Anaerobic gram positive spore-forming bacilli
Unvaccinated (incompletely vaccinated) individuals with wound (portal of entry)
Note there is no herd immunity as the organism is found in soil/earth and not transmitted person-to-person.
See vaccine schedules for details.
Patient who has not been vaccinated requires vaccine and tetanus immune globulin if significant injury.
Consult ID if suspected case.
Tetanus: generalized, localized, cephalic, neonatal
Deep wound with necrotic tissue highest risk.