Kumar Rajesh, Taneja D K, Dabas P, Ingle G K, Saha R
Department of Community Medicine, Maulana Azad Medical College, New Delhi - 110 002, India.
Indian J Med Sci. 2005 Jan;59(1):3-8.
In spite of the clear-cut guidelines regarding tetanus immunization, we have observed that tetanus toxoid injection is often given after injury without considering previous immunization status. One of the reasons for this could be that the doctors themselves are not aware of the correct immunization schedules against tetanus.
It was a cross-sectional study conducted in Delhi.
After complete enlisting of all the government allopathic hospitals and dispensaries, a representative sample (including private practitioners from the nearby area of selected dispensaries) of doctors was selected. All the doctors were personally contacted and information was collected through a pre-structured self-administered proforma.
Data was analyzed using a computer and wherever applicable Chi-square test/Z test or Fishers' Exact test was applied.
As many as 38.3% of doctors favored tetanus toxoid injection after every injury. The correct knowledge of immunization against tetanus in children, pregnant women and adults was 75%, 90.8% and 35.8% respectively. The knowledge regarding when to give boosters was even poorer. The present study showed that doctors had poor knowledge about tetanus immunization that needs to be improved.
尽管有关于破伤风免疫的明确指南,但我们观察到破伤风类毒素注射常常在受伤后进行,而未考虑既往免疫状况。造成这种情况的原因之一可能是医生自身并不知晓正确的破伤风免疫接种程序。
这是一项在德里进行的横断面研究。
在将所有政府开办的西医医院和诊疗所全部登记造册之后,选取了一个具有代表性的医生样本(包括所选诊疗所附近地区的私人执业医生)。所有医生均被亲自联系,并通过一份预先设计好的自填式表格收集信息。
使用计算机对数据进行分析,在适用的情况下应用卡方检验/Z检验或费舍尔精确检验。
多达38.3%的医生赞成每次受伤后都注射破伤风类毒素。儿童、孕妇和成人中关于破伤风免疫的正确知识知晓率分别为75%、90.8%和35.8%。关于何时进行加强免疫的知识甚至更差。本研究表明医生对于破伤风免疫的知识匮乏,需要加以改进。