Clostridium tetani is sensitive to penicillin and therefore to amoxicillin, but it’s the toxin in the tissue that kills.
Most people would at this point give tetanus immunoglobulin as well as vaccine.
DOH!, yes. precaffeinated me forgot to mention that. IF available, TIG. But it’s on our clinic’s flow charts, NOT something we carry, or I’ve ever used outside of residency 30 years ago so easy to forget.
BETADINE: I was surprised when an ENT doc I respect very highly (David Bianchi, MD, COL USN retired, often voted best ENT in Maryland by other doctors) suggested this for NETI when I got colonized with MRSA. He said to add just enough to color the saline solution to the tint of “WEAK TEA” and I did this for several weeks while taking bactrim DS and applying mupirocin (Bactroban) to/in my nose. Staph Eradication Protocol was something in vogue way back in the latter 20th century, you don’t hear about it much because it’s virtually impossible to eradicate 100% but, that, as they say, is another story.