(SOLVED) A 54yo male patient has sustained a laceration
A 54yo male patient has sustained a laceration to his foot. His last tetanus shot was more than 10 years ago. He completed the primary series as a child and subsequent boosters were Td.
What should be recommended?
A. Tetanus toxoid only
B. Tetanus and diphtheria (Td)
C. Nothing - his prior tetanus immunization will protect him
D. Tetanus, diphtheria, and acellular pertussis (Tdap)
E. Diphtheria, tetanus and acellular pertussis (DTaP)
Expert Solution Preview
There are three categories for giving tetanus prophylaxis after an injury or wound:
- Category I: Clean, minor wounds - These wounds are superficial and have a low risk of tetanus contamination. Examples include a clean, minor cut or scrape. In this case, tetanus prophylaxis is not needed if the person has received a complete tetanus vaccination series and has had a booster within the last 10 years.
- Category II: All other wounds - These wounds have a higher risk of tetanus contamination and include wounds that are contaminated with dirt, feces, soil, or saliva. Examples include a puncture wound, deep cut, or animal bite. In this case, tetanus prophylaxis is recommended if the person has not received a tetanus vaccine within the last 5-10 years.
- Category III: Dirty wounds or wounds with tissue damage - These wounds have a high risk.........