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An audit of adult tetanus immunity
Abstract:
Many Canadian adults are not protected against tetanus. This study examined adult patients' knowledge of their tetanus immunization and its documentation in family practice charts at a downtown teaching community health centre. A date of previous immunization was recalled by 38% (49/129) of patients. Immunization was documented on 34% (44/129) of the "cumulative patient profiles." Of the 22 patients who provided a recall date and whose charts documented immunization, 82% (18/22) had accurate recall. Written immunization records were kept by 19% (25/129) of patients. The results indicate problems both with patients' knowledge of immune status and with chart documentation by physicians. Recommendations for improvement of the immunization process are outlined.
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