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MediumEmergencyTetanus prophylaxisau-amcau-acem

A 28-year-old man presents after stepping on a rusty nail while working on a farm. The wound is a 1 cm puncture on the plantar surface of the foot, occurring 6 hours ago. He is otherwise well. His last tetanus-containing vaccine was more than 15 years ago, and he has never received a booster since childhood. What is the most appropriate management regarding tetanus prophylaxis?

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