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Indian Journal of Emergency Medicine

Volume  3, Issue 1, January - June 2017, Pages 16-22
 

Original Article

Tetanus Prevention Knowledge and Practices in Doctors of a Tertiary Care Centre of India

Indraneel Dasgupta, Chaitali Kundu, Indranil Mitra, Nikhilesh Das

1Clinical Director 2Masters in Emergency Medicine, 3rd Year PGT 3Consultant 4Senior Consultant, Department of Emergency Medicine, The Institute of Emergency and Trauma care, Peerless Hospitex Hospital and Research Centre Limited, Kolkata, 360, Pancha

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DOI: http://dx.doi.org/10.21088/ijem.2395.311X.3117.2

Abstract

Introduction: The most important risk factor for the development of tetanus is lack of immunization. In taking care of wounds suspected of tetanus and use of prophylaxis for it, a history of patient’s vaccination is very important because in individuals who have received five initial vaccination doses completely no particular intervention is necessary, except for cases in which the wound is high risk for tetanus. Aims of the study: 1) to assess the knowledge of doctors about tetanus immunization in relation to injuries.2 ) To assess the current tetanus prevention practices among doctors while treating adult patients with trauma. Methodology: The study is a prospective, cross-sectional, multi-centric, observational, questionnaire-based study. For the purpose of this thesis,a descriptive co relational analytical survey was used, in which a qualitativ approach w be undertaken to determine the answers of the research questions. The sample size required for this survey was calculated as 322, rounded to 325.

Results: In our study a total of 115 Emergency Physicians responded via the Webbased software. Though in many places the physicians had considerable knowledge still a significant number of physicians lacked knowledge in various domains when we compared their answers with the latest World Health Organization Guidelines. Conclusion: Better cognizance of tetanus prophylaxis recommendations is necessary and tetanus prophylaxis. National recommendations should be followed at all times while administering the vaccine.


Keywords : Tetanus; Prophylaxis; World Health Organization.
Corresponding Author : Indraneel Dasgupta, Clinical Director, Department of Emergency Medicine, The Institute of Emergency and Trauma care, Peerless Hospitex Hospital and Research Centre Limited, Kolkata, 360, Panchasayar, Kolkata, West Bengal, Pincode 700094.