title: The importance of tetanus risk assessment during wound management.
abstract: Public Health England undertakes surveillance of vaccine preventable diseases including enhanced surveillance of clinically suspected tetanus. In the United Kingdom, tetanus has become increasingly rare due to the success of the national routine immunization program. Consequently, few practitioners have experience of diagnosing and managing patients with clinical tetanus. We report two cases of tetanus where comparatively minor wounds proved fatal. These cases highlight the importance of the accurate identification and management of tetanus prone wounds and the fatal consequences from untreated injuries in susceptible individuals. We conclude that appropriate risk assessment for tetanus prophylaxis forms an essential part of wound management.
authors.affiliation: Immunisation, Hepatitis, & Blood Safety Department (IHBSD), Centre for Infectious Disease Surveillance and Control (CIDSC), Public Health England, 61 Colindale Avenue, London NW9 5EQ, UK.
authors.forename: Sarah
authors.initials: S
authors.lastname: Collins
authors.affiliation: Immunisation, Hepatitis, & Blood Safety Department (IHBSD), Centre for Infectious Disease Surveillance and Control (CIDSC), Public Health England, 61 Colindale Avenue, London NW9 5EQ, UK.
authors.forename: Joanne
authors.initials: J
authors.lastname: White
authors.affiliation: Immunisation, Hepatitis, & Blood Safety Department (IHBSD), Centre for Infectious Disease Surveillance and Control (CIDSC), Public Health England, 61 Colindale Avenue, London NW9 5EQ, UK.
authors.forename: Mary
authors.initials: M
authors.lastname: Ramsay
authors.affiliation: Immunisation, Hepatitis, & Blood Safety Department (IHBSD), Centre for Infectious Disease Surveillance and Control (CIDSC), Public Health England, 61 Colindale Avenue, London NW9 5EQ, UK.
authors.forename: Gayatri
authors.initials: G
authors.lastname: Amirthalingam
keywords: Immunization; Prophylaxis; Tetanus; Wound management