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Tetanus Prophylaxis

Unknown or < 3 doses ≥ 3 doses

Clean and Minor Wounds Only Toxoid Don’t have to give anything
(Start the primary series of (Unless last dose > 10 years->
Toxoid) give just Toxoid, extra single dose
as booster)
All other wounds (prone) Give both Don’t have to give anything
(Start the primary series of (Unless last dose > 5 years-> give
Toxoid) just Toxoid, extra single dose as
booster)

Active : Tetanus Toxoid


Passive: ATS (bovine & equine), Human Immunoglobuline

Dosage :
 Toxoid dose 0.5 mL, whatever the age
 immune globulin dosing :
o <5-years-old receives 75U
o 5-10-years-old receives 125U
o >10-years-old receives 250U

Application:
Toxoid and immunoglobulin should be given intramuscularly with two different syringes in two
different locations

Primary series of Toxoid:


 1st dose now
 2nd dose in 1 month
 3rd dose in 12 month

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