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http://72.14.235.104/search?q=cache:0hy ... =firefox-a破傷風開槍後，蜂針Monday, October 02, 2006週一， 2006年10月2日
Paul Auerbach, MD保羅奧爾巴克，醫學博士
Regarding a bee sting , a reader asks, "Do I need to get a tetanus shot after a sting? What if I had a shot 5 years ago? Do I need another?"關於蜂針 ，一個讀者問， “我需要得到破傷風開槍後，螫什麼，如果我有一個鏡頭五年前？我是否需要另一種” ？
Everyone should be properly immunized against tetanus, which is caused by the bacterium Clostridium tetani .每個人都應該得到適當的免疫預防破傷風，這是造成細菌梭菌破傷風 。 In the US, diphteria-tetanus-pertussis ( DTaP ) vaccine is given as an intramuscular injection at ages 2, 4, 6, and 8 months, followed by a booster at age 4 to 6 years, usually before entry into school.在美國， diphteria -破傷風-百日咳（d t ap）疫苗是由於作為肌肉注射年齡2， 4 ， 6 ， 8個月，其次是一支強心針，在4歲至6歲的，通常是前進入學校。 These shots provide immunity from tetanus, as well as from diphtheria and pertussis [ whooping cough ]) for about 10 years.這些鏡頭提供免於破傷風，以及由白喉和百日咳 [ 百日咳 ] ）為10年左右。 The first booster shot is usually given at age 11 or 12 years in the form of Tdap vaccine.第一助推器開槍通常是在11歲或12年的形式tdap疫苗。 Thereafter,
Td (tetanus and diphtheria) vaccine is usually recommended at 10 year intervals.此後，運輸署（破傷風和白喉）疫苗通常是建議在10年的間隔。 However, given a resurgence of whooping cough seen in adults, the recommendation may change to continue immunizing against pertussis with the Tdap vaccine in perpetuity.然而，鑑於死灰復燃百日咳看到在成年人，建議可能會改變繼續對免疫接種百日咳與tdap疫苗永久化。 Following immunization against tetanus , immunity in any individual is unknown, and can be determined by measuring antibodies in blood.以下免疫接種預防破傷風 ，免疫功能的任何個人是未知的，可以由測量抗體的血液中。 This is particularly important in elders, in whom the immune response to vaccination may be suppressed by a general lower level of the immune system associated with age.這是特別重要的長者，在人的免疫反應的 疫苗接種可能會抑制一般水平較低的免疫系統隨著年齡的相關。
The current practice is to take a booster shot (Td) if one sustains a "dirty" wound , deep puncture, serious burn , significant crush injury , etc. and has not had a tetanus shot in the preceding 5 years.目前的做法是採取了一支強心針槍殺（運輸署）如果一保持“骯髒” 的傷口 ，深穿刺，嚴重燒傷 ，重大的擠壓傷等，並沒有了破傷風槍殺在此之前的五年。 If a wound is felt to be at particularly high risk for infection with C.如果傷口是認為，必須在特別是高風險的感染與長 tetani (eg, if it is a very deep puncture or contaminated by soil or animal feces), it may also be recommended to have an injection of tetanus immune globulin as well as a tetanus booster immunization . 破傷風 （例如，如果這是一個非常深刻的穿刺或受污染的土壤或動物糞便） ，它也可以推薦有一個注射破傷風免疫球蛋白，以及作為一個破傷風加強免疫 。 Whether or not to administer tetanus immune globulin is generally a judgment call by the treating health care professional.是否或不管理破傷風免疫球蛋白是一種判斷的呼籲，治療醫護專業。 The immune globulin contains actual antibodies against the bacteria, so that the recipient carries protective antibodies against the bacteria until his or her body has a chance to manufacture its own antibodies in response to the Td booster shot.免疫球蛋白包含的實際抗體的細菌，使受援國進行保護性抗體的細菌，直到他或她的身體有機會製造自己的抗體反應，在向運輸署助推器槍殺。
A
bee sting in general does not pose a large risk for tetanus infection.蜂螫在一般並不構成大的風險，破傷風感染。 Although deep punctures of other varieties deposit bacteria into the wound(s), where C.雖然深穿刺其他存款品種的細菌進入傷口（ s ）款，如長
