Which action regarding a Td booster is typically appropriate after a cut, if the last booster was over five years ago?

Administering a Td (tetanus-diphtheria) booster after a cut, especially if the last booster was over five years ago, is essential to ensure adequate protection against tetanus. When a person sustains a significant wound, particularly if it is a dirty or contaminated wound, immunization guidelines recommend that if it has been more than five years since the last Td booster, the patient should receive another Td booster to re-establish immunity.

This action aligns with recommendations from health organizations such as the Centers for Disease Control and Prevention (CDC), which emphasize the importance of staying up-to-date with tetanus vaccinations to prevent serious infections. While providing immunoglobulin may be necessary in certain circumstances (like deep wounds or among individuals with compromised immune systems), the typical response for someone who is up to date with their Td series is simply to provide a Td booster if the last dose was administered more than five years ago.

It is important to note that while other options might involve administering immunoglobulin or not vaccinating at all, these do not align with standard practice for the given situation of a recent cut combined with a lapsed Td booster timeframe.