What is tetanus?

Tetanus

Tetanus

Tetanus (lockjaw) is a preventable but dangerous bacterial infection that causes muscle spasms, trouble opening the mouth (lockjaw), trouble swallowing, and seizures. Usually found in dirt and soil, tetanus bacteria typically enter the body through a wound or cut.

Tetanus bacteria thrive only in the absence of oxygen. The deeper and narrower the wound, the less oxygen is around it, and the greater the possibility of tetanus. For example, tetanus bacteria can thrive in a puncture wound from a dirty nail.

Following the recommended immunization schedule helps prevent tetanus. Before age 6, children receive a series of tetanus shots (DTaP). Then, teens and adults get regular tetanus booster shots.

A person who has a dirty cut or wound should get a tetanus shot as soon as possible if at least 5 years have passed since their last tetanus immunization.

What happens when you have tetanus?

In most cases, symptoms of the disease start within 14 days. But it might take longer. Symptoms often start with a headache and stiffness in the jaw. You also may have a stiff neck, back, or shoulders. Some people have seizures, and it may be hard to swallow.

As the toxin spreads, it can be deadly. It can cause problems with your blood pressure and heart rate. It can cause severe and painful muscle spasms in your neck, arms, legs, and belly.

If you are infected with tetanus, you will need to stay in a hospital. Your doctor will clean any wounds or cuts. Treatment may include a tetanus shot. You may get antibiotics to kill bacteria. And you may get medicines and fluids to control muscle spasms and pain. If you need to be in the intensive care unit (ICU), you may get treatment to help with breathing and other body functions.

What are the symptoms of tetanus?

Tetanus symptoms appear slowly and get worse over time. The time it takes for symptoms to appear after a cut or injury ranges from days to months. In most cases, symptoms of tetanus appear within 14 days.

Tetanus symptoms often begin with a headache and trouble opening your mouth (lockjaw). You also may have trouble swallowing and/or a stiff neck, back, or shoulders.

As the toxin spreads, it can be deadly. It can cause problems with your blood pressure and heart rate. It can cause severe and painful muscle spasms in your neck, arms, legs, and belly.

How is tetanus treated?

You'll need to stay in a hospital so you can get medicines and fluids to control muscle spasms and pain. Any wound will be fully cleaned. You'll also get antibiotics, a tetanus vaccine, and other medicines. After you get better, you'll still need routine tetanus shots to prevent another infection.

How can you tell if you need a tetanus shot?

To decide if you need a tetanus shot after a wound, first decide if the object that caused the wound was dirty or clean. An object is dirty if it has dirt, soil, spit, or feces on it. A clean object does not have dirt, soil, spit, or feces on it.

You will need a tetanus shot if:

  • Your wound was caused by something that was clean and your last tetanus shot was longer than 10 years ago.
  • Your wound was caused by something that was dirty and your last tetanus shot was longer than 5 years ago.
  • You are not sure if your wound was caused by something clean or dirty and your last tetanus shot was longer than 5 years ago.
  • You are not sure when you had your last tetanus shot.
  • You did not get the first series of tetanus shots (primary vaccination series).

If you need a tetanus shot, call your doctor to arrange for a shot.

Some people may need tetanus immunoglobulin (IG) for a wound that is at high risk for developing tetanus. The immunoglobulin is usually only needed if you have not (or do not know if you have) completed the tetanus primary vaccination series.

Why is it important to prevent tetanus?

Tetanus is a disease caused by a bacterial infection. The tetanus bacteria get in a wound through a break in the skin or mucous membrane. A cut, puncture wound, deep scrape, deep burn, or any injury that breaks the skin or mucous membrane are called wounds.

The bacteria make a toxin, or poison, that causes severe muscle spasms and seizures. Tetanus is also called "lockjaw" because muscle spasms in your jaw make it hard to open your mouth. This makes it hard to swallow or breathe. Tetanus can be very dangerous and can cause death. The best way to prevent the disease is to have a tetanus shot.

How is tetanus diagnosed?

There is no lab test for tetanus. A doctor can usually diagnose tetanus after asking questions about your symptoms and past health and doing a physical exam. Because other problems can cause muscle spasms like tetanus, your doctor will do tests to make sure your symptoms are not caused by something else.

How can you care for yourself when you have tetanus?

Tetanus needs to be treated in the hospital. While you're recovering, follow any instructions your doctor gives you. And go to any follow-up appointments.

What causes tetanus?

The bacteria that cause tetanus are called Clostridium tetani. They are usually found in dirt and soil, most often in areas with animal waste such as farms and ranches. These bacteria typically enter the body through a wound, cut, splinter, or burn.

The bacteria grow best when they are not around oxygen. The deeper and narrower the wound, the less oxygen there is around it, so tetanus is more likely. For example, the bacteria can thrive in a puncture wound from a dirty nail. The dirtier the wound, the higher the risk of getting tetanus. But tetanus can also grow in a clean wound.

Tetanus is not contagious, so you can't get it from a person who has it.

What is tetanus?

Tetanus is a disease caused by a bacterial infection. The bacteria make a toxin, or poison, that causes severe muscle spasms. Tetanus can be very dangerous, but you can get a shot to prevent it. Tetanus is also called "lockjaw" because muscle spasms in your jaw make it hard to open your mouth. Tetanus also causes seizures and makes it hard for you to swallow or breathe.

In the United States, most people have had shots to prevent tetanus, so the disease is relatively rare. People who have never been immunized or haven't had a booster in the last 10 years are more likely to get tetanus. This includes people who recently moved to the U.S. from countries where tetanus shots are rare.

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