Which statement best describes management after an out-of-date tetanus status following trauma?

• A. Administer toxoid and immunoglobulin
• B. Observe without immunization
• C. Administer antibiotics only
• D. Reassess later

Answer: (A)

When tetanus protection is not up to date after trauma, the goal is to provide immediate protection and establish long-term immunity. Tetanus immune globulin offers rapid, short-term neutralization of any circulating toxin, while a tetanus toxoid–containing vaccine starts the process of building lasting immunity for future protection. Because the wound is a risk for tetanus and the vaccination history is out of date, giving both at the same visit is recommended: TIG for immediate defense and a toxoid booster to stimulate the body's active immune response. Options that rely on observation, antibiotics alone, or waiting to reassess do not address the immediate toxin threat or the need for future protection.