Anaerobic gram positive spore-forming bacilli
Clinical disease results from toxin (tetanospasmin)
Unvaccinated (incompletely vaccinated) individuals with wound (portal of entry).
Forms of Tetanus:
Tetanus immunoglobulin/Td vaccination may be necessary. Refer to Canadian Immunization Guide for details.
Management of tetanus:
Supportive care to secure airway, manage spasms, and control autonomic dysfunction
Administered human tetanus Ig
Provide tetanus vaccination (natural infection does not produce immunity)
Antibiotics and debridement of wound (metronidazole or penicillin G)