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Tetanus

The Basics

Written by the doctors and editors at UpToDate пїЅ пїЅ

What is tetanus? " пїЅ Tetanus is a serious infection that causes muscle stiffness and spasms. It is sometimes called "lockjaw " пїЅ because muscle spasms can clench the jaw shut. пїЅ пїЅ

Tetanus is caused by bacteria (germs) that live in the soil. They can get into your body through a cut or scrape. Most people in the United States are protected from these bacteria because they have gotten vaccines against them. пїЅ пїЅ

What are the symptoms of tetanus? " пїЅ The symptoms include: пїЅ пїЅ

  • Stiff jaw or neck muscles, which make it hard to move your jaw or neck normally
  • Strange-looking smile that does not go away when you try to relax your mouth
  • Tight, painful muscles that do not let go when you try to relax them
  • Trouble breathing, swallowing, or both
  • Feeling irritable or restless
  • Sweating even when you are not exercising or hot
  • Heartbeat that is faster than usual, or irregular heartbeat
  • Fever
  • Painful muscle spasms

People who are very sick with tetanus can have muscle spasms that force the body into a "bridge " пїЅ position. They might have: пїЅ пїЅ

  • Clenched fists
  • Back arched off the floor or bed
  • Legs stretched out
  • Arms moving back and forth
  • Trouble breathing " пїЅ They might even stop breathing during a muscle spasm.

Some people with tetanus have tight muscles and muscle spasms in just one part of the body. For example, they might have stiff, hard belly muscles. Tetanus in the head or neck can cause: пїЅ пїЅ

  • Trouble swallowing
  • Stiff jaw or neck muscles
  • Severe pain in the face or head

Should I see a doctor or nurse? " пїЅ See your doctor or nurse right away if: пїЅ пїЅ

  • You get a puncture wound, for example from a nail that goes through your skin.
  • You get a cut, scrape, or other injury you cannot clean completely.
  • You have an injury that leaves something (like a nail or glass) inside your body.
  • An animal bites you and your last tetanus shot was 5 years ago or longer. You should also go if an animal bites you and you do not remember getting a tetanus shot.
  • You have diabetes, and get a sore on your foot, leg, or other place.
  • You have a stiff jaw or neck, other tight muscles you cannot relax, or painful muscle spasms.
  • You have trouble breathing or swallowing.

Is there a test for tetanus? " пїЅ No. There is no simple test. But your doctor or nurse should be able to tell if you have it by learning about your symptoms and vaccine history, and by doing an exam. This infection is most likely in people who have had an injury and who have not had the tetanus vaccine at all or not had the right vaccine boosters. пїЅ пїЅ

Is tetanus dangerous? " пїЅ Yes. People with tetanus need to go to the hospital, and some people even die from it. The muscle spasms can stop your breathing. пїЅ пїЅ

How is tetanus treated? " пїЅ Doctors treat tetanus in the hospital, sometimes in the intensive care unit (ICU). Treatments include: пїЅ пїЅ

  • Cleaning cuts or scrapes to remove skin and tissue that could have tetanus bacteria on it
  • Giving medicines to fight the infection
  • Giving a tetanus vaccine booster
  • Giving medicine and other treatments to reduce muscle spasms, breathing problems, pain, and other symptoms
  • Using a ventilator (breathing machine) if you have trouble breathing on your own
  • Using a feeding tube if you cannot eat or drink on your own
  • Having physical therapy to help muscles recover

Can tetanus be prevented? " пїЅ Yes. To reduce your chances of getting tetanus, do these things: пїЅ пїЅ

  • Get a tetanus vaccine. This is a medicine that teaches your body how to fight tetanus. Most children growing up in the United States get this vaccine as part of their routine childhood vaccines.
  • Get regular tetanus booster shots. Adults should get tetanus booster shots every 10 years. For bad wounds, you will need to get a tetanus booster shot if you havent had one in the last 5 years. If you have a bad wound and you haven't received all of your tetanus vaccines or you are not sure if you have, you will need a tetanus booster shot and another shot to fight any tetanus bacteria that got in the wound.
  • Wash cuts or scrapes with soap and water and use antibiotic ointment on them. See a doctor or nurse if you cannot get all the dirt out or cannot see all the way into the wound.

Do NOT inject illegal drugs, or at least use clean needles if you do inject drugs or anything else. пїЅ пїЅ

All topics are updated as new evidence becomes available and our peer review process is complete. пїЅ пїЅ

This topic retrieved from UpToDate on: Nov 04, 2014. пїЅ пїЅ

Topic 83176 Version 2.0 пїЅ пїЅ

Release: 22.8 - C22.208 пїЅ пїЅ

пїЅ пїЅ 2014 UpToDate, Inc. All rights reserved. пїЅ пїЅ

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пїЅ пїЅ 2014 UpToDate, Inc. All rights reserved. пїЅ пїЅ