Tetanus
- Normal boosting is every 10 years but we need to identify whether a wound is tetanus-prone
- Bites are tetanus-prone
- Children aged <10 years with a tetanus-prone wound are recommended to receive DTPa or a DTPa combination vaccine
- People aged ≥10 years with tetanus-prone wounds are recommended to receive a booster dose of dT or dTpa if their last dose was more than 5 years ago
- Travellers to countries where healthcare services are poor should consider booster if last one was > 5 years ago
- People with uncertain vaccination history and a tetanus-prone wound are recommended to receive tetanus-toxoid vaccine and tetanus immunoglobulin
- People with a tetanus-prone wound and a humoral immune deficiency (including HIV) are recommended to receive tetanus immunoglobulin
The usual dTpa booster for adults is Boostrix and covers diptheria, tetanus and pertussis.