PENETRATED WOUND
HISTORY
A healthy 40-year-old male presents to
the emergency room with a nail penetrating his right index finger.
Before removing the nail and treating the wound, you ask the
patient for his immunization history.
He remembers
receiving a tetanus booster sho around his 34th birthday.
NOW
Which the following should
you administer to this patient.?
1)
_ Containing vaccine
2)
_ Immune globulin
3)
_ Antibiotic prophylaxis
4)
_ Toxoid-containing vaccine and tetanus immune
globulin
ANSWER ⇊
According to ➟CDC recommendations, patients with puncture wounds or wounds containing dirt, feces, soil, or
saliva should receive a tetanus toxoid-containing vaccine as soon as possible if their last tetanus shot
was more than five years ago.
lf their tetanus immunization history is uncertain or they have received
less than three doses, tetanus immune globulin may also be administered.
Patients with a tetanus
immunization within
the ➟last five years do not need to
receive any of the above frequent boosters are not necessary and can increase adverse effects.
Given the limited data on the efficacy of antibiotic prophylaxis for puncture wounds, it is typically only administered to patients at high risk of infection.
So the
answer is ❹
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