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A 54yo male patient has sustained a laceration to his foot. His last tetanus shot was more than 10 years ago. He completed the primary series as a child and subsequent boosters were Td. What should be recommended? Categories for Giving Tetanus Prophylaxis Essay Paper

A. Tetanus toxoid only

B. Tetanus and diphtheria (Td)

C. Nothing - his prior tetanus immunization will protect him

D. Tetanus, diphtheria, and acellular pertussis (Tdap)

E. Diphtheria, tetanus and acellular pertussis (DTaP)

There are three categories for giving tetanus prophylaxis after an injury or wound:

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.

It is important to seek medical attention promptly if an injury or wound occurs, and to inform the healthcare provider of the type and severity of the wound. This will ensure that appropriate tetanus prophylaxis is administered in a timely manner to prevent the development of tetanus infection

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B. Tetanus and diphtheria (Td)
In this scenario, the patient's last tetanus shot was more than 10 years ago and he has sustained a laceration to his foot. According to the CDC, adults should receive a tetanus and diphtheria (Td) booster every 10 years. Therefore, the recommended action would be to administer a Td booster to protect against tetanus. The patient has already completed the primary series, so there is no need for a complete tetanus immunization series.
Options A, C, D, and E are incorrect. Option A suggests administering tetanus toxoid only, but the CDC recommends administering a Td booster. Option C is incorrect because a prior tetanus immunization does not provide lifelong protection, and a booster is needed every 10 years. Option D is incorrect because Tdap is recommended for adults who have not previously received a dose of Tdap, rather than as a routine booster. Option E is incorrect because DTaP is a vaccine for children and is not recommended for adults. Categories for Giving Tetanus Prophylaxis Essay Paper

Expert Answer

A 54yo male patient has sustained a laceration to his foot. His last tetanus shot was more than 10 years ago. He completed the primary series as a child and subsequent boosters were Td. What should be recommended? Categories for Giving Tetanus Prophylaxis Essay Paper A. Tetanus toxoid only B. Tetanus and diphtheria (Td) C. Nothing - his prior tetanus immunization will protect him D. Tetanus, diphtheria, and acellular pertussis (Tdap) E. Diphtheria, tetanus and acellular pertussis (DTaP)

There are three categories for giving tetanus prophylaxis after an injury or wound:

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.

It is important to seek medical attention promptly if an injury or wound occurs, and to inform the healthcare provider of the type and severity of the wound. This will ensure that appropriate tetanus prophylaxis is administered in a timely manner to prevent the development of tetanus infection

Step 2/2

B. Tetanus and diphtheria (Td)

In this scenario, the patient's last tetanus shot was more than 10 years ago and he has sustained a laceration to his foot. According to the CDC, adults should receive a tetanus and diphtheria (Td) booster every 10 years. Therefore, the recommended action would be to administer a Td booster to protect against tetanus. The patient has already completed the primary series, so there is no need for a complete tetanus immunization series.

Options A, C, D, and E are incorrect. Option A suggests administering tetanus toxoid only, but the CDC recommends administering a Td booster. Option C is incorrect because a prior tetanus immunization does not provide lifelong protection, and a booster is needed every 10 years. Option D is incorrect because Tdap is recommended for adults who have not previously received a dose of Tdap, rather than as a routine booster. Option E is incorrect because DTaP is a vaccine for children and is not recommended for adults. Categories for Giving Tetanus Prophylaxis Essay Paper

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