Related Experiment Video
Updated: Jun 3, 2026

A Standardized Procedure of Dressing Management for Toxic Epidermal Necrolysis
Published on: March 14, 2025
[Managing the risk of wound tetanus in family practice]
1Service universitaire de médecine générale, faculté de médecine Jacques-Lisfranc, 15, rue Ambroise-Paré, 42023 Saint-Étienne cedex 2, France. barjat.christophe@neuf.fr
Objectives:
The study objectives were to assess how GPs manage the risk of tetanus in wounds, compared to the French Health Ministry guidelines on tetanus toxoid vaccination and immunoglobulin injections.
Design:
A cross-sectional survey was made using an online questionnaire sent to 3,165 GPs in the French Rhône-Alpes region.
Results:
The answer rate was 9.1%. Overall, 64.4% of GP complied to recommendations. The best observance was noted for minor risk wounds and for patients whose last booster vaccination was less than 5years old (P<0.05). Generally, GPs underused tetanus toxoid vaccination (-17.1%) and overused immunoglobulin injections (+37.1%). The main difficulties encountered were assessing the patient and his wound, misuse of immunoglobulin injections, and ignorance of recommendations.
Conclusions:
The higher the tetanic risk, the less recommendations were observed. A quick diagnostic test and a better availability of new easier to memorize recommendations should help GPs optimize their practices.
Related Concept Videos
Tetanus
Venous Thrombosis IV: Nursing Management
Aneurysm IV: Nursing Management
Endocarditis IV: Nursing Management
Factors Affecting the Risk of Infection
The integrity and count of the white blood cells help the body resist pathogens and fight infection. When impaired, it reduces the body's resistance to pathogens. The acidic pH levels of the gastrointestinal, genitourinary tracts, and skin create...
Peripheral Artery Disease IV: Nursing Management