IM Immunization schedule Unimmunised individuals ≥7 yr Primary immunizing course: 2 doses or 0.5 mL each 4-8 wk apart followed by a 3rd dose, 6-12 mth after the 2nd dose.
Neonatal tetanus prevention Previously unimmunized pregnant woman 2 doses before delivery (4-8 wk apart), preferably during the last 2 trimesters.
Tetanus prophylaxis in wound management Individuals who have completed primary immunization against tetanus & who sustain wounds Give booster dose if they have not received tetanus toxoid w/in the preceding 10 yr.
Patients w/ tetanus prone wounds A booster is appropriate if did not receive a tetanus toxoid-containing prep w/in the preceding 5 yr. If a booster dose is given sooner than 10 yr as part of wound management, the next routine booster should not be given for 10 yr thereafter.
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