|
History of tetanus vaccination |
Clean, minor wounds |
Other wounds (contaminated with soil or feces or with necrotic tissue present) | ||
|
Tetanus vaccine required? |
Tetanus Ig required? |
Tetanus vaccine required? |
Tetanus Iga required? | |
|
Unknown vaccination history or <3 doses |
Yes |
No |
Yes |
Yes |
|
Completed primary vaccine series with most recent dose or booster dose <5 years ago |
No |
No |
No |
Nob |
|
Completed primary vaccine series with most recent dose or booster dose between 5 and 10 years ago |
No |
No |
Yes |
Nob |
|
Completed primary vaccine series with most recent dose or booster dose >10 years ago |
Yes |
No |
Yes |
Nob |
|
a The Ig dose is 250 IU administered IM. b Patients with humoral immune deficiencies should also receive Ig. | ||||
|
Adapted from the Public Health Agency of Canada’s Canadian Immunization Guide. Available at www.canada.ca. | ||||
|
Ig, immunoglobulin; IM, intramuscular. | ||||