{"id":2364,"date":"2010-01-17T23:00:18","date_gmt":"2010-01-18T04:00:18","guid":{"rendered":"http:\/\/insidesurgery.com\/?p=2364"},"modified":"2010-01-21T17:12:56","modified_gmt":"2010-01-21T22:12:56","slug":"treatment-tetanus-infected-wounds-haiti","status":"publish","type":"post","link":"https:\/\/insidesurgery.com\/2010\/01\/treatment-tetanus-infected-wounds-haiti\/","title":{"rendered":"Treatment for Tetanus Infected Wounds in Haiti"},"content":{"rendered":"<p><!-- google_ad_section_start --><br \/>\nExperienced trauma surgeons are advising that all wounds in Haiti should be considered contaminated with Clostridium tetanus and will cause the patient to be at risk for clinical tetanus or lockjaw. They are recommending that the normal prophylaxis for tetanus will be inadequate and all patients will require passive immunization with tetanus immunoglobulin. To summarize the current regimen for treating grossly infected wounds:<\/p>\n<p>tetanus immunoglobulin &#8211; 500 units IV<\/p>\n<p>benzodiazepines if contractures occur &#8211; diazepam IV 10-40 mg q1-8 hours or the paralytics (if intubated) of vecuronium (IV drip) or pancuronium (IV intermittent)<\/p>\n<p>antibiotics &#8211; metronidazole (Flagyl) is now the antibiotic of choice 500 mg q6 has replaced penicillin G<\/p>\n<p><strong>Related Links<\/strong><\/p>\n<p>Description of <a href=\"http:\/\/insidesurgery.com\/2010\/01\/battlefield-acupuncture-niemtzow-technique-needle-battlefield-acupressure-marcucci-technique-pain-control-acute-traumatic-injury-haiti\/\">battlefield acupuncture and no needle acupressure (Marcucci Technique) for pain control <\/a>for acute traumatic injuries<\/p>\n<p><!-- google_ad_section_end --><br \/>\n<!-- google_ad_section_start(weight=ignore) --><\/p>\n","protected":false},"excerpt":{"rendered":"<p>Experienced trauma surgeons are advising that all wounds in Haiti should be considered contaminated with Clostridium tetanus and will cause the patient to be at risk for clinical tetanus or lockjaw. They are recommending that the normal prophylaxis for tetanus will be inadequate and all patients will require passive immunization with tetanus immunoglobulin. To summarize [&hellip;]<\/p>\n","protected":false},"author":1,"featured_media":0,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"_exactmetrics_skip_tracking":false,"_exactmetrics_sitenote_active":false,"_exactmetrics_sitenote_note":"","_exactmetrics_sitenote_category":0,"_genesis_hide_title":false,"_genesis_hide_breadcrumbs":false,"_genesis_hide_singular_image":false,"_genesis_hide_footer_widgets":false,"_genesis_custom_body_class":"","_genesis_custom_post_class":"","_genesis_layout":"","footnotes":""},"categories":[63],"tags":[985,986,988,984,987],"yoast_head":"<!-- This site is optimized with the Yoast SEO plugin v22.5 - https:\/\/yoast.com\/wordpress\/plugins\/seo\/ -->\n<title>Treatment for Tetanus Infected Wounds in Haiti - InsideSurgery Medical Information Blog<\/title>\n<meta name=\"robots\" content=\"index, follow, max-snippet:-1, max-image-preview:large, max-video-preview:-1\" \/>\n<link rel=\"canonical\" href=\"https:\/\/insidesurgery.com\/2010\/01\/treatment-tetanus-infected-wounds-haiti\/\" \/>\n<meta property=\"og:locale\" content=\"en_US\" \/>\n<meta property=\"og:type\" content=\"article\" \/>\n<meta property=\"og:title\" content=\"Treatment for Tetanus Infected Wounds in Haiti - InsideSurgery Medical Information Blog\" \/>\n<meta property=\"og:description\" content=\"Experienced trauma surgeons are advising that all wounds in Haiti should be considered contaminated with Clostridium tetanus and will cause the patient to be at risk for clinical tetanus or lockjaw. They are recommending that the normal prophylaxis for tetanus will be inadequate and all patients will require passive immunization with tetanus immunoglobulin. To summarize [&hellip;]\" \/>\n<meta