Should Tetanus Vaccine Be Used In A 1-year-old Child Affected By Rusty Nails?
The night my child’s doctor aged 1 year 7 months was stabbed with rusty nails … someone said there was no need to get an injection … there was also a need for something … How about a doctor ??? My child’s vaccination is complete
Hello Deisy Debora,
Tetanus is a disease that attacks the nerves caused by the bacterium Clostridium tetanii. This bacterium can be found in soil, dust, animal and human feces. This bacterium can develop in anaerobic conditions (no air-oxygen), especially in dirty and deep wounds. Tetanus can also occur due to cutting the umbilical cord of the baby with an unsterile device. In addition, bacterial entry wounds can also come from dental and gum infections, middle ear infections, unsterile surgical wounds.
Symptoms of tetanus vary, namely:
Trismus (difficult to open mouth)
Flat facial expression
Stiff neck (neck)
Opistotonus (typical tetanus seizure - without a decrease in consciousness)
Symptoms of tetanus can appear 3-21 days after exposure / injury, most often occur on the 7th day after trauma. The diagnosis of tetanus is obtained from the history (asking for a history of trauma, risk factors, and treatment of wounds given previously) and from physical examination.
The tetanus vaccine is one step in preventing tetanus. Tetanus vaccine on basic immunization is found in DPT vaccines given at ages 2, 4, and 6 months (3 doses). Then a booster dose can be given at 18 months and 5 years. This vaccine is also given to women of childbearing age and during pregnancy. Patients who get 6 times the dose of tetanus vaccine can get protection against tetanus for a lifetime.
Prevention of tetanus in cases with risk of tetanus is as follows:
Wound care - debridement of wounds, especially those that are dirty, covered and festering, deep puncture wounds. Injuries at risk of tetanus are> 1 cm deep, dirty wounds, wounds exposed to the ground, saliva or feces, necrotic or infected wounds, puncture or amputation or crush injuries), animal bites, extensive burns and severe degrees.
Giving antitoxin - tetanus immunoglobulin in patients with risk of tetanus injuries and a history of incomplete tetanus vaccination / history of unknown tetanus vaccination / vaccine history> 10 years ago.
Tetanus vaccine administration - accompanied by tetanus immunoglobulin in patients with tetanus risk injuries + incomplete vaccine history. Tetanus vaccine can also be given to patients with minor / no risk of tetanus if the tetanus vaccine history is <3 times
If a doctor's examination does not reveal the risk of tetanus injury and your child's tetanus vaccination is complete, the tetanus and tetanus immunoglobulin vaccinations may not be given. Good / open wound care can reduce the risk of tetanus. Check immediately if there are signs of tetanus in children or signs of infection in the wound (swelling, redness, pain when pressed, warmer when touched than the surrounding skin, fever). Thus the explanation from me, hopefully useful.