ArticleFrontiers in public health2026
Status of tetanus prevention following injuries: a descriptive study from Sandun Town, Hangzhou.
Article in Frontiers in public health, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.
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Abstract
Objective: To describe tetanus vaccination practices and injury characteristics in Sandun Town, Hangzhou during February 2024 to January 2025. Methods: A retrospective cross-sectional study was conducted using data from trauma and animal-injury patients who received tetanus vaccination in Sandun Town, Hangzhou from February 2024 to January 2025. Demographic characteristics, injury profiles, vaccination status, and relationships with season/temperature were analyzed. Results: Total of 3,174 patients were initially identified, and 2,825 were included in the final analysis after applying exclusion criteria. Among them, animal-induced injuries accounted for 1,029 cases (36.4%), traffic accident injuries for 943 cases (33.4%), cutting injuries for 374 cases (13.2%), blunt force injuries for 242 cases (8.6%), and other causes for 237 cases (8.4%). Males predominated in all trauma categories except animal-induced injuries, where females were the majority (53.3%). Employees/workers were the predominant occupational group across all categories (56.4-76.4%). The upper limb was the most common injury site across all categories (56.7-74.1%). High-risk wounds were observed in 88.2-98.9% of patients. The use of passive immunizing agents was generally low (2.1-10.4%), with the highest rate in animal-induced injuries. Conclusion: Following the implementation of China's 2024 non-neonatal tetanus guideline, the treatment of external injuries is becoming more standardized. However, gaps persist compared with developed countries, mainly reflected in the underutilization of passive immunizing agents for high-risk wounds and inconsistent application of guidelines. Targeted education for students, migrant workers, and pet owners-particularly during warmer months-and continued training for healthcare personnel are needed.
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