yy Immunise all children against tetanus during routine childhood immunisation yy Proper wound care and immunisation (see chapter 18): –– Full course if patient not immunised or not fully immunised –– Booster if fully immunised but last dose >10 years ago –– Fully immunised who had a booster <10 years ago do not need any specific treatment yy Prophylaxis in patients at risk as a result of contaminated wounds: give Tetanus immunoglobulin human (TIG) IM Child < 5 years: 75 IU Child 5-10 years: 125 IU Child > 10 years and adults: 250 IU Double the dose if heavy contamination or wound obtained > 24 hours.