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Using an Online Vaccination Registry to Confirm Tetanus Status in Children with Tetanus-prone Wounds

INTRODUCTION: Tetanus vaccination status is an important consideration for emergency physicians managing patients with tetanus-prone wounds. Physicians must identify at-risk patients, but vaccination histories are often unknown and commonly lack documentation. The study objective was to determine th...

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Autores principales: Zeretzke-Bien, Cristina, McCall, Janelle, Wylie, Todd, Chowdhury, Muhammad A.B., Balakrishnan, Meenakshi, Hendry, Phyllis, Kalynych, Colleen J., Chung, Hac-Tu J.
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Department of Emergency Medicine, University of California, Irvine School of Medicine 2020
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7514397/
https://www.ncbi.nlm.nih.gov/pubmed/32970567
http://dx.doi.org/10.5811/westjem.2020.6.46582
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author Zeretzke-Bien, Cristina
McCall, Janelle
Wylie, Todd
Chowdhury, Muhammad A.B.
Balakrishnan, Meenakshi
Hendry, Phyllis
Kalynych, Colleen J.
Chung, Hac-Tu J.
author_facet Zeretzke-Bien, Cristina
McCall, Janelle
Wylie, Todd
Chowdhury, Muhammad A.B.
Balakrishnan, Meenakshi
Hendry, Phyllis
Kalynych, Colleen J.
Chung, Hac-Tu J.
author_sort Zeretzke-Bien, Cristina
collection PubMed
description INTRODUCTION: Tetanus vaccination status is an important consideration for emergency physicians managing patients with tetanus-prone wounds. Physicians must identify at-risk patients, but vaccination histories are often unknown and commonly lack documentation. The study objective was to determine the potential impact of an online immunization registry (Florida SHOTS – State Health Online Tracking System) on the appropriate administration of tetanus prophylaxis for pediatric patients managed in the emergency department (ED). METHODS: We conducted a retrospective review of all patients less than 18 years old who received ED tetanus prophylaxis at two separate sites between January 2011–May 2015. The Florida SHOTS database was accessed to determine vaccination status for each patient in the study group at the time of the encounter. We compared vaccination status for each patient, as documented in the electronic health record (EHR), with Florida SHOTS data to determine whether tetanus prophylaxis was indicated. The proportion of patients receiving tetanus prophylaxis in the ED, who were subsequently identified as up to date with tetanus vaccination per Florida SHOTS, was determined. RESULTS: We identified 743 patients who received ED tetanus prophylaxis. Forty-three (6%) were listed as “up to date” on the EHR and 656 (93%) were listed as “not up to date.” In comparison, 209 (30%) of the study group were identified as “up to date” via Florida SHOTS, and 477 (70%) were not. We accessed the Florida SHOTS record retrospectively to determine whether the vaccine was required. It was determined that 174 (25%) of the patients received tetanus prophylaxis unnecessarily as they were already up to date per Florida SHOTS documentation. CONCLUSION: Twenty-five percent of patients vaccinated for tetanus in the ED could have been spared if Florida SHOTS data had been used by providers at the time of the encounter. Access to Florida SHOTS provides valuable information regarding vaccination status that impacts patient care and resource utilization in the ED.
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spelling pubmed-75143972020-09-29 Using an Online Vaccination Registry to Confirm Tetanus Status in Children with Tetanus-prone Wounds Zeretzke-Bien, Cristina McCall, Janelle Wylie, Todd Chowdhury, Muhammad A.B. Balakrishnan, Meenakshi Hendry, Phyllis Kalynych, Colleen J. Chung, Hac-Tu J. West J Emerg Med Population Health INTRODUCTION: Tetanus vaccination status is an important consideration for emergency physicians managing patients with tetanus-prone wounds. Physicians must identify at-risk patients, but vaccination histories are often unknown and commonly lack documentation. The study objective was to determine the potential impact of an online immunization registry (Florida SHOTS – State Health Online Tracking System) on the appropriate administration of tetanus prophylaxis for pediatric patients managed in the emergency department (ED). METHODS: We conducted a retrospective review of all patients less than 18 years old who received ED tetanus prophylaxis at two separate sites between January 2011–May 2015. The Florida SHOTS database was accessed to determine vaccination status for each patient in the study group at the time of the encounter. We compared vaccination status for each patient, as documented in the electronic health record (EHR), with Florida SHOTS data to determine whether tetanus prophylaxis was indicated. The proportion of patients receiving tetanus prophylaxis in the ED, who were subsequently identified as up to date with tetanus vaccination per Florida SHOTS, was determined. RESULTS: We identified 743 patients who received ED tetanus prophylaxis. Forty-three (6%) were listed as “up to date” on the EHR and 656 (93%) were listed as “not up to date.” In comparison, 209 (30%) of the study group were identified as “up to date” via Florida SHOTS, and 477 (70%) were not. We accessed the Florida SHOTS record retrospectively to determine whether the vaccine was required. It was determined that 174 (25%) of the patients received tetanus prophylaxis unnecessarily as they were already up to date per Florida SHOTS documentation. CONCLUSION: Twenty-five percent of patients vaccinated for tetanus in the ED could have been spared if Florida SHOTS data had been used by providers at the time of the encounter. Access to Florida SHOTS provides valuable information regarding vaccination status that impacts patient care and resource utilization in the ED. Department of Emergency Medicine, University of California, Irvine School of Medicine 2020-09 2020-08-21 /pmc/articles/PMC7514397/ /pubmed/32970567 http://dx.doi.org/10.5811/westjem.2020.6.46582 Text en Copyright: © 2020 Zeretzke-Bien et al. http://creativecommons.org/licenses/by/4.0/ This is an open access article distributed in accordance with the terms of the Creative Commons Attribution (CC BY 4.0) License. See: http://creativecommons.org/licenses/by/4.0/
spellingShingle Population Health
Zeretzke-Bien, Cristina
McCall, Janelle
Wylie, Todd
Chowdhury, Muhammad A.B.
Balakrishnan, Meenakshi
Hendry, Phyllis
Kalynych, Colleen J.
Chung, Hac-Tu J.
Using an Online Vaccination Registry to Confirm Tetanus Status in Children with Tetanus-prone Wounds
title Using an Online Vaccination Registry to Confirm Tetanus Status in Children with Tetanus-prone Wounds
title_full Using an Online Vaccination Registry to Confirm Tetanus Status in Children with Tetanus-prone Wounds
title_fullStr Using an Online Vaccination Registry to Confirm Tetanus Status in Children with Tetanus-prone Wounds
title_full_unstemmed Using an Online Vaccination Registry to Confirm Tetanus Status in Children with Tetanus-prone Wounds
title_short Using an Online Vaccination Registry to Confirm Tetanus Status in Children with Tetanus-prone Wounds
title_sort using an online vaccination registry to confirm tetanus status in children with tetanus-prone wounds
topic Population Health
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7514397/
https://www.ncbi.nlm.nih.gov/pubmed/32970567
http://dx.doi.org/10.5811/westjem.2020.6.46582
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