watch For: Tetanus symptoms can take several days to appear and may include muscle stiffness, particularly in the jaw (often referred to as "lockjaw"), difficulty swallowing, and muscle spasms. If you experience any of these symptoms, it is crucial to seek medical attention immediately.

4. Immediate Care: It is essential to clean the wound thoroughly with soap and water to reduce the risk of infection. If you have not done so already, consider applying an antiseptic and covering the wound with a clean bandage.

5. Consulting a Healthcare Provider: Given your injury and the potential risk of tetanus, it is advisable to consult a healthcare provider. They can assess your wound, review your vaccination history, and determine if a tetanus booster is necessary.

In summary, while there is a risk of tetanus after being scratched by a rusty object, your vaccination history and the nature of the injury play significant roles in determining that risk. If you are unsure about your vaccination status or if you notice any concerning symptoms, please seek medical advice promptly. It is always better to err on the side of caution when it comes to potential infections like tetanus.

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