Tetanus Treatment

Tetanus treatment is complex:
1. surgical treatment of wound
2. providing rest-cure for the patient
3. neutralization of toxin which circulates through the blood
4. reduction of convulsive disorder
5. prevention and treatment of complications such as pneumonia and sepsis
6. maintaining normal gas composition in blood, along with acid-base balance
7. fight with hyperthermia
8. maintaining adequate cardio-vascular activity
9. lung ventilation improvement
10.  right diet
11. control over body functions

Doctor performs radical cut of wound edges which provides good outflow. As a preventive measure are precsribed antibiotics.  Unvaccinated people should perform preventive measures with antitetanic serum by injecting tetanus toxoid into different parts of body. Vaccinated people also should inject  antitetanic serum but in smaller amounts.

Nowadays is used specific gamma globulin obtaned from donor. Adsorbed tetanus toxoid is injected intramusculary three times 0.5ml each 3rd day.  All preparations listed above affect toxin which circulates through the blood. Key role in intensive therapy against tetanus plays reduction or full elimination of tetanic spasm and for that purpose are used tranquilizing drugs. In severe cases to reduce spasms are used muscle relaxants. Respiratory insufficiency is provided by well developed methods of respiratory intensive care.

Prevention
Planned immunization of population with tetanus toxoid.