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    122 Tetanus Prophylaxis for Injuries Referred to a Plastic Surgery Service

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    URI
    https://rde.dspace-express.com/handle/11287/622443
    Author
    Stark, D.
    Nagrath, N.
    Date
    2022-02-28
    Journal
    British Journal of Surgery
    Type
    Conference paper
    Publisher
    Wiley
    DOI
    10.1093/bjs/znac039.067
    Rights
    © 2022, Oxford University Press
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    Abstract
    To ascertain whether there is appropriate documentation of tetanus immunisation status. To determine whether appropriate tetanus prophylaxis is offered to those with an incomplete or unknown immunisation history for tetanus prone and high-risk tetanus prone wounds. To improve adherence to the green book of immunisation tetanus guidance.We performed an audit of wounds referred to plastic surgery in a 3-week period to ascertain whether the green book guidance was satisfied. A poster intervention for junior colleagues that illustrated the guidance was implemented. Re-audit was performed.Tetanus immunisation status was documented in 17 (34%) patients. Of 22 with tetanus prone wounds, 11 (50%) had an incomplete tetanus immunisation, but only 3 (27%) received a booster vaccine. Of the 11 high risk tetanus prone wounds, 10 (91%) had an incomplete tetanus immunisation status, but only 5 (50%) received a booster vaccine and none were offered tetanus immunoglobulins.Following intervention, tetanus immunisation status was documented in 23 (46%) patients. In the re-audit, 12 (24%) sustained a tetanus prone injury and 4 (33%) of these had complete immunisation. Of the remaining 8, 7 (88%) received a booster vaccine and 1 patient refused. Of the 4 high risk tetanus prone wounds, 3 (75%) had an incomplete tetanus immunisation status, all of whom received a booster vaccine and 1 (25%) was offered tetanus immunoglobulins.We observed greater engagement with the tetanus immunisation guidance and improvement in the assessment and management of tetanus prone injuries.
    Publisher URL
    https://watermark.silverchair.com/znac039.067.pdf?token=AQECAHi208BE49Ooan9kkhW_Ercy7Dm3ZL_9Cf3qfKAc485ysgAAAuQwggLgBgkqhkiG9w0BBwagggLRMIICzQIBADCCAsYGCSqGSIb3DQEHATAeBglghkgBZQMEAS4wEQQMVqrwo6FqNB3WMF01AgEQgIICl2TPFCL6C61qNQSR-5EbovW8pVdmnH7VdJJ69B1NNLwbJiaFcyfoh2zd8kfcA55WyMaSZTIouPo1goGHEm6fgFi9G1hR9m8ARu8FBwy4ZJ8uSvqMhC_R-RA21WiXVu76ECm6hM9owAo8aLSdg2-WIDQVOhB1JRM763CT4PgGFUpLspqctGpLmzoFd-VVh5PbGZ5dRGTiXs5P3ePiTkQTIwwZQoC5E3YEaL4u8EbCcDKWKoSCdxt-_xNUKiDK5tGgm4zuD1al_1erveQKKzLSf-IhHCVDzA6-30vZWwGtUiu7rRmU_xQqmzc0a7HpTVFOgapeHIAOCG03kiWABcVlgLighdtW48jcDinxfy26ha3fGdJlxyDlWIKUvBmsZX6NXf389SJrsPGQqwaDZybybg7GQpTsDNkD_4tnqTy7tHmcdoQSizXKw1MmD03achD_81COF4ryrtt742yctgOw0bNmpeLECWdbK416RFu2rcfMXk4HG8LwXFh6o6rRtVQXxDrB4QtUQrGqzT421bzsapGANi0rYOxFZsyx-dZ6E9JCcNVF46laQEunjJXmc6XQqdMzNHKWU_CMJiBThfs6YrB0glwTef2MZKv8yyzzSMtMwwjOqA0kRKCtOULtOoG6Aq7eNHt2dHw6OyP6bvrQhZI6b2GkdEfa_Md6mcholKG98UBtBYFmaQtVUz_9Dp9Gn3qj8Aaq4nU8GvA0SjZrF4-I0KYBbeVQJ-8zykCaURlYx_u4IKco7ak6wzNyGhHJ7Bhm9CvveiFwpdD1vbR8qAMZLei3Jz_TfXcO9DRpW2YYyJlUqo2JjwneeRq0yWnRTBR_VhARgraIGkF3WpVpA-hOK9PffIeTYwFFHLcZKjI0F4KEukMHxg
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