|Mode of transmission||Environmental exposure to the bacillus, usually through contaminated wounds. The disease is not directly transmitted from person to person.|
|Incubation period||Between 3 and 21 days, commonly about 10 days; may vary from 1 day to several months.|
|Period of communicability||A person with tetanus is not infectious to others.|
|Burden of disease||In older individuals, usually women, who are less likely to have received a primary series of tetanus vaccine.|
|Funded vaccines||DTaP-IPV-HepB/Hib (Infanrix-hexa). |
Td (ADT Booster).
|Funded vaccine indications and schedule||6 weeks, 3 months and 5 months: DTaP-IPV-HepB/Hib. |
4 years: DTaP-IPV.
11 years: Tdap.
45 and 65 years: Td.
During pregnancy (from 28 to 38 weeks’ gestation): Tdap.
For individuals with tetanus-prone wounds.
For (re-)vaccination of eligible patients.
|Dose interval between Td and Tdap||No minimum interval is required between Td and Tdap, unless Tdap is being given as part of the primary immunisation course.|
|Wound control||If an injury is considered to be tetanus prone and there is any doubt about previous tetanus immunisation, the individual must be given tetanus immunoglobulin (TIG) and a 3-dose primary immunisation course.|