- Category I: Clean, minor wounds - These wounds are superficial and have a low risk of tetanus contamination. Examples include a clean, minor cut or scrape. In this case, tetanus prophylaxis is not needed if the person has received a complete tetanus vaccination series and has had a booster within the last 10 years.
- Category II: All other wounds - These wounds have a higher risk of tetanus contamination and include wounds that are contaminated with dirt, feces, soil, or saliva. Examples include a puncture wound, deep cut, or animal bite. In this case, tetanus prophylaxis is recommended if the person has not received a tetanus vaccine within the last 5-10 years.
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- Category III: Dirty wounds or wounds with tissue damage - These wounds have a high risk of tetanus contamination and include wounds that have extensive tissue damage, are contaminated with soil, manure, or feces, or have a foreign body present. Examples include a crush injury, burn, or frostbite. In this case, tetanus prophylaxis is recommended if the person has not received a tetanus vaccine within the last 5 years.
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