Contents

19 Tetanus

19.6 Contraindications and precautions

(See also sections 5.6 and 14.6).

19.6.1 Contraindications

See section 1.4 for general contraindications for all vaccines.

Immunisation with Td, Tdap or another tetanus toxoid-containing vaccine should not be repeated in individuals who have had previous severe hypersensitivity reactions. Most cases of hypersensitivity have been reported in individuals who have had an excessive number of booster injections outside the guidelines noted above.

19.6.2 PrecautionsTop

Protection against the risk of tetanus is paramount if the wound is thought to be tetanus-prone. Immunisation should not be postponed because the patient has a minor infection.

See section 14.6.2 for precautions to pertussis-containing vaccines, including DTaP-IPV-HepB/Hib.