Acute Caremiddle twist
A 26-year-old man who moved to Australia two years ago stands on a nail while clearing out a chicken run. He presents 30 hours later with a deep puncture through the sole of the right foot containing soil and shreds of rubber from his shoe. He has no vaccination records and cannot recall ever being immunised. The wound is irrigated and debrided in the emergency department and antibiotic prophylaxis is started. Which one of the following tetanus prophylaxis regimens should he be given?