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Lockjaw - Tetanus


Treatment & Monitoring

What are the treatments for the infection?

The goals of tetanus treatment are to eliminate the source of toxin and prevent muscle spasms. Treatment of tetanus includes the following:

  • antibiotics, such as penicillin, doxycycline, and metronidazole
  • anticonvulsants, such as diazepam and phenobarbital
  • drainage and cleaning of infected wounds
  • muscle relaxants, such as dantrium and dantrolene
  • a quiet, dark environment to minimize muscle spasm
  • tetanus immune globulin, to decrease the immune response to the bacteria
  • use of a ventilator, or artificial breathing machine
  • What are the side effects of the treatments?

    Medicines used to treat tetanus can cause stomach upset or allergic reactions. Surgery may cause bleeding, infection, or allergic reaction to anesthesia.

    What happens after treatment for the infection?

    The mortality rate from tetanus is about 25% in the United States and 50% worldwide. Most people recover from tetanus completely. Recovery can take from 2 to 4 months. Some individuals have low muscle tone after recovery.

    How is the infection monitored?

    Individuals with tetanus are generally treated in the intensive care unit. After discharge, the person will have periodic visits with the healthcare provider. Any new or worsening symptoms should be reported to the provider.


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