Rabies and tetanus

Patients with animal bite wounds may require rabies prophylaxis.48,49 If the bite is from a bat, a wild animal, a domestic animal that has or is suspected to have rabies, or an unavailable animal, the patient should receive rabies immune globulin and vaccine immediately.50

Crush injuries and those greater than 1 cm (0.4") in depth are at risk for tetanus. A tetanus and diphtheria toxoid booster (Td) should be administered to any patient who has not received one in 5 or more years. A Td and tetanus immune globulin are indicated in those patients who have not previously received at least three Td boosters or whose immunization history is unknown.48'49

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