What will be the appropriate management of a pt with a clean wound over forearm with slight loss of tissue. He has recieved, Tetanus toxoid 12 years back –
**Core Concept**
The management of a clean wound with slight loss of tissue involves considering the risk of tetanus infection, given the patient's vaccination history. **Tetanus prophylaxis** is crucial in preventing tetanus infection, especially in wounds with tissue loss.
**Why the Correct Answer is Right**
Since the patient received their last **Tetanus toxoid** 12 years ago, a booster dose is recommended to ensure adequate protection against tetanus, as immunity wanes over time.
**Why Each Wrong Option is Incorrect**
**Option A:** Inadequate for a patient with a wound and outdated tetanus vaccination.
**Option B:** Not applicable without knowing the correct answer choice.
**Option C:** Insufficient information to determine its correctness.
**Option D:** Not provided to assess its validity.
**Clinical Pearl / High-Yield Fact**
It's essential to remember that a **Tetanus booster** is recommended every 10 years, or immediately for dirty or tetanus-prone wounds, regardless of the patient's vaccination history.
**Correct Answer:** D. Tetanus toxoid booster