Effectiveness and cost of quick diagnostic tests to determine tetanus immunity in patients with a wound in french emergency departments

Table 1 Guidelines for tetanus prophylaxis for wound management in French EDs

Type of wound	Vaccination history
	Complete primary vaccination		No or unknown complete primary vaccination
	Booster ^aupdated ^b	Booster not updated
Non-tetanus-prone wound	Nothing	Booster	Booster (proposal to update the primary vaccination)^d
Tetanus-prone wound^c	Nothing	Booster + TIG	Booster + TIG (proposal to update the primary vaccination)

ED: Emergency department; TIG: Human tetanus immunoglobulins;
^aTetanus-toxoid vaccine.
^bAccording to the French vaccination schedule; i.e. having received a tetanus-toxoid injection during the last 20 years for those <65 years of ageand during the last 10 years of those aged ≥65 years.
^cSuch as (but not limited to) wounds contaminated with dirt, feces, soil, and saliva; puncture wounds; avulsions; and wounds resulting from missiles, crushing, burns, and frostbite.
^dPrimary vaccination update: administration of two other boosters at a one-month interval, usually by a general practitioner.

ISSN: 1471-2334