Question:
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
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The Correct Option is C
Solution and Explanation
Step 1: Classify the wound. It is clean, non-penetrating, without laceration and less than 6 hours old, so it is a low-risk (clean minor) wound.
Step 2: Check immunisation history. He had a previous toxoid dose, but the last dose was 10 years ago, which is at the limit where protection has waned.
Step 3: For a fully immunised person whose last booster was more than (or about) 10 years ago presenting with a clean minor wound, the recommended step is a single booster dose of tetanus toxoid. TIG is not needed because the wound is clean and minor and he has prior immunisation. A full primary course is unnecessary, and doing nothing leaves him under-protected.
So give a single-dose TT booster.
Ref: Park Textbook of Preventive and Social Medicine, 24e, p.331.
Step 2: Check immunisation history. He had a previous toxoid dose, but the last dose was 10 years ago, which is at the limit where protection has waned.
Step 3: For a fully immunised person whose last booster was more than (or about) 10 years ago presenting with a clean minor wound, the recommended step is a single booster dose of tetanus toxoid. TIG is not needed because the wound is clean and minor and he has prior immunisation. A full primary course is unnecessary, and doing nothing leaves him under-protected.
So give a single-dose TT booster.
Ref: Park Textbook of Preventive and Social Medicine, 24e, p.331.
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