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dc.contributor.authorScott, Patricia
dc.date.accessioned2013-01-22T13:58:48Z
dc.date.available2013-01-22T13:58:48Z
dc.date.issued2012
dc.identifier.citationScott , P 2012 , ' Point-of-care tetanus immunoassay : an audit of unscheduled tetanus prophylaxis ' International Journal of Orthopaedic and Trauma Nursing , vol. 16 , no. 2 , pp. 97-103 . https://doi.org/10.1016/j.ijotn.2011.06.005
dc.identifier.otherPURE: 528647
dc.identifier.otherPURE UUID: 35991d30-c57d-4877-8651-fe7f2901e48e
dc.identifier.otherScopus: 84859003167
dc.identifier.urihttp://hdl.handle.net/2299/9749
dc.description.abstractTetanus is a life threatening non-communicable infection caused by the anaerobic bacillus tetanus clostridium which enters the body through a wound. The World Health Organisation (2006) aim to eradicate tetanus incidence globally is supported by the implementation of national vaccination programmes. The United Kingdom population receive tetanus prophylaxis through a robust vaccination infrastructure and unscheduled tetanus prophylaxis when patients present to emergency departments following penetrating injury. However, individual patient recall of tetanus immune status is problematic. The decision to prescribe tetanus prophylaxis is dependent on accurate assessment of a tetanus-prone wound and current tetanus immunity status so one solution is the use of tetanus immunoassay. This paper presents an analysis of expenditure on unscheduled tetanus prophylaxis in two emergency departments at one NHS Foundation Trust in the North of England. Consideration is given to potential benefits of single step point-of-care tetanus immunoassay using one drop of the patient’s blood. Cost-savings were limited however critical to the discussion is the impact of tetanus immunoassay on patient choice. Any prospective change to an A&E departments’ tetanus prophylaxis practise must guarantee no less a level of seroprotection than necessary and preferably should enhance individual patients’ safety, comfort and choice.en
dc.format.extent7
dc.language.isoeng
dc.relation.ispartofInternational Journal of Orthopaedic and Trauma Nursing
dc.titlePoint-of-care tetanus immunoassay : an audit of unscheduled tetanus prophylaxisen
dc.contributor.institutionCentre for Research in Public Health and Community Care
dc.contributor.institutionSchool of Health and Social Work
dc.contributor.institutionHealth & Human Sciences Research Institute
dc.contributor.institutionDepartment of Adult Nursing and Primary Care
dc.contributor.institutionNursing, Midwifery and Social Work
dc.description.statusPeer reviewed
dc.identifier.urlhttp://www.scopus.com/inward/record.url?scp=84859003167&partnerID=8YFLogxK
dc.relation.schoolSchool of Health and Social Work
rioxxterms.versionVoR
rioxxterms.versionofrecordhttps://doi.org/10.1016/j.ijotn.2011.06.005
rioxxterms.typeJournal Article/Review
herts.preservation.rarelyaccessedtrue
herts.rights.accesstypeclosedAccess


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