√ Surgery : When To Give Tetanus Immunisation And Tetanus Toxoid











































IMMUNISATION STATUS CLEAN WOUNDTETANUS-PRONE WOUND
VaccineHuman Tetanus ImmunoglobulinVaccineHuman Tetanus Immunoglobulin
Full Immunisation (5 vaccinations in lifetime at appropriate intervals)Not RequiredNot RequiredNot RequiredHigh risk wounds only
Primary immunisation completed, boosters incomplete but up-to-dateNot RequiredNot RequiredNot RequiredHigh risk wounds only
Primary immunisation incomplete or boosters not up-to-dateSingle dose vaccine initially with further vaccinations to complete recommended scheduleNot RequiredSingle dose vaccine initially with further vaccinations to complete recommended scheduleYes: single dose of human tetanus immunoglobulin to separate site
Not immunised or immunisation status unknownSingle dose vaccine with completion of five vaccination course if requiredNot RequiredSingle dose vaccine with completion of five vaccination course if requiredYes: single dose of human tetanus immunoglobulin to separate site

*Adapted from PHE Tetanus: The Green Book 2013



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