tetanus-prophylaxis-ortho
A 45-year-old farmer presents to the emergency department with a Gustilo-Anderson IIIB open tibial fracture sustained when run over by a tractor. The wound is heavily contaminated with soil and devitalized tissue. His immunization records show he received his last tetanus booster 8 years ago. Regarding tetanus prophylaxis in heavily contaminated open fractures:
Mark each as TRUE or FALSE
No tetanus prophylaxis required as last booster within 10 years for clean minor wounds; heavily cont...
Tetanus toxoid (Td or Tdap) vaccine only is adequate for this tetanus-prone wound; immunoglobulin pr...
Tetanus toxoid (Td or Tdap) AND tetanus immunoglobulin (TIG) 250 IU are required; heavily contaminat...
Tetanus immunoglobulin (TIG) only provides adequate immediate protection; vaccine not needed as pati...
Oral antibiotics (penicillin or metronidazole) covering Clostridium tetani are first-line prophylaxi...
Answer the questions to see explanations
Click T (True) or F (False) for each option