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Insufficient knowledge and inappropriate practices of emergency doctors towards tetanus prevention in trauma patients: a pilot survey.

Abstract

China has a shocking number of tetanus cases in the world, but little research has investigated doctors' knowledge of and practices in tetanus prophylaxis, especially tetanus vaccination. To this end, we conducted a pilot study on 197 emergency doctors using a mixed method of web-based (163; 82.8%) and paper-based (34; 17.2%) surveys. There was no difference between the two groups except for the percentage of doctors receiving a tetanus booster in the past 10 years and the responses to question 11. Surprisingly, only 28.9% of doctors had received formal training on tetanus immunization and only 21.3% had themselves received a tetanus vaccine booster in the past 10 years. Furthermore, only 14.2% of the respondents confirmed the availability of the tetanus vaccine in their respective institutions. Finally, the correct rates and Tetanus-immune-globulin (TIG)-only option rates for questions 11-15 were unsatisfactory. Our results showed that most emergency doctors' knowledge and practices strayed from the recommendations of Advisory Committee on Immunization Practices (ACIP): 1) TIG alone for most trauma patients instead of vaccine was an overused treatment approach. 2) Most of the emergency doctors lacked formal training on and knowledge of tetanus vaccination. 3) Even the emergency doctors themselves were not properly vaccinated. 4) The tetanus vaccine was only available in a small number of the respondents' institutions. The findings of this study suggest an urgent need to improve this dire situation.

Authors+Show Affiliations

Intensive Care Unit, Shenzhen Hospital, Southern Medical University , Shenzhen , PR China.Department of Infectious Diseases, Nanfang Hospital, Southern Medical University , Guangzhou , PR China.Department of Biomedical Engineering, Health Science Center, Shenzhen University , Shenzhen , PR China.Intensive Care Unit, Shenzhen Hospital, Southern Medical University , Shenzhen , PR China.Intensive Care Unit, Shenzhen Hospital, Southern Medical University , Shenzhen , PR China.Department of Thoracic Surgery, Shenzhen Hospital, Southern Medical University , Shenzhen , PR China.Department of Infectious Diseases, Nanfang Hospital, Southern Medical University , Guangzhou , PR China.

Pub Type(s)

Journal Article

Language

eng

PubMed ID

31625792

Citation

Liu, Yong, et al. "Insufficient Knowledge and Inappropriate Practices of Emergency Doctors Towards Tetanus Prevention in Trauma Patients: a Pilot Survey." Human Vaccines & Immunotherapeutics, 2019, pp. 1-9.
Liu Y, Mo X, Yu X, et al. Insufficient knowledge and inappropriate practices of emergency doctors towards tetanus prevention in trauma patients: a pilot survey. Hum Vaccin Immunother. 2019.
Liu, Y., Mo, X., Yu, X., Wang, J., Tian, J., Kuang, J., & Peng, J. (2019). Insufficient knowledge and inappropriate practices of emergency doctors towards tetanus prevention in trauma patients: a pilot survey. Human Vaccines & Immunotherapeutics, pp. 1-9. doi:10.1080/21645515.2019.1653745.
Liu Y, et al. Insufficient Knowledge and Inappropriate Practices of Emergency Doctors Towards Tetanus Prevention in Trauma Patients: a Pilot Survey. Hum Vaccin Immunother. 2019 Oct 18;1-9. PubMed PMID: 31625792.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Insufficient knowledge and inappropriate practices of emergency doctors towards tetanus prevention in trauma patients: a pilot survey. AU - Liu,Yong, AU - Mo,Xichao, AU - Yu,Xiaxia, AU - Wang,Jinxin, AU - Tian,Jinfei, AU - Kuang,Jun, AU - Peng,Jie, Y1 - 2019/10/18/ PY - 2019/10/19/entrez KW - Knowledge and practices KW - emergency doctors KW - tetanus immune globulin KW - tetanus prevention KW - tetanus vaccine SP - 1 EP - 9 JF - Human vaccines & immunotherapeutics JO - Hum Vaccin Immunother N2 - China has a shocking number of tetanus cases in the world, but little research has investigated doctors' knowledge of and practices in tetanus prophylaxis, especially tetanus vaccination. To this end, we conducted a pilot study on 197 emergency doctors using a mixed method of web-based (163; 82.8%) and paper-based (34; 17.2%) surveys. There was no difference between the two groups except for the percentage of doctors receiving a tetanus booster in the past 10 years and the responses to question 11. Surprisingly, only 28.9% of doctors had received formal training on tetanus immunization and only 21.3% had themselves received a tetanus vaccine booster in the past 10 years. Furthermore, only 14.2% of the respondents confirmed the availability of the tetanus vaccine in their respective institutions. Finally, the correct rates and Tetanus-immune-globulin (TIG)-only option rates for questions 11-15 were unsatisfactory. Our results showed that most emergency doctors' knowledge and practices strayed from the recommendations of Advisory Committee on Immunization Practices (ACIP): 1) TIG alone for most trauma patients instead of vaccine was an overused treatment approach. 2) Most of the emergency doctors lacked formal training on and knowledge of tetanus vaccination. 3) Even the emergency doctors themselves were not properly vaccinated. 4) The tetanus vaccine was only available in a small number of the respondents' institutions. The findings of this study suggest an urgent need to improve this dire situation. SN - 2164-554X UR - https://www.unboundmedicine.com/medline/citation/31625792/Insufficient_knowledge_and_inappropriate_practices_of_emergency_doctors_towards_tetanus_prevention_in_trauma_patients:_a_pilot_survey L2 - http://www.tandfonline.com/doi/full/10.1080/21645515.2019.1653745 DB - PRIME DP - Unbound Medicine ER -