Disinfecting, debriding the wound and administering the vaccine excepted, the subject must, in some cases, be passively immunized with a human tetanus immunoglobulin injected at a different site (See table hereafter).
Post-tetanus exposure prophylaxis recommendations are summarized as follows: (See table.)

Subjects who have had tetanus must have a primary immunization because the antibody response clinically generated by this disease is not sufficient.
Neonatal Tetanus Prophylaxis: Women of childbearing age or pregnant women that have not yet been immunized must have 2 successive injections at least 4 weeks apart, the first one shall preferably be administered 90 days or more before birth.
Primary Immunization: Whenever adults must be vaccinated, the schedule includes 2 successive injections one or two months apart followed by a booster dose 6 to 12 months after the second injection.
Booster injection: 1 injection of 0.5 ml ten years after primary immunization and every ten years thereafter.
Method of Administration: Given the adsorbed nature of the vaccine, it is recommended to administer it by the intramuscular route in order to minimize local reactions. The recommended sites are the antero-lateral face of the thigh or arm.
The deep subcutaneous route may also be used.
The intradermal route must not be used.