ArabicChineseEnglishFrenchRussianSpanish
WHO home
All WHO This site only
 

Immunization, Vaccines and Biologicals

  WHO > Programmes and projects > Immunization, Vaccines and Biologicals > IVB topics
printable version

Tetanus: Previous page | 1,2,3,4

Key points and Vaccine Summary

  Table of contents for Tetanus

Key points

  • Tetanus is caused by bacteria found in the environment.
  • Infection occurs during unclean delivery of babies, when contaminated objects are used to cut the umbilical cord, or anytime tetanus bacteria enter a puncture or cut in the skin.
  • Neonatal tetanus remains a serious problem in countries with poor immunization coverage and unclean practices at childbirth. Most newborns with tetanus die.
  • The best way to prevent tetanus is to immunize with tetanus toxoid and to clean wounds thoroughly and remove dead tissue.
  • The best way to prevent neonatal tetanus is to immunize women of childbearing age (or pregnant women) and to ensure clean delivery practices.

Vaccine summary

  • Type of vaccine Toxoid as DT, TT or Td
  • Number of doses At least two primary doses
  • Schedule See table on page 3 (Tetanus - the vaccine)
  • Booster TT/Td every 10 years or during pregnancy. DT 18 months to six years of age
  • Contraindications Anaphylactic reaction to previous dose
  • Adverse reactions Mild local or systemic reactions are common and increase in frequency with increasing numbers of doses, and may constitute a contraindication to further doses
  • Special precautions Reduced diphtheria (Td instead of DT) content as from seven years of age
  • Dosage 0.5ml
  • Injection site Outer upper arm
  • Injection type Intramuscular
  • Storage Store between 2°C–8°C. Never freeze

Tetanus: 1,2,3,4