Question:medium
A person reports 4 hours after sustaining a clean wound without laceration. He had received tetanus toxoid (TT) 10 years ago. The next best step in management is:
A person reports 4 hours after sustaining a clean wound without laceration. He had received tetanus toxoid (TT) 10 years ago. The next best step in management is:
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Clean minor wound plus a remote last booster equals one toxoid dose, no immunoglobulin.
Updated On: Jun 23, 2026
- Full course of tetanus vaccine to be given
- Full dose TT with TIG (tetanus immunoglobulin)
- Single-dose TT
- No need for any vaccine
Show Solution
The Correct Option is C
Solution and Explanation
Algorithm in two questions:
1. Is the wound clean and minor or tetanus-prone? Here it is clean, non-lacerated and under 6 hours old, so it is clean minor.
2. Is the person immunised, and when was the last dose? He is immunised but the last dose was about 10 years ago.
Decision: For a clean minor wound in someone previously immunised whose last booster was roughly 10 or more years back, a single tetanus toxoid booster is enough. TIG is reserved for tetanus-prone wounds in incompletely immunised or unknown-status patients, so it is not required here.
Reject the others: A full primary course is for the never-immunised; no vaccine at all would leave waned immunity unaddressed.
Answer: single-dose TT. Ref: Park PSM, 24e, p.331.
1. Is the wound clean and minor or tetanus-prone? Here it is clean, non-lacerated and under 6 hours old, so it is clean minor.
2. Is the person immunised, and when was the last dose? He is immunised but the last dose was about 10 years ago.
Decision: For a clean minor wound in someone previously immunised whose last booster was roughly 10 or more years back, a single tetanus toxoid booster is enough. TIG is reserved for tetanus-prone wounds in incompletely immunised or unknown-status patients, so it is not required here.
Reject the others: A full primary course is for the never-immunised; no vaccine at all would leave waned immunity unaddressed.
Answer: single-dose TT. Ref: Park PSM, 24e, p.331.
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