Unvaccinated or incompletely vaccinated individuals with deep wound.
Note there is no herd immunity as the organism is found in soil/earth and not transmitted person-to-person.
Surgical debridement of infected wounds is vital to successful treatment.
Treatment of infection does not confirm future protection - requires vaccination to prevent future infection.
Prevention before injury: vaccination!!!
Prevention after injury: vaccination +/- tetanus immune globulin depending on clinical scenario
