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Master Thesis

Continuité de la vaccination antitétanique en ambulatoire après un passage aux urgences

Abstract : Introduction: During a visit to the emergency department (ED) for a wound with tetanus risk, the vaccination status of patients is sought after a rapid screening test. In the event of loss of immunity, a revaccination protocol is proposed. The main objective of this study is to determine whether patients have the second or third injection of tetanus vaccine after their passage to the ED. Method: It is an observational, quantitative, multicentre retrospective study on the year 2016 in the ED of Brignoles, Hyères and Toulon. We proposed a telephone questionnaire to the major patients, who had received a gammaglobulin injection from the ED. Oral consent was routinely sought. The purpose of the questionnaire was to determine patient compliance and its possible impediments. Results: 114 patients were included in the study. 89% of the patients surveyed did not know the date of their last injection of vaccine before their passage to the ED. 79% of patients did not perform the following injections. 69% of patients reported that this lack of compliance was related to a lack of information from the emergency team. 11% said they had forgotten to do so. 6% refused to do so for personal reasons. On the other hand, having had an injection of vaccine in the emergencies is statistically correlated with the conviction of being protected against the tetanus. OR = 4.23 (95% CI [1.58; 11.82], p = 0.002). Conclusion: 79% of patients do not continue tetanus revaccination after passing through the ED. The main brake appears to be a lack of communication between the ED, the patient and his / her attending physician.
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Submitted on : Wednesday, September 19, 2018 - 1:34:44 PM
Last modification on : Monday, July 6, 2020 - 4:46:58 PM


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Alexandre Lacroix. Continuité de la vaccination antitétanique en ambulatoire après un passage aux urgences. Sciences du Vivant [q-bio]. 2017. ⟨dumas-01877152⟩



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