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Tetanus, also known as tetanus is a serious disease, but preventable disease that affects muscles and nerves. It is usually due to skin wound contaminated by bacteria called Clostridium tetani, which is often observed in the country.

When bacteria are in the body, they produce a neurotoxin (a protein that acts as a poison for the nervous system of the organism) known as tetanospasmin that causes muscle spasms. Toxin can travel throughout the body via the bloodstream and lymphatic system. As it circulates more widely, the toxin interferes with the normal activity of nerves throughout the body, causing generalized muscle spasms. Without treatment, tetanus can be fatal.
United States, most cases of tetanus follow contaminated cut or deep holes in the injury, as the wound-induced nail step. Sometimes the damage is so small the person does not even see a doctor. Injuries, which the dead skin (such as burns, frostbite, gangrene, or crush) can cause tetanus. Wounds contaminated with soil, saliva or feces – especially if not properly cleaned – and bites from non-sterile needles (such as drug use or a tattoo or piercing self-made) are at increased risk.

Another form of tetanus, neonatal tetanus in newborns occurs delivered in unsanitary conditions, especially if the umbilical cord stump becomes contaminated. Before vaccination, neonatal tetanus was much more widespread in the United States. Now, routine immunizations for tetanus produce antibodies that mothers go to their unborn children. These maternal antibodies and sanitary cord-care techniques have made the newborn tetanus very rare in developed countries.

Self-tetanus is usually rare in the United States and other nations with tetanus vaccination programs – fewer than 50 cases of tetanus are reported each year in the U.S.. However, many developing countries are less effective prevention and immunization programs against tetanus, so the disease is more common there.

Signs and symptoms

Tetanus often begins with muscle spasms in the jaw (called trismus), and may be accompanied by difficulty swallowing and stiffness or pain in the muscles of the neck, shoulders or back. These spasms can spread to the muscles of the abdomen, arms and thighs. Symptoms can occur anywhere from several days to several months after exposure to bacteria.

Prevention

There are two important ways to prevent tetanus:

1-) Vaccinated against tetanus

2-) After the injury, which can cause tetanus, can be a shot (post-exposure tetanus prophylaxis)

For children, tetanus immunization is part of the DTaP (diphtheria, tetanus and acellular pertussis) vaccine. They often receive a series of four doses of DTaP vaccine before 2 years, followed by a booster dose at 4-6 years. After that, a booster (Tdap) is recommended 11 to 12 years, then, tetanus and diphtheria every 10 years through adulthood. Make sure your children do not miss their appointments so that the vaccines are administered on time.

As with all immunization schedules, there are important exceptions and special circumstances. Your doctor will have the most current information.

tetanus post-exposure prophylaxis is also the tetanus, but after an injury. Vaccines given by the number of years since the last reminder of the patient, the total number of vaccines against tetanus, the patient received and the nature of the injury. Your doctor may recommend a booster against tetanus (Td, DTaP, or Tdap, depending on patient age and previous immunizations) and / or an injection of tetanus immunoglobulin (TIG) to neutralize the toxins released by bacteria.

Neonatal tetanus can be prevented by ensuring that all pregnant women had their immunization against tetanus, by delivering babies in sanitary conditions, and by proper umbilical cord care. If you are pregnant, discuss your immunization record with your obstetrician well before your due date.

Any skin wound – especially a deep puncture or wound may be contaminated with feces, soil, or saliva – should be cleaned and covered immediately. While it is important to clean all wounds, remember that cleanliness is not a substitute for vaccination.

Treatment
Doctors play an important role to prevent tetanus, ensuring that children’s vaccinations are up to date and to provide post-exposure prophylaxis, if your child has a wound that is at risk of tetanus.

A child who develops tetanus treated in hospital, usually in the intensive care unit (ICU). There, the child is usually antibiotics kill bacteria and TIG to neutralize the toxins that the bacteria have already published. Kids will also receive medicines that control muscle spasms and may be subject to treatment to support vital bodily functions.

When to Call the Doctor
If you do not know if their children have been vaccinated against tetanus, or if you know they are not fully immunized, call your doctor. If more than 10 years that someone in your family has had a tetanus booster, schedule an office visit for updating immunizations.

If the event is a hole or other deep wound, clean the wound and call your doctor and discuss whether the child should receive post-exposure prevention of tetanus. If a child develops muscle spasms and tetanus – especially when given a wound – seek medical attention immediately.

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