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Burn Injury — Tetanus — Clinical Pathway: Emergency

Burn Injury Clinical Pathway — Emergency

Tetanus

Wound Management and Tetanus Prophylaxis

Previous doses of
tetanus toxoid
Clean and minor woundAll other wounds
Tetanus toxoid-containing vaccineTIGTetanus toxoid-containing vaccineTIG
< 3 doses or unknownYesNoYesYes
≥ 3 dosesOnly if last dose given ≥ 10 years agoNoOnly if last dose given ≥ 5 years agoNo

Adapted from:  American Academy of Pediatrics.  Tetanus (lockjaw).  In:  Red Book:  2009 Report of the Committee on Infectious Diseases, 28th ed, Pickering LK (Ed), American Academy of Pediatrics, Elk Grove Village, IL 2009, p. 655.

≥ 7 yrs and < 10 yrsTd
≥  11 yrsTdap (if they have not received Tdap previously)

 

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