Tetanus Vaccination Protocol

 

Clean Knife Wound

All other wounds

History

Tet Vac

Tet Ig

Tet Vac

Tet Ig

< 3 doses

Y

N

Y

Y

≥ 3 doses

if ≥ 10 yrs since last Tet Vac

N

if ≥ 5 yrs since last Tet Vac

N

*Tet Vac:

if < 7 years old, give DTap

if > 7 years old with no prior Tdap, give Tdap

if > 7 years old with prior Tdap, give Td

^Tet Ig:

give 250 Units IM at site away from Tet Vac site

if no Tet Ig available, give Tet IVIg

Adapted from

Centers for Disease Control and Prevention (CDC). Updated recommendations for use of tetanus toxoid, reduced diphtheria toxoid and acellular pertussis (Tdap) vaccine from the Advisory Committee on Immunization Practices 2010. MMWR Morb Mortal Wkly Rep. 2011;60:13.

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