Changes

The approach to treatment in the dog is the same as that described for the horse. It is important however to exercise caution in the intravenous administration of equine tetanus antitoxin, as this may cause anaphylaxis if used in dogs. An intradermal test may be performed prior to the administration of the antitoxin in order to prevent anaphylaxis. Metronidazole and amoxcillin-clavulanic acid PO have been used successfully to treat tetanus in the dog. Corticosteroids are contraindicated in localised tetanus and may worsen clinical signs if administered.

The approach to treatment in the dog is the same as that described for the horse. It is important however to exercise caution in the intravenous administration of equine tetanus antitoxin, as this may cause anaphylaxis if used in dogs. An intradermal test may be performed prior to the administration of the antitoxin in order to prevent anaphylaxis. Metronidazole and amoxcillin-clavulanic acid PO have been used successfully to treat tetanus in the dog. Corticosteroids are contraindicated in localised tetanus and may worsen clinical signs if administered.

Noise and external stimuli should be kept to a minimum, and the dog should be kept in a quiet, darkened kennel. Acetylpromazine has also been reported to reduce sensitivity to external stimuli.  

Noise and external stimuli should be kept to a minimum, and the dog should be kept in a quiet, darkened kennel. Acetylpromazine has also been reported to reduce sensitivity to external stimuli and its administration is likely to be beneficial in these cases. Supportive nursing care such as catheterisation and/or enemas may be required, as well as assistance with eating and drinking. Bedding should be thick and changed regularly, and the patient should be turned regularly in order to prevent decubital ulcer formation. Physiotherapy may be benefical during the recovery period.

Supportive nursing care such as catheterisation and/or enemas may be required. Bedding should be thick and changed regularly, and the patient should be turned regularly in order to prevent decubital ulcer formation. The dog may require hand feeding and drinking.

In the recovery stage, physiotherapy may be beneficial.  

==Prognosis==

==Prognosis==

The long-term prognosis for dogs with tetanus is good providing treatment and nursing care are provided.  

The long-term prognosis for dogs with tetanus is good.