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TETANUS PROPHYLAXIS FOR TRAUMA CASES IN JAPAN－THE USEFULNESS OF TETANUS QUICK STICK－
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- SASAKI Ryo
- Department of Emergency Medicine and Critical Care, National Center for Global Health and Medicine, Hospital
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- KIMURA Akio
- Department of Emergency Medicine and Critical Care, National Center for Global Health and Medicine, Hospital
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- HAGIWARA Akiyoshi
- Department of Emergency Medicine and Critical Care, National Center for Global Health and Medicine, Hospital
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- KOBAYASHI Kentaro
- Department of Emergency Medicine and Critical Care, National Center for Global Health and Medicine, Hospital
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- SATO Takunori
- Department of Emergency Medicine and Critical Care, National Center for Global Health and Medicine, Hospital
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- INAKA Aki
- Department of Emergency Medicine and Critical Care, National Center for Global Health and Medicine, Hospital
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- SAKAMOTO Taigo
- Department of Emergency Medicine and Critical Care, National Center for Global Health and Medicine, Hospital
Bibliographic Information
- Other Title
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- 本邦における破傷風予防の検討－Tetanus Quick Stickの有用性について－
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Description
<p> Tetanus prophylaxis in adults varies among individuals or institutions in Japan. In this study, we aimed to examine the accuracy of the Tetanus Quick Stick (TQS), which is a rapid tetanus test kit, and to establish a tetanus prophylaxis algorithm for trauma in Japan. In 182 trauma cases brought to our hospital by ambulance from October 2009 to March 2010, we measured tetanus antibody titers (IU/mL) with TQS and enzyme-linked immunosorbent assay (ELISA). We also recorded age, vaccination history, etc. In 114 (62.6%) of 182 cases, the tetanus antibody titer was >0.1 IU/mL, which that is a sufficient protection level against tetanus. The accuracy of TQS was 66.7% sensitivity, 97.1% specificity, and 97.4% positive predictive value. We compared tetanus antibody titers in cases born before and after 1968 when tetanus toxoid was introduced into routine immunization in Japan. As a result, patients with a sufficient antibody titer accounted for 35% of those born before 1967 and over 90% of those born after 1968. We consider that TQS and the difference in the prevalence of tetanus antibody due to age as an important factor for establishing a tetanus prophylaxis algorithm in Japan.</p>
Journal
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- Journal of the Japanese Association for the Surgery of Trauma
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Journal of the Japanese Association for the Surgery of Trauma 26 (3), 314-319, 2012-07-20
The Japanese Association for the Surgery of Trauma
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Details 詳細情報について
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- CRID
- 1390566775159804416
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- NII Article ID
- 10031143953
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- NII Book ID
- AN10449533
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- ISSN
- 21880190
- 13406264
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- Text Lang
- ja
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- Data Source
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- JaLC
- CiNii Articles
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- Abstract License Flag
- Disallowed
