Please use this identifier to cite or link to this item: http://hdl.handle.net/11452/32987
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dc.date.accessioned2023-06-08T12:10:53Z-
dc.date.available2023-06-08T12:10:53Z-
dc.date.issued2013-07-
dc.identifier.citationŞimşek, G. vd. (2013). “Analysis of appropriate tetanus prophylaxis in an emergency department”. Ulusal Travma ve Acil Cerrahi Dergisi-Turkish Assoc Trauma Emergency Surgery-Turkish Journal of Trauma and Emergency Surgery, 19(4), 320-326.tr_TR
dc.identifier.issn1306-696X-
dc.identifier.urihttps://doi.org/10.5505/tjtes.2013.05014-
dc.identifier.urihttp://jag.journalagent.com/travma/pdfs/UTD_19_4_320_326.pdf-
dc.identifier.urihttp://hdl.handle.net/11452/32987-
dc.description.abstractBACKGROUND In this study, our aim was to identify the validity of the prophylaxis indications for patients who received tetanus prophylaxis, determine the ratio of high-risk wounds to the number of patients with immunity, and to evaluate the tetanus immunity of specific age groups. METHODS Patients who applied to the Emergency Department (ED) between September 2009 and May 2010 and who were considered for tetanus prophylaxis by his/her primary care physician were included in the study. RESULTS A total of 320 patients were evaluated. The average age of the patients was 40.87 +/- 15.83 years. A total of 73.1% of the patients were male and 26.8% were female. A total of 40.3% of the patients knew their vaccination history, while 59.7% had no recollection of their vaccination history. 14.7% of the patients had received their last dose within 5 years and 48.1% within 5-10 years; 37.2% of the patients declared that more 10 years had passed since their last vaccination. In 75% of the patients, the tetanus immunoglobulin (Ig)G level was identified as >= 0.1 IU/ml, while 25% of the patients had levels <0.1 IU/ml. The number of patients with protective levels was lower among those who were illiterate or who had only a primary school education, and this difference was statistically significant (p<0.001). CONCLUSION The vaccination histories can be misleading. Certain equipment can be used at the bedside to determine a patient's tetanus immunization status.en_US
dc.description.abstractBu çalışmada, tetanoz profilaksisi verilen hastaların profilaksi endikasyonunun doğruluğu, hekim tarafından tetanoz riskli kabul edilen yaraların ve bu hastaların bağışıklık oranının belirlenmesi, belirli yaş gruplarının tetanoz bağışıklığının değerlendirilmesi amaçlandı. GEREÇ VE YÖNTEM Eylül 2009-Mayıs 2010 tarihleri arasında Uludağ Üniversitesi Tıp Fakültesi Acil Servis’ine (AS) başvuran ve birinci basamak hekimi tarafından tetanoz profilaksisi verilmesi uygun görülen hastalar bu çalışmaya alındı. BULGULAR Toplam 320 hasta değerlendirildi. Hastaların yaş ortalaması 40,87±15,83 idi. Hastaların %73,1’i erkek, %28,6’sı kadındı. Hastaların %40,3’ü aşılama geçmişini biliyorken, %59,7’si aşılanma geçmişini hatırlamıyordu. Hastaların %14,7’si son dozunu beş yıl içinde alırken, %48,1’i 5-10 yıl içinde almıştı ve %37,2’si 10 yıldan daha fazla bir süre önce son kez aşılanmıştı. Hastaların %75’inde tetanoz immünglobulin (Ig)G düzeyi ≥0,1 IU/ml ve %25’inde tetanoz IgG düzeyi <0,1 IU/ml olarak saptandı. Okuma yazma bilmeyenlerde ya da sadece ilkokul mezunu olanlarda tetanoz bağışıklığı için koruyucu düzeyler daha düşüktü ve bu fark istatistiksel olarak anlamlı idi (p<0,001). SONUÇ Hastalardan alınan aşılanma öyküleri yanıltıcı olabilir ve bu amaçla hastaların yatak başı tetanoz bağışıklık durumunun test edilebileceği cihazlar kullanılabilir.tr_TR
dc.language.isoenen_US
dc.publisherTürk Travma ve Acil Cerrahi Dergisitr_TR
dc.rightsinfo:eu-repo/semantics/openAccessen_US
dc.rightsAtıf Gayri Ticari Türetilemez 4.0 Uluslararasıtr_TR
dc.rights.urihttp://creativecommons.org/licenses/by-nc-nd/4.0/*
dc.subjectEmergency medicineen_US
