Stephen J. Schueler, M.D.

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Puncture Wound of the Foot Tetanus

Most individuals with an foot wound will require a vaccination to prevent tetanus.

Most children born in the US have received three tetanus shots (boosters) in the past, because these boosters are part of the usual vaccination schedule. Additional tetanus boosters are given every 10 years.

Those who require treatment to prevent tetanus include:

Dirty wounds include:
  • Wounds that occur outdoors
  • Wounds that contain dirt or foreign material
  • Wounds caused by bites

Treatment Options

Tetanus Vaccine and TIG Recommendations
HistoryClean, Minor WoundOther Wounds
< 3 boostersgive Tdgive Td + TIG
3 boosterspossible Tdpossible Td

Clean and minor wounds may need a booster if it has been more than 10 years since the last tetanus vaccine. Other wounds may need a booster if it has been more than 5 years since last tetanus vaccine.

Continue to Puncture Wound of the Foot Home Care

Last Updated: Nov 8, 2010 References
Authors: Stephen J. Schueler, MD; John H. Beckett, MD; D. Scott Gettings, MD
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PubMed Puncture Wound of the Foot References
  1. Hess CT. The art of skin and wound care documentation. Adv Skin Wound Care. 2005 Jan-Feb;18(1):43-53. [15714037]
  2. Mattick A, Clegg G, Beattie T, Ahmad T. A randomised, controlled trial comparing a tissue adhesive (2-octylcyanoacrylate) with adhesive strips (Steristrips) for paediatric laceration repair. Emerg Med J. 2002 Sep;19(5):405-7. [12204985]
  3. Norman D. The effects of age-related skin changes on wound healing rates. J Wound Care. 2004 May;13(5):199-201. [15160575]
  4. O'Dell ML. Skin and wound infections: an overview. Am Fam Physician. 1998 May 15;57(10):2424-32. [9614412]
  5. Singer AJ, Giordano P, Fitch JL, Gulla J, Ryker D, Chale S. Evaluation of a new high-viscosity octylcyanoacrylate tissue adhesive for laceration repair: a randomized, clinical trial. Acad Emerg Med. 2003 Oct;10(10):1134-7. [14525751]
  6. Singer AJ, Quinn JV, Thode HC Jr, Hollander JE; TraumaSeal Study Group. Determinants of poor outcome after laceration and surgical incision repair. Plast Reconstr Surg. 2002 Aug;110(2):429-35. [12142655]
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