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tetanus immunoglobulin

post #1 of 15
Thread Starter 
I saw a nurse practitioner today for something unrelated to vaccines, but she tried to sell me on a tetanus booster. I declined, told her the risks outweigh the benefits. She then told me that if I ever have wound at risk for tetanus they will have to administer the tetanus vaccine. I said "really, because everything I have ever read states that the vax will be ineffective in preventing tetanus at the time of injury because it takes a while for the immune response to be created." Then I mentioned the immunoglobulin. She assured me that, no I was wrong, the vax would prevent tetanus. I don't even think she knew about immunoglobulin. So does anyone have reputable links to information about administering immunoglobulin in unvaxed people, as opposed to the tetanus vaccine. If she ever brings it up again or if we ever have a trip to the ER, I would like to be prepared. Also it's good for me to brush up on all this. Thanks.
post #2 of 15
Not exactly what you're looking for (vaccine vs. immunoglobulin) but here's a thread where I shared a bit of info regarding the immunoglobulin, and other tetanus tidbits.

http://www.mothering.com/discussions....php?t=1072442
post #3 of 15
In the CDC pink book on page 74 there is a chart called "Tetanus Wound Management" - right across from that is this blurb:

Quote:
"Persons with wounds that are neither clean nor minor, and
who have had 0–2 prior doses of tetanus toxoid or have an
uncertain history of prior doses should receive TIG as well
as Td or Tdap. This is because early doses of toxoid may not
induce immunity, but only prime the immune system.
The
TIG provides temporary immunity by directly providing
antitoxin. This ensures that protective levels of antitoxin
are achieved even if an immune response has not yet occurred."
http://www.cdc.gov/vaccines/pubs/pin...etanus-508.pdf
post #4 of 15
Thread Starter 
Thanks both of you for the links. The cdc link says to give TIG and the vaccine as well. Can someone explain why the vaccine is recommended in the case of a unvaxed person with a tetanus risk wound, in conjunction with TIG? Because all the time I see around here for people to refuse the vax in a case like this. Just trying to understand.
post #5 of 15
Because if you are unvaxed it is clearly because you don't understand how important the vax is, and not because you actually made a concious choice or anything. So they are going to do you a HUGE favour and vax you up while you are there.

It is all about compliance. More compliance = More $$$
post #6 of 15
Quote:
Originally Posted by just_lily View Post
Because if you are unvaxed it is clearly because you don't understand how important the vax is, and not because you actually made a concious choice or anything. So they are going to do you a HUGE favour and vax you up while you are there.

It is all about compliance. More compliance = More $$$

Do *they* give a reason for vaxing at this time other than convenience/compliance?

I'm trying to be prepared for this as well.
post #7 of 15
Thread Starter 
I'm going to try this again.

Is the reason they give the tetanus vax as well as TIG in a non vaxed person at time of injury purely to prevent future tetanus? Is the TIG at the time of injury sufficient protection against tetanus? For what purpose is the vax in this case? I ask because while researching, I always see the protocol in non vaxed to be TIG and tetanus vax. Now it makes sense what just_lily said (thanks btw), but I would really like to see it from a reputable study, or site.
post #8 of 15
Quote:
Originally Posted by Magali View Post
I'm going to try this again.

Is the reason they give the tetanus vax as well as TIG in a non vaxed person at time of injury purely to prevent future tetanus? Is the TIG at the time of injury sufficient protection against tetanus? For what purpose is the vax in this case? I ask because while researching, I always see the protocol in non vaxed to be TIG and tetanus vax. Now it makes sense what just_lily said (thanks btw), but I would really like to see it from a reputable study, or site.
My understanding is that yes, that is why they give the toxoid vax as well as the TIG. The toxoid vax cannot confer immunity right then and there for a wound, the TIG confers passive immunity, so the toxoid is more about preventing future Tetanus.
post #9 of 15
Wow, is anyone else flabbergasted that our medical community is so clueless?

When will I stop being surprised and just expect this stuff?
post #10 of 15
Quote:
Originally Posted by PaigeC View Post
Wow, is anyone else flabbergasted that our medical community is so clueless?

When will I stop being surprised and just expect this stuff?
I know many PICU nurses who believe that kids end up in the ICU with RSV b/c "their parents didn't want the vaccine." They have no idea that the RSV "vaccine" is an immunoglobulin which is insanely expensive and only covered by insurance for the smallest premies and must be given every 2 months. When I try to explain it to them (after they have brought it up in conversation), they look at me like I'm crazy.
post #11 of 15
Quote:
Originally Posted by Magali View Post
I'm going to try this again.

Is the reason they give the tetanus vax as well as TIG in a non vaxed person at time of injury purely to prevent future tetanus? Is the TIG at the time of injury sufficient protection against tetanus? For what purpose is the vax in this case? I ask because while researching, I always see the protocol in non vaxed to be TIG and tetanus vax. Now it makes sense what just_lily said (thanks btw), but I would really like to see it from a reputable study, or site.
In general, I think the reason they vaccinate at the time of injury, whatever the scenario, is two-fold. First, to prevent tetanus. If previously vaccinated, the vaccine will boost immunity. If not previously vaccinated, it may still help. Some cases of tetanus have long incubation periods; but the vaccine likely won't provide immunity quickly enough, thus the need for TIG. Secondly, to protect you in the future.

The TIG, however, gives immediate immunity. The vaccine is not necessary to help prevent tetanus if TIG is given.
post #12 of 15
Quote:
Originally Posted by FernG View Post
I know many PICU nurses who believe that kids end up in the ICU with RSV b/c "their parents didn't want the vaccine." They have no idea that the RSV "vaccine" is an immunoglobulin which is insanely expensive and only covered by insurance for the smallest premies and must be given every 2 months. When I try to explain it to them (after they have brought it up in conversation), they look at me like I'm crazy.
Maybe they are remembering the failed RSV vaccine that probably helped put kids in the ICU.
post #13 of 15
What is really amazing? I had to take my son to the ER for a wound which required stitches and the PA asked me about his tetanus status and I said we were religiously exempt and I said I would consider the TIG. She acted like she did not even understand what I said and ignored me.

I did not pursue it as the item my son fell on did not have much if any risk of having tetanus virus.
post #14 of 15
Thread Starter 
Because you couldn't possibly know more than what she had forgotten from her medical textbook
post #15 of 15
Some months ago I took my semi-vax'd (stopped when he was 4 mos) DS into the ER because he injured his finger...I didn't know a lot about tetanus and thank the Lord for thease boards...all the nurses were out-of-sorts that DS wasn't getting vax'd, but the 2 ER docs were FINE with it and said that I could go home and do some research to decide if I wanted to give DS the Tetanus shot. They were very chill about the situation and I was so thankful for them because as a new mother in new waters, I was pretty rattled.

The pedi, OTOH, was mortified that I wouldn't give the DTaP after the injury and was insinuating that I was a bad mother. When I told him that I had read that the DTaP would do nothing for this injury he had a lot of backpeddling to do, and at that moment I decided that the Pedi was NOT for us....HOWEVER, when I told my mainstream friend about the issue, she said that she was surprised he wasn't kicking us off his patient list, that her pedi demands that she vaxes. It made me feel a little warmer toward our pedi, but I have a feeling that I just don't trust him fully. We're changing to someone more open minded.

Sherri Tenpenny talks about the TIG, her video is worth a few look-sees.
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