1️⃣ هل عضات الإنسان تستوجب تطعيم التيتانوس؟
✅ Yes! 🧬 Human bites are classified as high-risk wounds due to polymicrobial contamination, increasing the risk of Clostridium tetani infection ⚠️.
✅ Tetanus prophylaxis 💉 is required if the bite penetrates the skin and causes an open wound 🩸.
2️⃣ 🩺 متى يُعطى لقاح التيتانوس بعد عضة الإنسان؟
💉 If the bite causes a deep laceration or puncture wound 🏥.
💉 If the patient has not received a tetanus toxoid-containing vaccine in the past 5 years ⏳.
💉 If there is uncertainty regarding the patient’s immunization history 🤷♂️.
3️⃣ 🚑 ما الخطوات الأولية عند التعرض لعضة الإنسان؟
🩹 Immediate wound irrigation 🚿 with soap and water for at least 15 minutes ⏲️ to reduce microbial load.
🩺 Assess the need for tetanus toxoid (Td or Tdap) and tetanus immune globulin (TIG) based on wound severity and vaccination status 💊.
🦠 Evaluate for secondary bacterial infection 🦠; consider prophylactic antibiotics 💊 in high-risk cases (e.g., clenched-fist injuries, immunocompromised patients).
4️⃣ ⏰ هل يمكن إعطاء اللقاح بعد مرور عدة أيام على العضة؟
🔹 Yes! 💉 Tetanus vaccination remains effective even if given days or weeks after the bite, particularly in incompletely immunized individuals 🏥.
🔹 Failure to receive tetanus prophylaxis may lead to trismus (lockjaw 😬), generalized muscle spasms 🦵⚡, autonomic instability, respiratory failure 🫁, and high mortality ☠️.
📌 Clinical Takeaway: 🏥 Any deep or contaminated human bite warrants tetanus prophylaxis 💉 if the last vaccine dose was given more than 5 years ago or the patient is unvaccinated 🚨.