Key points
- Bacteria called Clostridium tetani cause tetanus.
- Tetanus is a serious disease and requires immediate medical attention.
- Vaccines are the best way to protect against tetanus.
- Talk to a vaccine provider if you have questions about a tetanus vaccine.
What it is
Tetanus is an infection caused by bacteria called Clostridium tetani (C. tetani), that are found in the environment. Tetanus is an uncommon but very serious disease that requires immediate treatment in a hospital.
Signs and symptoms
Symptoms typically occur between 3 and 21 days (average 8 days) after someone is exposed to C. tetani.
The first sign is most commonly spasms of the jaw muscles, or "lockjaw."
Other symptoms can include:
- Trouble swallowing
- Sudden, involuntary muscle spasms — often in the stomach
- Painful muscle stiffness all over the body
- Seizures (jerking or staring)
- Headache
- Fever and sweating
- Changes in blood pressure and heart rate
Contact your healthcare provider
Complications
Tetanus can cause serious health problems, including:
- Laryngospasm (uncontrolled tightening of the vocal cords)
- Fracture (broken bone)
- Pulmonary embolism (blockage in lungs caused by a blood clot)
- Aspiration pneumonia (lung infection from inhaling spit or vomit)
- Breathing difficulty
Tetanus can lead to death (1 in 10 cases in the United States are fatal).
Risk factors
Anyone can get tetanus. However, several factors can increase risk for tetanus infection.
Vaccination status
People who have never received a tetanus vaccine are at increased risk. Similarly, people who didn’t complete the primary series or who aren't up to date with their 10-year tetanus booster shots are also at increased risk.
Recent wound
People with a recent wound are at increased risk for tetanus. This is especially true if the wound is deep or contaminated with dirt.
Other risk factors
The following risk factors are also associated with an increased risk of tetanus:
- Being 80 years or older
- Having diabetes
- Having an immunocompromising condition
- Using injection drugs
Causes
Tetanus bacteria can get into someone's body through broken skin, usually through injuries.
Prevention
Vaccination is the best way to protect against tetanus
The best way to prevent tetanus is to get vaccinated. ÐÇ¿ÕÓéÀÖ¹ÙÍø recommends tetanus vaccination for everyone.
Care for wounds to prevent infection
Immediate and good wound care can help prevent infection.
- Apply first aid to even minor, non-infected wounds
- Wash hands with soap and water or use an alcohol-based hand rub
- Consult a healthcare provider if you have concerns or if the wounds:
- Are from a puncture wound or are deep (e.g., stepping on a nail)
- Contain dirt, soil, feces, or saliva (e.g., animal bite)
- Contain dead tissue including from burns, fractures, crush injuries, or frostbite
Medicine and a tetanus vaccination may be needed after some wounds to prevent infection
Medicine called human tetanus immune globulin (TIG) can help prevent tetanus. Healthcare providers can use it when someone isn't up to date with tetanus vaccination and has serious or contaminated wounds. Vaccination also helps prevent tetanus in people with wounds, depending on their tetanus vaccination history.
Diagnosis
Healthcare providers usually decide if someone has tetanus by looking for common signs and symptoms. They may also ask about a recent history of cuts, scrapes, punctures, and trauma.
No lab or other kinds of tests can confirm tetanus.
Treatment and recovery
Tetanus is a medical emergency requiring:
- Evaluation and care in the hospital
- Immediate treatment with TIG
- Aggressive wound care
- Drugs to control muscle spasms
- Antibiotics
- Tetanus vaccination
Depending on how serious the infection is, someone with tetanus may need a machine to help them breathe.
Resources and tools
General information
Parent-friendly vaccination schedules
Tetanus communication and print resources