N/A, not applicable; Td, tetanus and diphtheria; Tdap, tetanus-diphtheria-acellular pertussis; TIG, tetanus immune globulin.

Note: Tetanus vaccination of mother gives her protection and protects the newborn in the first few weeks of life.

Source: Special Operations Forces Medical Handbook, U.S. DoD. Reprinted from the JTS Acute Traumatic Wound Management – Prolonged Field Care CPG, 24 Jul 2017

* Such as, but not limited to, wounds contaminated with dirt, feces, soil, and saliva; puncture wounds; avulsions; and wounds resulting from missiles, crushing, burns, and frostbite.

† DTaP is recommended for children aged <7 years. Tdap is preferred to Td for persons aged ≥11 years who have not previously received Tdap. Persons aged ≥7 years who are not fully immunized against pertussis, tetanus or diphtheria should receive one dose of Tdap for wound management and as part of the catch-up series.

- Persons with HIV infection or severe immunodeficiency who have contaminated wounds should also receive TIG, regardless of their history of tetanus immunization.