A 25 year old man met with an accident 8 hours ago. There is a contaminated wound present on right leg along with right arm fracture. Patient has history of complete tetanus immunization 13 years back. what is the next step?
In above given case, there is a contaminated wound and h/o complete tetanus course is 13 years back(CATEGORY C), so we should give a single dose of tetanus toxoid and Human tetanus immunoglobulin. CATEGORY Clean wound <6H Other wounds A) CC < 5 years nothing nothing B) CC 5-10 years 1 dose TT 1 dose TT C) CC > 10 years 1 dose TT 1 dose TT + TIG D) NOT CC unknown Complete course TT Complete course TT + TIG
Single dose tetanus toxoid
Full course tetanus toxoid
Human tetanus immunoglobulin
Human tetanus immunoglobulin and single dose of toxoid
National Immunization Schedule 2020-21