A 20-year-old student was brought to the first-aid center. He has a closed fracture of the left forearm and a contused lacerated wound on his left shin. After the patient received initial wound management, he presented the documents confirming that he has received all the necessary preventive vaccination as scheduled. What should the doctor do to prevent tetanus in this patient?

Answer options

1. Administration of anti-tetanus serum
2. Dynamic case monitoring
3. Antibiotic therapy
4. Administration of tetanus immunoglobulin
5. Administration of tetanus toxoid

Explanation

The ynamic case monitoring Logic of answer: Persons who have completed the 3-dose primary tetanus vaccination series and have received a tetanus toxoid–containing vaccine < 5 years earlier are protected against tetanus and do not require a tetanus toxoid–containing vaccine or tetanus immunoglobulin (TIG) as part of wound management.Liang, J. L. Prevention ofPertussis, Tetanus, andDiphtheria with Vaccinesin the United States:Recommendations of theAdvisory Committee onImmunization Practices(ACIP). MMWR. Recommendations and reports:Morbidity and mortalityweekly report. Recommendations and reports,67(2), 1–44. doi:10.15585/mmwr.rr6702a1 / J. L. Liang, T. Tiwari,P.Moro, N.E.Messonnier,A. Reingold, M. Sawyer,& T. A. Clark. – 2018