Clinician awareness of tetanus-diphtheria vaccination in trauma patients

a questionnaire study

Research output: Contribution to journalArticle

4 Citations (Scopus)

Abstract

Background: Most trauma patients visit the hospital via the emergency department. They are at high risk for tetanus infection because many trauma patients are wounded. Tetanus immunity in the Korean population has been revealed to be decreased in age groups over 20 years old. It is important for emergency physicians to vaccinate patients with the tetanus booster in wound management.Methods: Questionnaires were sent to the directors of the emergency departments of resident training hospitals certified by the Korean Society of Emergency Medicine.Results: Two thirds of the emergency department directors surveyed reported applying tetanus prophylaxis guidelines to more than 80% of wounded patients. However, about 45% of clinicians in the emergency departments considered giving less than half of the wounded patient tetanus booster vaccinations, and there were no distinct differences in tetanus booster vaccination rates among different age groups. Most emergency physicians are familiar with tetanus prophylaxis guidelines for wound management. However, more than half of the emergency department directors reported that the major reason for not considering tetanus-diphtheria vaccination was due to assumptions that patients already had tetanus immunity.Conclusion: Attitude changes should be encouraged among emergency physicians regarding tetanus prophylaxis. As emergency physicians are frequently confronted with patients that are at a high risk for tetanus infection in emergency situations, they need to be more informed regarding tetanus immunity epidemiology and encouraged to administer tetanus booster vaccines.

Original languageEnglish
Article number35
JournalScandinavian Journal of Trauma, Resuscitation and Emergency Medicine
Volume20
DOIs
Publication statusPublished - 2012 May 15

Fingerprint

Diphtheria
Tetanus
Vaccination
Wounds and Injuries
Hospital Emergency Service
Emergencies
Physicians
Immunity
Surveys and Questionnaires
Age Groups
Guidelines
Tetanus Toxoid
Emergency Medicine
Infection
Epidemiology

Keywords

  • Prophylaxis
  • Tetanus
  • Tetanus-diphtheria

ASJC Scopus subject areas

  • Emergency Medicine
  • Critical Care and Intensive Care Medicine

Cite this

@article{47aa6f4229ee49b5b1e6970409c4ed75,
title = "Clinician awareness of tetanus-diphtheria vaccination in trauma patients: a questionnaire study",
abstract = "Background: Most trauma patients visit the hospital via the emergency department. They are at high risk for tetanus infection because many trauma patients are wounded. Tetanus immunity in the Korean population has been revealed to be decreased in age groups over 20 years old. It is important for emergency physicians to vaccinate patients with the tetanus booster in wound management.Methods: Questionnaires were sent to the directors of the emergency departments of resident training hospitals certified by the Korean Society of Emergency Medicine.Results: Two thirds of the emergency department directors surveyed reported applying tetanus prophylaxis guidelines to more than 80{\%} of wounded patients. However, about 45{\%} of clinicians in the emergency departments considered giving less than half of the wounded patient tetanus booster vaccinations, and there were no distinct differences in tetanus booster vaccination rates among different age groups. Most emergency physicians are familiar with tetanus prophylaxis guidelines for wound management. However, more than half of the emergency department directors reported that the major reason for not considering tetanus-diphtheria vaccination was due to assumptions that patients already had tetanus immunity.Conclusion: Attitude changes should be encouraged among emergency physicians regarding tetanus prophylaxis. As emergency physicians are frequently confronted with patients that are at a high risk for tetanus infection in emergency situations, they need to be more informed regarding tetanus immunity epidemiology and encouraged to administer tetanus booster vaccines.",
keywords = "Prophylaxis, Tetanus, Tetanus-diphtheria",
author = "Young-Hoon Yoon and Sungwoo Moon and Choi, {Sung Hyuk} and Cho, {Young Duck} and Jung-Youn Kim and Kwak, {Young Ho}",
year = "2012",
month = "5",
day = "15",
doi = "10.1186/1757-7241-20-35",
language = "English",
volume = "20",
journal = "Scandinavian Journal of Trauma, Resuscitation and Emergency Medicine",
issn = "1757-7241",
publisher = "BioMed Central",

}

TY - JOUR

T1 - Clinician awareness of tetanus-diphtheria vaccination in trauma patients

T2 - a questionnaire study

AU - Yoon, Young-Hoon

AU - Moon, Sungwoo

AU - Choi, Sung Hyuk

AU - Cho, Young Duck

AU - Kim, Jung-Youn

AU - Kwak, Young Ho

PY - 2012/5/15

Y1 - 2012/5/15

N2 - Background: Most trauma patients visit the hospital via the emergency department. They are at high risk for tetanus infection because many trauma patients are wounded. Tetanus immunity in the Korean population has been revealed to be decreased in age groups over 20 years old. It is important for emergency physicians to vaccinate patients with the tetanus booster in wound management.Methods: Questionnaires were sent to the directors of the emergency departments of resident training hospitals certified by the Korean Society of Emergency Medicine.Results: Two thirds of the emergency department directors surveyed reported applying tetanus prophylaxis guidelines to more than 80% of wounded patients. However, about 45% of clinicians in the emergency departments considered giving less than half of the wounded patient tetanus booster vaccinations, and there were no distinct differences in tetanus booster vaccination rates among different age groups. Most emergency physicians are familiar with tetanus prophylaxis guidelines for wound management. However, more than half of the emergency department directors reported that the major reason for not considering tetanus-diphtheria vaccination was due to assumptions that patients already had tetanus immunity.Conclusion: Attitude changes should be encouraged among emergency physicians regarding tetanus prophylaxis. As emergency physicians are frequently confronted with patients that are at a high risk for tetanus infection in emergency situations, they need to be more informed regarding tetanus immunity epidemiology and encouraged to administer tetanus booster vaccines.

AB - Background: Most trauma patients visit the hospital via the emergency department. They are at high risk for tetanus infection because many trauma patients are wounded. Tetanus immunity in the Korean population has been revealed to be decreased in age groups over 20 years old. It is important for emergency physicians to vaccinate patients with the tetanus booster in wound management.Methods: Questionnaires were sent to the directors of the emergency departments of resident training hospitals certified by the Korean Society of Emergency Medicine.Results: Two thirds of the emergency department directors surveyed reported applying tetanus prophylaxis guidelines to more than 80% of wounded patients. However, about 45% of clinicians in the emergency departments considered giving less than half of the wounded patient tetanus booster vaccinations, and there were no distinct differences in tetanus booster vaccination rates among different age groups. Most emergency physicians are familiar with tetanus prophylaxis guidelines for wound management. However, more than half of the emergency department directors reported that the major reason for not considering tetanus-diphtheria vaccination was due to assumptions that patients already had tetanus immunity.Conclusion: Attitude changes should be encouraged among emergency physicians regarding tetanus prophylaxis. As emergency physicians are frequently confronted with patients that are at a high risk for tetanus infection in emergency situations, they need to be more informed regarding tetanus immunity epidemiology and encouraged to administer tetanus booster vaccines.

KW - Prophylaxis

KW - Tetanus

KW - Tetanus-diphtheria

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