Hi. I punctured my finger today on a rusty edge of the fridge in the kitchen. I immediately washed the wound with soap. I have completed the primary course of tetanus immunization as a child and was up to date with boosters until 15. Then I skipped immunization at 25 as I had acquired meanwhile an autoimmune disease (Sjogren's Syndrome), but when I was 27 I got scratched by a dog so I went to a doctor and they gave me a tetanus toxoid shot. I am 30 now. Do I need to get a jab again for this wound? I'm worried about immune hyperreaction. Plus I'm currently down with a cold.
I know about soil and manure, but doesn't it live also in other dirt? That edge was a bit dirty too, although it was not soil or manure. And what about my immunization status - may this shot I was given 3 years ago due to the dog scratch count as a booster even if 2 years behind schedule? I read that in the US, Australia, Canada, etc no shot for a wound is recommended if a booster was given less than 5 years before the wound. I live in Bulgaria and my doctor says that here a jab after a wound (which is tetanus toxoid) provides protection only for 6 months. I'm really confused about all this, but from what I've read it seems to me that I might be ok anyway. I would not want to risk any adverse reactions..
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