tetanus

Question 1

where are spores found

Answer 1

in soil - can be introduced into body from wounds

Question 2

features

Answer 2

prodrome fever, lethargy
trismus
spasms

Question 3

tetanospasmin prevents release of..

Answer 3

GABA

Question 4

Mx

Answer 4

supportive
IM human tetanus Ig for high risk wounds
metronidazole

Question 5

clean wound

Answer 5

<6hrs old
non-penetrating
negligible tissue damage

Question 6

tetanus prone wound

Answer 6

puncture wound
acquired contaminated environment 
foreign body 
open #
wound or burns 
animal bite/scratch

Question 7

high risk tetanus wound

Answer 7

heavy contamination
extensive devitalised tissue
requiring surgical intervention

Question 8

Mx - full course tetanus vaccine, last dose <10yrs ago

Answer 8

no vaccination or Ig required

Question 9

Mx - full course of vaccine, last dose >10yrs ago

Answer 9

tetanus prone wound - reinforcing dose of vaccine

high risk wound - reinforcing dose of vaccine + tetanus Ig

Question 10

Mx - vaccination Hx unknown or incomplete

Answer 10

reinforcing dose of vaccine

tetanus prone or high risk wound - reinforcing vaccine dose + tetanus Ig