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Unnecessary Tetanus boosters in the ED
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  1. T Burton,
  2. S Crane
  1. Accident and Emergency Department, York Hospital, Wigginton Road, York, UK
  1. Correspondence to:
 Dr T Burton
 16 Tom Lane, Fulwood, Sheffield, S10 3PB; tomandjackiedoctors.org.uk

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It is recommended that five doses of tetanus toxoid provide lifelong immunity and 10 yearly doses are not required beyond this.1 National immunisation against tetanus began in 1961, providing five doses (three in infancy, one preschool and one on leaving school).2 Coverage is high, with uptake over 90% since 1990.2 Therefore, the majority of the population under the age of 40 are fully immunised against tetanus.

Td (tetanus toxoid/low dose diphtheria) vaccine is often administered in the Emergency Department (ED) following a wound or burn based upon the patient’s recollection of their immunisation …

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