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Stepped on a rusty nail.

10K views 14 replies 15 participants last post by  killzen  
#1 ·
Stepped on an old board with a damn nail in it.

Shouldn't I get a tetanus shot?
 
#6 ·
Anyone who gets a tetanus shot is far more likely to run barefoot through garbage dumps.





But really, if someone were to step on a rusty nail and had not received a tetanus shot for five years, it would be prudent to ask for Tdap instead of Td. The regular tetanus shot covers tetanus and diptheria and requires a booster every 10 years unless potential exposure occurs, then go by five years. As pertussis is making a comeback, they now offer Tdap, which covers tetanus, diptheria, acellular pertussis.
 
#9 ·
The thing is (if you are really serious about it) if after stepping in a rusty nail you really get tetanus, the shot (as in vaccine) afterward is pretty useless if it´s the only action taken. You must then get the anti-tetanus serum, that contains ready antitoxins, among other actions. GO TO A HOSPITAL!

"Treatment

The wound must be cleaned. Dead and infected tissue should be removed by surgical debridement. Administration of the antibiotic metronidazole decreases the number of bacteria but has no effect on the bacterial toxin. Penicillin was once used to treat tetanus, but is no longer the treatment of choice, owing to a theoretical risk of increased spasms. However, its use is recommended if metronidazole is not available. Passive immunization with human anti-tetanospasmin immunoglobulin or tetanus immune globulin is crucial. If specific anti-tetanospasmin immunoglobulin is not available, then normal human immunoglobulin may be given instead. All tetanus victims should be vaccinated against the disease or offered a booster shot."

http://en.wikipedia.org/wiki/Tetanus

"In 1890 antibody therapy was used to treat tetanus, when serum from immunized horses was injected into patients with severe tetanus in an attempt to neutralize the tetanus toxin, and prevent the dissemination of the disease. Since the 1960’s, human tetanus immune globulin (TIG) has been used in the United States in un-immunized or incompletely immunized patients who have sustained wounds consistent with the development of tetanus."

http://en.wikipedia.org/wiki/Passive_immunization

This relates to people dieing from the flu days after getting a flu shot, as it takes 2 weeks for the body to build an immune response. During that time, you are still exposed to the flu and could then die because of it (and from other unrelated causes as well).
 
#11 ·
This is where the stupidity of the vaccine push comes into it. You are in effect being told the only way you can have an immunity is through having the vaccine...

For someone constantly outdoors and getting cut's 'n scratches in the process, they will have a high natural immunity already. Comes from not being in a sterile environment all their lives.

If you are a soft office worker, get your shot. If you are spending your days as nature intended, no need to bother. You will have given your system many tastes of the virus / bacteria or whatever it is. Best thing to do is to properly clean and dress the wound. IF there are signs of any problems then for sure seek medical help.

You must then get the anti-tetanus serum, that contains ready antitoxins, among other actions. GO TO A HOSPITAL!
Now that part makes sense. I think you will find most doctors will just give you another jab of the vaccine only unless you have the symptoms.
 
#13 ·
My mother's sister died from tetanus when she was 8 years old.

Association with rust

Tetanus is often associated with rust, especially rusty nails, but this concept is somewhat misleading. Objects that accumulate rust are often found outdoors, or in places that harbor anaerobic bacteria, but the rust itself does not cause tetanus nor does it contain more C. tetani bacteria. The rough surface of rusty metal merely provides a prime habitat for a C. tetani endospore to reside, and the nail affords a means to puncture skin and deliver endospore into the wound. An endospore is a non-metabolising survival structure that begins to metabolise and cause infection once in an adequate environment. Because C. tetani is an anaerobic bacterium, it and its endospores survive well in an environment that lacks oxygen. Hence, stepping on a nail (rusty or not) may result in a tetanus infection, as the low-oxygen (anaerobic) environment is provided by the same object which causes a puncture wound, delivering endospores to a suitable environment for growth.
http://en.wikipedia.org/wiki/Tetanus
 
#14 ·
That's a good question. The tetanus shot could save your life. If you are younger it could also be one more cumulitive nail (pardon the pun) in your immune system's death.

Below is the 2007 Immunization Chart from the CDC for children under 6 years of age. Think about how much that differs from the time when you were that age.

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And then another for pre-teens and teenagers...

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