Background: Voluntary medical male circumcision (VMMC) is important for HIV prevention, providing up to 60% protection. Although VMMC is usually a safe procedure, it is not free of associated serious adverse events. In the Uganda VMMC program, which is available to males 10 years of age and older, 11 individuals were reported with tetanus infection out of almost 3.5 million circumcisions over an eight-year period (2009–2018). The majority had received tetanus vaccination prior to VMMC. Disproportionately and statistically significantly, the elastic collar compression method accounted for half the tetanus infection cases, despite contributing to only less than 10% of circumcisions done. This article describes gaps in presumed tetanus vaccination (TTV) protection along with relevant discussions and recommendations.

中文翻译：

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缩小男性自愿进行包皮环切术对破伤风零感染的差距：七例报告和文献复习。

背景：自愿性男性包皮环切术（VMMC）对于HIV预防非常重要，可提供高达60％的保护。尽管VMMC通常是安全的过程，但并非没有严重的不良事件。在乌干达VMMC计划中，该计划适用于10岁及以上的男性，在八年期间（2009-2018年），在近350万例包皮环切术中，报告有11人感染了破伤风。大多数人在VMMC之前接受了破伤风疫苗接种。尽管仅占包皮环切术的不到10％，但弹性领压法在破伤风感染病例中所占比例却不成比例，且在统计上也很显着。本文介绍了估计的破伤风疫苗接种（TTV）保护中的差距以及相关的讨论和建议。