• Start a brand new topic
    New Topic
    • Start a brand new topic
  • Search all forums
    Search
    • Search all forums
  • Forum help and frequently asked questions
    Help
    • Forum help and frequently asked questions
tetanus boost timings.
JC

12 Posts

Posted:  09-Aug-2018 14:45
How long after a tetanus prone injury is sustained can/should you give Revaxis? If it's a couple of weeks or so, how quickly will tetanus symptoms be observed? We've had pts come in 2-3 weeks later.....
tiredandemotional

4417 Posts



Profile Picture
Posted:  09-Aug-2018 15:00
Hi,

Does this help? What vaccine history do you have? Are they fully vaccinated for tetanus?

https://assets.publishing.service.gov.uk/government/uploads/system/uploads/attachment_data/file/728172/Recommendations_on_the_treatment_and_prophylaxis_of_tetanus_July2018.pdf

 

This is just my opinion and not an instruction. T&E x
JC

12 Posts

Posted:  09-Aug-2018 15:23
thanks, T&E. A&E seem not to give TIG anymore, and don't even give DTP, sending pt back to us. Even with 5 vacc, or no evidence, it's really timings at a later date. All seems a bit vague for anything other than a really obvious injury. Will give by default really.
tiredandemotional

4417 Posts



Profile Picture
Posted:  09-Aug-2018 15:36
I think very few wounds that we would see in primary care would need TIG, as the PHE paper explains.

If you follow that, and the GB, you can't go wrong. 

I have sometimes asked ED to explain their rationale to me, which has been helpful.

This is just my opinion and not an instruction. T&E x
notnets

265 Posts

Posted:  09-Aug-2018 22:00
Ive had 2 seperate patients attemd 2 different A&E dept last week and both were given TIG . One patient I had refered there as a cockerels spur gad punctured a ladies leg (approx 2” deep) and I felt it required TIG , and ED agreed,however the other patient presented directly to A&E with a dog bite to the hand?!?! This is the first time Ive known someone recieve it for a fog bite, according to PHE most puncture type injuries from domestic pets mainly containe saliva and therefore lower risk!?!

pracpip
karen.rudd

12091 Posts

Posted:  09-Aug-2018 23:23
Maybe not everyone is up to date with the new advice about tetanus immunoglobulin and prioritising limited supply?

It was updated in July as was tetanus prone wound classification in the document T&E posted earlier. Here is the link again

https://assets.publishing.service.gov.uk/government/uploads/system/uploads/attachment_data/file/728172/Recommendations_on_the_treatment_and_prophylaxis_of_tetanus_July2018.pdf

Might be worth contacting your A/E and check what guidance or rationale they are using ?

Please be informed that the above is the opinion of the author and is in no way meant to be taken as instruction.karen
iPhone App Posted on my iPhone
Please log in to post on the forum. It is free to register.
Some links are only clickable if you are logged in
Featured Jobs
Practice Nurse, Hull
nurses.co.uk
Practice Nurse, Hull Are you a Practice Nurse in the Hull area looking to maximise your income while diversifying your portfolio around your current r....
This job offer was posted by nurses.co.uk 15 November 2018
Practice Nurse, Croydon
nurses.co.uk
Practice Nurse VacancyCroydon The Surgery This Croydon based, close-knit surgery is looking for an experienced Practice Nurse to join them on a perman....
This job offer was posted by nurses.co.uk 15 November 2018
Respiratory Nurse Advisor Vacancy - COPD and Asthma
nurses.co.uk
We have fantastic opportunities available for experienced Nurses who have a passion for Respiratory Diseases!You will be joining a friendly and welcom....
This job offer was posted by nurses.co.uk 15 November 2018
Respiratory Nurse Advisor Vacancy
nurses.co.uk
Are you looking for a career change? Do you have a passion for Respiratory Diseases?Then we have the perfect opportunity for you!We are currently look....
This job offer was posted by nurses.co.uk 15 November 2018
Practice Nurse, Wimbledon
nurses.co.uk
Chase MedicalChase Medical is a specialist agency within Primary Care, working with over a third of GP practices in the UK. We have both permanent and....
This job offer was posted by nurses.co.uk 12 November 2018
Events
Add Event
Public Personal