Tetanus is an acute, sometimes fatal, disease of the central nervous system, caused by the toxin of the tetanus bacterium, which usually enters the body through an open wound. Tetanus bacteria live in soil and manure, but also can be found in the human intestine and other places.
Tetanus is not a contagious illness. It occurs in individuals who have had a skin or deep tissue wound or puncture. It is also seen in the umbilical stump of infants in underdeveloped countries. This occurs in places where immunization to tetanus is not widespread and women may not know how to properly care for the stump after the baby is born. After being exposed to tetanus, it may take from three to 21 days to develop any symptoms. In infants, symptoms may take from three days to two weeks to develop.
The following are the most common symptoms of tetanus. However, each individual may experience symptoms differently. Symptoms may include:
The symptoms of tetanus may resemble other medical conditions. Always consult your physician for a diagnosis.
Symptoms usually confirm the diagnosis of tetanus.
Specific treatment for tetanus will be determined by your physician based on:
Treatment for tetanus (or to reduce the risk of tetanus after an injurty) may include:
The CDC recommends that children receive five DTaP shots. A DTaP shot is a combination vaccine that protects against three diseases: diphtheria, tetanus, and pertussis. The first three shots are given at 2, 4, and 6 months of age. Between 15 and 18 months of age, the fourth shot is given, and a fifth is given when a child enters school at 4 to 6 years of age. At regular checkups for 11- or 12-year-olds, a preteen should get a dose of Tdap. The Tdap booster contains tetanus, diphtheria, and pertussis vaccine. If an adult did not get a Tdap as a preteen or teen, he or she should get a dose of Tdap instead of the Td booster. Adults should get a Td booster every 10 years, but it can be given before the 10-year mark. Always consult your physician for advice.
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