property=\"og:url\" content=\"https:\/\/insidesurgery.com\/2010\/01\/treatment-tetanus-infected-wounds-haiti\/\" \/>\n<meta property=\"og:site_name\" content=\"InsideSurgery Medical Information Blog\" \/>\n<meta property=\"article:published_time\" content=\"2010-01-18T04:00:18+00:00\" \/>\n<meta property=\"article:modified_time\" content=\"2010-01-21T22:12:56+00:00\" \/>\n<meta name=\"author\" content=\"Editor\" \/>\n<meta name=\"twitter:label1\" content=\"Written by\" \/>\n\t<meta name=\"twitter:data1\" content=\"Editor\" \/>\n\t<meta name=\"twitter:label2\" content=\"Est. reading time\" \/>\n\t<meta name=\"twitter:data2\" content=\"1 minute\" \/>\n<script type=\"application\/ld+json\" class=\"yoast-schema-graph\">{\"@context\":\"https:\/\/schema.org\",\"@graph\":[{\"@type\":\"WebPage\",\"@id\":\"https:\/\/insidesurgery.com\/2010\/01\/treatment-tetanus-infected-wounds-haiti\/\",\"url\":\"https:\/\/insidesurgery.com\/2010\/01\/treatment-tetanus-infected-wounds-haiti\/\",\"name\":\"Treatment for Tetanus Infected Wounds in Haiti - InsideSurgery Medical Information Blog\",\"isPartOf\":{\"@id\":\"https:\/\/insidesurgery.com\/#website\"},\"datePublished\":\"2010-01-18T04:00:18+00:00\",\"dateModified\":\"2010-01-21T22:12:56+00:00\",\"author\":{\"@id\":\"https:\/\/insidesurgery.com\/#\/schema\/person\/80c1e5c67f8a2c348e38e202270e8594\"},\"breadcrumb\":{\"@id\":\"https:\/\/insidesurgery.com\/2010\/01\/treatment-tetanus-infected-wounds-haiti\/#breadcrumb\"},\"inLanguage\":\"en-US\",\"potentialAction\":[{\"@type\":\"ReadAction\",\"target\":[\"https:\/\/insidesurgery.com\/2010\/01\/treatment-tetanus-infected-wounds-haiti\/\"]}]},{\"@type\":\"BreadcrumbList\",\"@id\":\"https:\/\/insidesurgery.com\/2010\/01\/treatment-tetanus-infected-wounds-haiti\/#breadcrumb\",\"itemListElement\":[{\"@type\":\"ListItem\",\"position\":1,\"name\":\"Home\",\"item\":\"https:\/\/insidesurgery.com\/\"},{\"@type\":\"ListItem\",\"position\":2,\"name\":\"Treatment for Tetanus Infected Wounds in Haiti\"}]},{\"@type\":\"WebSite\",\"@id\":\"https:\/\/insidesurgery.com\/#website\",\"url\":\"https:\/\/insidesurgery.com\/\",\"name\":\"InsideSurgery Medical Information Blog\",\"description\":\"Details of surgical procedures, pathophysiology, signs and symptoms, and treatment of medical diseases,medical and surgical eponyms, and surgeons and surgery in the news\",\"potentialAction\":[{\"@type\":\"SearchAction\",\"target\":{\"@type\":\"EntryPoint\",\"urlTemplate\":\"https:\/\/insidesurgery.com\/?s={search_term_string}\"},\"query-input\":\"required name=search_term_string\"}],\"inLanguage\":\"en-US\"},{\"@type\":\"Person\",\"@id\":\"https:\/\/insidesurgery.com\/#\/schema\/person\/80c1e5c67f8a2c348e38e202270e8594\",\"name\":\"Editor\",\"image\":{\"@type\":\"ImageObject\",\"inLanguage\":\"en-US\",\"@id\":\"https:\/\/insidesurgery.com\/#\/schema\/person\/image\/\",\"url\":\"https:\/\/secure.gravatar.com\/avatar\/41c3c845307fcd3eff88632d6ccaf656?s=96&d=mm&r=g\",\"contentUrl\":\"https:\/\/secure.gravatar.com\/avatar\/41c3c845307fcd3eff88632d6ccaf656?s=96&d=mm&r=g\",\"caption\":\"Editor\"}}]}<\/script>\n<!-- \/ Yoast SEO plugin. -->","yoast_head_json":{"title":"Treatment for Tetanus Infected Wounds in Haiti - InsideSurgery Medical Information Blog","robots":{"index":"index","follow":"follow","max-snippet":"max-snippet:-1","max-image-preview":"max-image-preview:large","max-video-preview":"max-video-preview:-1"},"canonical":"https:\/\/insidesurgery.com\/2010\/01\/treatment-tetanus-infected-wounds-haiti\/","og_locale":"en_US","og_type":"article","og_title":"Treatment for Tetanus Infected Wounds in Haiti - InsideSurgery Medical Information Blog","og_description":"Experienced trauma surgeons are advising that all wounds in Haiti should be considered contaminated with Clostridium tetanus and will cause the patient to be at risk for clinical tetanus or lockjaw. 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