tetani can thrive in the absence of oxygen, a bee sting puncture isn't that deep. 破傷風可以蓬勃發展，在缺乏氧氣，蜂針穿刺是不深。 The stinger might transfer bacteria from the skin surface, wherein lies the greatest risk.該毒刺可能轉移細菌從皮膚表面，其中，謊言最大的風險。 So, my recommendation is that if a person has been immunized within the past 5 years, it is unnecessary to get a Td booster immunization.所以，我的建議是，如果一個人已經接種在過去的五年，這是不必要的獲得運輸署加強免疫。 If it has been more than 5 years but less than 10 years since the last tetanus shot, a Td booster is indicated.如果它已5年以上，但少於10年，自上次破傷風開槍，運輸署表示，是助推器。 If it has been more than 10 years since the last tetanus shot, both a Td booster and tetanus immune globulin are indicated, if you go by the book.如果已超過10年，自上次破傷風開槍，雙方運輸署強心針和破傷風免疫球蛋白是表示，如果你到按本子辦事。
Remember to write down the dates of all immunizations in a place where you can readily find the record.記得寫下的日期，所有免疫接種在一個地方，你隨時可以找到紀錄。 Many of us have had extra tetanus shots because we were unable to record the date of our prior immunization.我們很多人都出現了多餘的破傷風桿，因為我們無法記錄的日期之前，我們的免疫接種。 Also, remember that it is essential to clean all wounds if possible promptly with soap and water, followed by a fresh water rinse, in order to remove as much dirt and bacteria as possible.此外，請記住，這是必不可少的清潔，所有的傷口可能的話，及時用肥皂和水，其次是食水沖洗，在為了消除多的污垢和細菌盡可能。 This may be difficult with a tiny puncture wound like a bee sting, but do the best you can, particularly with open cuts and scrapes that have been contaminated with dirt or other grime.這可能是困難的一個細小的穿刺傷口就像一個蜂針，但盡最大努力，您可以，特別是與開放的削減和擦傷，已被污染的泥土或其他污垢。
Tags: tetanus shot , bee sting , immunization , medical , physician , health , wilderness medicine , outdoor medicine , healthline標籤： 破傷風槍傷 ， 蜂針 ， 免疫接種 ， 醫療 ， 醫師 ， 衛生 ， 曠野中醫藥 ， 中醫藥戶外 ， healthline
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1 Comments: 1評論：
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At Sat Oct 07, 11:06:00 AM 2006 ,在星期六10月7日，上午11時06分00秒2006年 ， 無名氏 Jeremy Joslin said… 傑里米joslin說…
Thanks for some great info on bee stings.感謝偉大的一些信息對蜂螫。 I thought this was such an interesting topic, that I did a literature search on the subject: I cannot find any cases of tetanus occuring after a bee sting.我以為這是一項非常有趣的話題，我做了文獻檢索關於這一主題的：我不能找到任何案件破傷風發生後，蜂針。 Sure, many people will seek medical attention and end up getting a tetanus booster in the ED, but I would bet that most people do not seek medical attention and do not get boosters.肯定的是，很多人會尋求醫療的重視和最終獲得破傷風強心針，在教育署，但我打賭說，大多數人並不延醫診治，但沒有得到的助推器。
It would be intersting to know if this booster is really overkill, but with tetanus being such a terrible disease, an ounce of prevention is worth a ton of cure.這將是有趣知道，如果這個助推器，實在是矯枉過正，但與破傷風被這種可怕的疾病，一盎司的預防是值得一噸的治療。 To be thorough, one published article in the NEJM states that the booster is unecessary.要徹底，一發表的文章中nejm國助推器是不必要的。 No actual data is cited, and it seems to be solely the opinion of the author.沒有實際的數據是引用，它似乎是純粹的意見，作者。 [Reisman BE. [雷斯曼。 Insect stings.昆蟲叮咬。 N Engl J Med 1994;331:523-527.] n英格蘭醫志1994年; 331:523-527 。 ]
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