Evidence map›Paper›PMID 31625792›Full record

ArticleHuman vaccines & immunotherapeutics2020

Insufficient knowledge and inappropriate practices of emergency doctors towards tetanus prevention in trauma patients: a pilot survey.

Yong Liu, Xichao Mo, Xiaxia Yu, Jinxin Wang, Jinfei Tian, Jun Kuang, Jie Peng

Open access · bronzeAbstract read
In one paragraph

Article in Human vaccines & immunotherapeutics, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 14 papers.

0numbers the graph read from it
0cells of the map it votes in
14citing papers in PubMed
0.4field-weighted citation impact, top 34% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

14 citing papers in PubMed, 11 citations in OpenAlex.

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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

7 authors at 3 institutions in 1 country.

Yong LiuIntensive Care Unit, Shenzhen Hospital, Southern Medical University, Shenzhen, PR China.ORCID 0000-0002-5208-888X
Xichao MoDepartment of Infectious Diseases, Nanfang Hospital, Southern Medical University, Guangzhou, PR China.ORCID 0000-0002-2736-7502
Xiaxia YuDepartment of Biomedical Engineering, Health Science Center, Shenzhen University, Shenzhen, PR China.ORCID 0000-0003-4811-5125
Jinxin WangIntensive Care Unit, Shenzhen Hospital, Southern Medical University, Shenzhen, PR China.
Jinfei TianIntensive Care Unit, Shenzhen Hospital, Southern Medical University, Shenzhen, PR China.
Jun KuangDepartment of Thoracic Surgery, Shenzhen Hospital, Southern Medical University, Shenzhen, PR China.
Jie PengDepartment of Infectious Diseases, Nanfang Hospital, Southern Medical University, Guangzhou, PR China.
Southern Medical University Shenzhen Hospital · CNNanfang Hospital · CNShenzhen University Health Science Center · CN

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

China has a shocking number of tetanus cases in the world, but little research has investigated doctors' knowledge of and practices in tetanus prophylaxis, especially tetanus vaccination. To this end, we conducted a pilot study on 197 emergency doctors using a mixed method of web-based (163; 82.8%) and paper-based (34; 17.2%) surveys. There was no difference between the two groups except for the percentage of doctors receiving a tetanus booster in the past 10 years and the responses to question 11. Surprisingly, only 28.9% of doctors had received formal training on tetanus immunization and only 21.3% had themselves received a tetanus vaccine booster in the past 10 years. Furthermore, only 14.2% of the respondents confirmed the availability of the tetanus vaccine in their respective institutions. Finally, the correct rates and Tetanus-immune-globulin (TIG)-only option rates for questions 11-15 were unsatisfactory. Our results showed that most emergency doctors' knowledge and practices strayed from the recommendations of Advisory Committee on Immunization Practices (ACIP): 1) TIG alone for most trauma patients instead of vaccine was an overused treatment approach. 2) Most of the emergency doctors lacked formal training on and knowledge of tetanus vaccination. 3) Even the emergency doctors themselves were not properly vaccinated. 4) The tetanus vaccine was only available in a small number of the respondents' institutions. The findings of this study suggest an urgent need to improve this dire situation.

Indexed as

TetanusWhooping CoughChinaHumansPilot ProjectsSurveys and QuestionnairesTetanus ToxoidVaccinationTetanus Toxoidemergency doctorsKnowledge and practicestetanus immune globulintetanus preventiontetanus vaccine

Identifiers

PMID31625792
PMCPMC7062443
OpenAlexW2981091153

What OpenQuestion holds

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LicenceCC BY-NC-ND
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Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.