√ Surgery : When To Give Tetanus Immunisation And Tetanus Toxoid

IMMUNISATION STATUS	CLEAN WOUND		TETANUS-PRONE WOUND
IMMUNISATION STATUS	Vaccine	Human Tetanus Immunoglobulin	Vaccine	Human Tetanus Immunoglobulin
Full Immunisation (5 vaccinations in lifetime at appropriate intervals)	Not Required	Not Required	Not Required	High risk wounds only
Primary immunisation completed, boosters incomplete but up-to-date	Not Required	Not Required	Not Required	High risk wounds only
Primary immunisation incomplete or boosters not up-to-date	Single dose vaccine initially with further vaccinations to complete recommended schedule	Not Required	Single dose vaccine initially with further vaccinations to complete recommended schedule	Yes: single dose of human tetanus immunoglobulin to separate site
Not immunised or immunisation status unknown	Single dose vaccine with completion of five vaccination course if required	Not Required	Single dose vaccine with completion of five vaccination course if required	Yes: single dose of human tetanus immunoglobulin to separate site