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When to give tetanus immunisation and tetanus toxoid 

Adapted from PHE Tetanus: The Green Book 2013

IMMUNISATION STATUS

CLEAN WOUND

TETANUS-PRONE WOUND

Vaccine Human Tetanus Immunoglobulin Vaccine Human Tetanus Immunoglobulin
Full Immunisation (5 vaccinations in lifetime at appropriate intervals) Not Required Not Required Not Required High risk wounds only
Primary immunisation completed, boosters incomplete but up-to-date Not Required Not Required Not Required High risk wounds only
Primary immunisation incomplete or boosters not up-to-date Single dose vaccine initially with further vaccinations to complete recommended schedule Not Required Single dose vaccine initially with further vaccinations to complete recommended schedule Yes: single dose of human tetanus immunoglobulin to separate site
Not immunised or immunisation status unknown Single dose vaccine with completion of five vaccination course if required Not Required Single dose vaccine with completion of five vaccination course if required Yes: single dose of human tetanus immunoglobulin to separate site

 

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