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Tetanus
Trismus
From the collections of Nicholas J. Beeching and Christopher M. Parry
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Tetanus
Trismus
From the collections of Nicholas J. Beeching and Christopher M. Parry
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Tetanus
Observation chart illustrating autonomic dysfunction with extreme fluctuation in blood pressure
From the collections of Nicholas J. Beeching and Christopher M. Parry
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Tetanus
Tetanus severity score. The final score is calculated from the sum of the scores for each section. A total of 8 or greater indicates predicted death; less than 8 indicates predicted survival
From Thwaites CL, Yen LM, Glover C, et al. Predicting the clinical outcome of tetanus: the tetanus severity score. Trop Med Int Health. 2006;11:279-287
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Tetanus
Opisthotonus
From the collections of Nicholas J. Beeching and Christopher M. Parry
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Tetanus
US recommendations for tetanus wound management. DTaP = diphtheria and tetanus toxoids and acellular pertussis vaccine; Tdap = tetanus toxoid, reduced diphtheria toxoid, and acellular pertussis; Td = tetanus and diphtheria toxoids; TIG = tetanus immunoglobulin. *DTaP is recommended for children aged <7 years. Tdap is preferred to Td for persons aged ≥11 years who have not previously received Tdap. Persons aged ≥7 years who are not fully immunised against pertussis, tetanus or diphtheria should receive one dose of Tdap for wound management and as part of the catch-up series. **Immunosuppressed patients should be managed as if they were incompletely immunised (i.e., those with contaminated wounds should also receive TIG, regardless of their history of tetanus immunisation)
Liang JL et al. Prevention of pertussis, tetanus, and diphtheria with vaccines in the United States: Recommendations of the Advisory Committee on Immunization Practices (ACIP). MMWR Recomm Rep. 2018;67:1-44.
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Tetanus
Immunisation recommendations for clean and tetanus-prone wounds
UK Health Security Agency. Tetanus: the green book, chapter 30. June 2022
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