Question 221 · LEK · Post-exposure measures
A 12-year-old boy presents in GP's office after cleaning and dressing a wound on his leg. The patient seeks the recommendation concerning tetanus prophylaxis. The boy received the full basic vaccination against tetanus, and the last booster dosis was given 6 years ago. In the opinion of the GP a risk of tetanus in this case is low. Choose the proper recommendation:
- A. there is no need to give a booster dose of diphtheria-tetanus vaccine.
- B. one dose of diphtheria-tetanus vaccine (Td) or tetanus toxoid should be given.
- C. two doses of diphtheria-tetanus vaccine or tetanus toxoid should be given 4 weeks apart.
- D. three doses of diphtheria-tetanus vaccine or tetanus toxoid should be given according to the schedule 0;1;6 months.
- E. one dose of diphtheria-tetanus vaccine or tetanus toxoid should be given simultaneously with an antitoxin (specific immunoglobulin).
Hint
Combine the time since the last dose with the wound category; the threshold differs for clean minor and tetanus-prone wounds.
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