Table 2-21.

Summary guide to tetanus prophylaxis in routine wound management¹

History of Tetanus Immunization (Doses)	Clean, Minor Wounds		All Other Wounds
	Td2	TIG	Td2	TIG
Uncertain or <3 doses	Yes	No	Yes	Yes
3 or more doses	No3	No	No4	No

¹Important details in the text.

²For children <7 years old, DTaP or DTP (DT, if pertussis vaccine contraindicated) preferred to tetanus toxoid alone. For children ≥7 years of age, Td preferred to tetanus toxoid alone. For adolescents and adults to age 64, tetanus toxoid as Tdap is preferred, if the patient has not previously been vaccinated with Tdap.

³Yes, if more than 10 years since last dose.

⁴Yes, if more than 5 years since last dose. More frequent boosters are not needed and can accentuate side effects.