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would you consider tetanus immunoglobin for this wound?

post #1 of 14
Thread Starter 
My unvaxed almost 4 year old stepped on a nail sticking out of some wood this afternoon. The wood was part of the outside trim for a window that my husband was replacing. I don't think it was a very deep wound and it did bleed a tiny bit. I'm thinking it's probably not a concern for tetanus since I don't see how that nail would have come in contact with animal feces or stomach contents, but IDK. Would you consider getting the TIG in this situation?
post #2 of 14
I wouldn't personally. It bled. It's a child with the injury (good circulation)

I'd be MUCH more worried about infection (and I wouldn't be *that* worried about infection- I'd just watch for it )

-Angela
post #3 of 14
nope.
post #4 of 14
I would still double up on the probiotics. Even if tetanus is an almost nonexistant risk, staph is.
post #5 of 14
Agree with all above posts...no TIG, watch for infection, keep wound clean and oxegenated
post #6 of 14
I would absolutely get the TIG for it. It only bled a little, and it was outdoors. No question, I would get it done. DD got a foot wound a few months ago, and we struggled with the decision, but eventually (by eventually, I mean after under an hour) decided we really needed to be safe rather than sorry.
post #7 of 14
If you went to the hospital and asked for TIG I doubt they would give it. They would probably push the vax, though that would do nothing for this injury.

I wouldn't get it either.
post #8 of 14
No.
post #9 of 14
what are the risks of the TIG? And why would the hospital be reluctant to give it? (I know why they would push the vax, I'm just wondering why they may not want to give the TIG)
post #10 of 14
They just don't use it very often. Tetnus is so rare and most people are vaxed. They only give TIG when tetnus is highly likely. In this situation I think they would deam in unnesscessary. But I could be wrong.
post #11 of 14
Quote:
Originally Posted by MyBoysBlue View Post
They just don't use it very often. Tetnus is so rare and most people are vaxed. They only give TIG when tetnus is highly likely. In this situation I think they would deam in unnesscessary. But I could be wrong.
:

Many many ERs don't stock TIG at all.

-Angela
post #12 of 14
Quote:
Originally Posted by emma1325 View Post
what are the risks of the TIG? And why would the hospital be reluctant to give it? (I know why they would push the vax, I'm just wondering why they may not want to give the TIG)
TIG is a blood product .... it is from the blood of persons who have been highly vaccinated against tetanus. So in getting the TIG you assume similar risks to getting a blood transfusion. There have also been persons who have had a bad reaction to the TIG.
post #13 of 14
Quote:
Originally Posted by MyBoysBlue View Post
They just don't use it very often. Tetnus is so rare and most people are vaxed. They only give TIG when tetnus is highly likely. In this situation I think they would deam in unnesscessary. But I could be wrong.
I agree I would NOT get a TIG.

But just to fine tune this thought.
Tetanus is rare. But most people are NOT current on their vax. Think about how many people there are in the US 330 million, something like that...and when was the last time they all got a tetanus vax? maybe when they were a kid. Maybe. and there are less than a 100 cases of tetanus a year or something like that.
post #14 of 14
I wouldn't worry about it at all, just clean the wound well and cover it until it heals a little.
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