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Table 1 Guidelines for tetanus prophylaxis for wound management in French EDs

From: Effectiveness and cost of quick diagnostic tests to determine tetanus immunity in patients with a wound in french emergency departments

Type of wound Vaccination history
Complete primary vaccination No or unknown complete primary vaccination
Booster aupdated b Booster not updated  
Non-tetanus-prone wound Nothing Booster Booster (proposal to update the primary vaccination)d
Tetanus-prone woundc Nothing Booster + TIG Booster + TIG (proposal to update the primary vaccination)
  1. ED: Emergency department; TIG: Human tetanus immunoglobulins;
  2. aTetanus-toxoid vaccine.
  3. bAccording to the French vaccination schedule; i.e. having received a tetanus-toxoid injection during the last 20 years for those <65 years of ageand during the last 10 years of those aged ≥65 years.
  4. cSuch as (but not limited to) wounds contaminated with dirt, feces, soil, and saliva; puncture wounds; avulsions; and wounds resulting from missiles, crushing, burns, and frostbite.
  5. dPrimary vaccination update: administration of two other boosters at a one-month interval, usually by a general practitioner.