Mysteries of the Tetanus Shot

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20:49

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Nurses Edition Commentary

Mizuho Morrison, DO, Kathy Garvin, RN, and Lisa Chavez, RN
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01:09

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Sean G., M.D. -

I dont understand the logic behind treating the not UTD pt with TIG in addition to the vaccine for "tetanus prone wounds" when the bloggers mentioned nearly 1/3 of tetanus wounds were "clean wounds" some even surgical "by autoclaved instruments" if that is true being "tetanus prone" is a sort of non sequitur, unless we find missing nearly 1 in 3 acceptable...it would seem from the argument posed by the discussion one would want to treat all wounds in the non utd individual with TIG...am I missing something?

Athanasios T., Dr -

Simple corneal abrasions do NOT require tetanus prophylaxis

Mukherjee P, Sivakumar A. Tetanus prophylaxis in superficial corneal abrasions. Emerg Med J. 2003;20(1):62–64.

Gregory T. -

From that study: "... there are no case reports in the
literature of clinical tetanus developing from a simple corneal
abrasion."

Richard P. N. -

No documented cases of tetanus from a corneal abrasion. Tetanus immunity status becomes an issue if there is a penetrating injury to the eye. So it's OK if the rusty nail scratches your eye, and not OK if it penetrates into the eye.

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