Tag: Tetnus

Tetanus – Wounds

Changes in: Tetanus prone and High Risk definitions

Immunisation schedule

  • Primary: 2, 3 & 4 months old
  • Boosters: 3½ – 5yrs and 13-15yrs

Warning:

  • Immunisation only started nationwide in the UK in 1961 (people born before 1961 are unlikely to have completed a primary course)
  • Immunocompromised patients are unlikely to produce adequate antibodies

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Tetanus Immunoglob­ulin – SHORTAGE

Changes in: Tetanus prone and High Risk definitions

Recently there have been supply problems with Human Tetanus Immunoglob­ulin, currently we are using the alternatives below.

Post-Exposure Prophylaxis (Subgam stocks are now short)

  • ≤24hrs from exposure: 750mg (5ml) Subgam IM OR 750mg (3.75ml) Hizentra IM
  • >24hrs from exposure: 1500mg (10ml) Subgam IM OR 1500mg (7.5ml) Hizentra IM

These are much larger volumes than tetanus immunoglobulin and may require several sites for comfort

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