|
Clean Knife Wound |
All other wounds |
||
---|---|---|---|---|
History |
Tet Vac |
Tet Ig |
Tet Vac |
Tet Ig |
< 3 doses |
Y |
N |
Y |
Y |
≥ 3 doses |
if ≥ 10 yrs since last Tet Vac |
N |
if ≥ 5 yrs since last Tet Vac |
N |
*Tet Vac: |
if < 7 years old, give DTap if > 7 years old with no prior Tdap, give Tdap if > 7 years old with prior Tdap, give Td |
|||
^Tet Ig: |
give 250 Units IM at site away from Tet Vac site if no Tet Ig available, give Tet IVIg |
Adapted from
Centers for Disease Control and Prevention (CDC). Updated recommendations for use of tetanus toxoid, reduced diphtheria toxoid and acellular pertussis (Tdap) vaccine from the Advisory Committee on Immunization Practices 2010. MMWR Morb Mortal Wkly Rep. 2011;60:13.