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Patients' understanding of tetanus immunisation

F Davies¹, L C Luke, P Burdett-Smith

¹Department of Accident and Emergency Medicine, Royal Liverpool University Hospital, United Kingdom.

Journal of Accident & Emergency Medicine

|July 1, 1996

Summary

Many patients misunderstand adsorbed tetanus toxoid (ATT), often believing it is an antibiotic. Education is needed to improve patient understanding of ATT

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Area of Science:

Medical Research
Public Health
Immunology

Background:

Adsorbed tetanus toxoid (ATT) is administered in accident and emergency (A&E) settings.
Patient comprehension of ATT's function is crucial for effective treatment and prevention.

Purpose of the Study:

To assess patient understanding of adsorbed tetanus toxoid (ATT) use in an accident and emergency (A&E) unit.
To identify misconceptions regarding ATT's role in wound management and infection prevention.

Main Methods:

A questionnaire was administered to 500 patients at a hospital's minor injuries unit.
Data analysis was conducted at a 95% confidence level, with occupation used to determine social class.

Main Results:

Over 50% of patients incorrectly believed ATT is an antibiotic.
81% thought ATT prevented wound infection, and 35.6% believed it negated the need for concurrent antibiotics.
Accuracy of responses showed a significant gradient across social classes I to V.

Conclusions:

A significant gap exists in patient understanding of ATT's purpose and limitations.
Misconceptions may lead to reduced awareness of wound infection risks and lower compliance with antibiotic prescriptions.
Healthcare providers in A&E and primary care should prioritize patient education on ATT immunisation.

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