dc.subjectEmergency departmenten_US
dc.subjectImmunizationen_US
dc.subjectTetanusen_US
dc.subjectCommunity-based seroepidemiologyen_US
dc.subjectImmunityen_US
dc.subjectAdultsen_US
dc.subjectDiphtheriaen_US
dc.subjectAcil servisen_US
dc.subjectBağışıklık durumuen_US
dc.subjectTetanozen_US
dc.subject.meshAdolescenten_US
dc.subject.meshAdulten_US
dc.subject.meshAged, 80 and overen_US
dc.subject.meshAgeden_US
dc.subject.meshChilden_US
dc.subject.meshEducational statusen_US
dc.subject.meshEmergency service, hospitalen_US
dc.subject.meshFemaleen_US
dc.subject.meshHumansen_US
dc.subject.meshMaleen_US
dc.subject.meshMiddle ageden_US
dc.subject.meshTetanusen_US
dc.subject.meshTetanus toxoiden_US
dc.subject.meshVaccinationen_US
dc.subject.meshWounds and injuriesen_US
dc.subject.meshYoung adulten_US
dc.titleAnalysis of appropriate tetanus prophylaxis in an emergency departmenten_US
dc.title.alternativeAcil serviste yapılan tetanoz proflaksisi uygunluǧunun analizitr_TR
dc.typeArticleen_US
dc.identifier.wos000322097200007tr_TR
dc.identifier.scopus2-s2.0-84880108776tr_TR
dc.relation.publicationcategoryMakale - Uluslararası Hakemli Dergitr_TR
dc.contributor.departmentUludağ Üniversitesi/Tıp Fakültesi/Acil Tıp Anabilim Dalı.tr_TR
dc.contributor.departmentUludağ Üniversitesi/Tıp Fakültesi/ Mikrobiyoloji ve Enfeksiyon Hastalıkları Anabilim Dalı.tr_TR
dc.contributor.orcid0000-0003-4306-9262tr_TR
dc.contributor.orcid0000-0003-2271-5659tr_TR
dc.identifier.startpage320tr_TR
dc.identifier.endpage326tr_TR
dc.identifier.volume19tr_TR
dc.identifier.issue4tr_TR
dc.relation.journalUlusal Travma ve Acil Cerrahi Dergisi-Turkish Assoc Trauma Emergency Surgery-Turkish Journal of Trauma and Emergency Surgerytr_TR
dc.contributor.buuauthorŞimşek, Gözde-
dc.contributor.buuauthorArmaǧan, Erol-
dc.contributor.buuauthorKöksal, Özlem-
dc.contributor.buuauthorHeper, Yasemin-
dc.contributor.buuauthorPozam, Suna Eraybar-
dc.contributor.buuauthorDurak, Vahide Aslıhan-
dc.contributor.researcheridHIK-0672-2022tr_TR
dc.contributor.researcheridAAE-9483-2021tr_TR
dc.contributor.researcheridAAK-8332-2020tr_TR
dc.contributor.researcheridCAF-5149-2022tr_TR
dc.contributor.researcheridAAH-8846-2021tr_TR
dc.contributor.researcheridAAH-6506-2021tr_TR
dc.contributor.researcheridY-3674-2018tr_TR
dc.indexed.trdizinTrDizintr_TR
dc.identifier.pubmed23884673tr_TR
dc.subject.wosEmergency medicineen_US
dc.indexed.wosSCIEen_US
dc.indexed.scopusScopusen_US
dc.indexed.pubmedPubMeden_US
dc.wos.quartileQ4en_US
dc.contributor.scopusid57225727701tr_TR
dc.contributor.scopusid6506464232tr_TR
dc.contributor.scopusid23389880200tr_TR
dc.contributor.scopusid56191003300tr_TR
dc.contributor.scopusid55791934000tr_TR
dc.contributor.scopusid55792633100tr_TR
dc.subject.scopusTetanus; Tetanospasmin; Clostridium Tetanien_US
dc.subject.emtreeTetanus antibodyen_US
dc.subject.emtreeTetanus toxoiden_US
dc.subject.emtreeAdolescenten_US
dc.subject.emtreeAdulten_US
dc.subject.emtreeAgeden_US
dc.subject.emtreeArticleen_US
dc.subject.emtreeChilden_US
dc.subject.emtreeComorbidityen_US
dc.subject.emtreeEmergency warden_US
dc.subject.emtreeFemaleen_US
dc.subject.emtreeHigh risk populationen_US
dc.subject.emtreeHumanen_US
dc.subject.emtreeImmunizationen_US
dc.subject.emtreeInfanten_US
dc.subject.emtreeMajor clinical studyen_US
dc.subject.emtreeMaleen_US
dc.subject.emtreeNewbornen_US
dc.subject.emtreeTetanusen_US
dc.subject.emtreeTetanus prophylaxisen_US
dc.subject.emtreeVaccinationen_US
dc.subject.emtreeWounden_US
dc.subject.emtreeEducational statusen_US
dc.subject.emtreeEmergency health serviceen_US
dc.subject.emtreeImmunologyen_US
dc.subject.emtreeMicrobiologyen_US
dc.subject.emtreeMiddle ageden_US
dc.subject.emtreeTetanusen_US
dc.subject.emtreeVery elderlyen_US
dc.subject.emtreeWounds and injuriesen_US
dc.subject.emtreeYoung adulten_US
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