Pathogens
Clostridium tetani

Clostridium tetani

Precautions

Routine Practices

Susceptibilities

General Information

Anaerobic gram positive spore-forming bacilli.

Unvaccinated or incompletely vaccinated individuals with deep wound.

Note there is no herd immunity as the organism is found in soil/earth and not transmitted person-to-person.

Tetanus:

  • generalized
  • localized
  • cephalic
  • neonatal (very rare)

Surgical debridement of infected wounds is vital to successful treatment.

Treatment of infection does not confirm future protection - requires vaccination to prevent future infection.

Prevention before injury: vaccination!!!

Prevention after injury: vaccination +/- tetanus immune globulin depending on clinical scenario