Offering Tetanus Prophylaxis - Check tetanus immunisation status - fully immunised, will have had a primary course of three vaccines followed by two boosters spaced 10 years ( childhood immunisation). For children under 5 x3 doses t least received- no tetanus vaccine required, continue with vaccination schedule.
For children aged 5-10 /aged 11yrs and over who received x3 doses/pre-school booster- tetanus vaccine not required, continue with vaccine schedule.
For children 5-10 yrs /11 yrs and over with x3 doses but no pre-school booster - clean wound, no vaccine required but a tetanus-prone wound administer reinforcing dose tetanus.
High-risk tetanus-prone wound, administer an immediate reinforcing dose of the tetanus vaccine plus one dose of human tetanus immunoglobulin (HTIG) in a different site.
If not immunised /status uncertain - clean wound administer reinforcing dose. For tetanus-prone wound /high risk prone wound - high-risk tetanus-prone wound, administer an immediate reinforcing dose of the tetanus vaccine plus one dose of human tetanus immunoglobulin (HTIG) in a different site.
Fully immunised but severely immunosuppressed - consider additional boosting/immunoglobulin