Stephen J. Schueler, M.D.

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Scrape to the Skin 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

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 Scrape to the Skin 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 Scrape to the Skin 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. Moulin V, Auger FA, Garrel D, Germain L. Role of wound healing myofibroblasts on re-epithelialization of human skin.Burns. 2000 Feb;26(1):3-12. [1063031]
  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]
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