ABSTRACTS FOR CONSIDERATIONS IN THE MANAGEMENT OF TRAUMA, FREE PAPER SESSION 2
Abstracts for Considerations in the Management of Trauma, Free Paper Session 2, Wednesday 16 September 15.45–16.30, Pippard Lecture TheatreAudit of tetanus immunisation in 17–21-year-olds: are they covered?
Royal Derby Hospital
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Introduction
Tetanus is a serious and potentially fatal condition. However, it is preventable through adequate immunisation and wound management. Herd immunity has no bearing on the disease, so all are at risk. In 1961, routine childhood tetanus immunisation was introduced in England and Wales. Current Department of Health guidance is for all to have five immunisations—three as infants, one preschool and one at the age of 15. In Derbyshire this final injection was previously given by the school nurse; however, teenagers are now required to make an appointment with their GP surgery to receive this immunisation. When 17–21-year-olds attend with lacerations, do they remember whether they had their final immunisation?
Methods
100 sets of notes were reviewed, 20 for each age (17–21 years), for consecutive laceration attendances at the emergency department (ED) of
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