Management of unscheduled tetanus prophylaxis in Emergency Departments: Point-of-Care implementation as a rapid tool for the evaluation of anti-tetanus antibodies
Background and aim: Each analytical activity, including those carried out in Point of Care (POCT) must be, at law, under the control of Laboratory Medicine. Before the implementation of the rapid tetanus quick stick (TQS) test for the evaluation of the specific tetanus immunisation, a multi-discipli...
| Main Authors: | , , , , |
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| Format: | Article |
| Language: | English |
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PAGEPress Publications
2016-03-01
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| Series: | Microbiologia Medica |
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| Online Access: | http://www.pagepressjournals.org/index.php/mm/article/view/5082 |
| _version_ | 1828918126061813760 |
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| author | Andrea Rocchetti Rossana Uberti Carolina Prevaldi Clara Maria Lazzara Federica Riccio |
| author_facet | Andrea Rocchetti Rossana Uberti Carolina Prevaldi Clara Maria Lazzara Federica Riccio |
| author_sort | Andrea Rocchetti |
| collection | DOAJ |
| description | Background and aim: Each analytical activity, including those carried out in Point of Care (POCT) must be, at law, under the control of Laboratory Medicine. Before the implementation of the rapid tetanus quick stick (TQS) test for the evaluation of the specific tetanus immunisation, a multi-disciplinary and multi-professional group was created. The aim of this study was to evaluate the ability of Emergency Department (ED) staff to manage and correctly understand the result of TQS test in POCT. <br />Materials and Methods: This analysis took into consideration 152 patients admitted to ED with traumatic wounds; information on the state of tetanus immunisation at their arrival wasn’t recorded. Blood sample analysis was performed twice. The Laboratory confirmed a 100% concordance between their results and ELISA test (standard criterion). Study design consisted of 2 phases: the first one (50 test) to preliminarily evaluate if any corrective action or improvement of procedures is required, and the second one (102 tests) to confirm the quality of corrective actions. <br />Results: The concordance of results between TQS test in Laboratory and POCT test in ED was 80% in the first phase and 95% in the second one.<br />Conclusions: The use of the rapid TQS test is a valuable tool; however, to avoid serious mistakes of interpretation, periodic checks on the quality of the results must be arranged. |
| first_indexed | 2024-12-13T21:03:59Z |
| format | Article |
| id | doaj.art-acfb7602efe74b2d9aca19f94b5dfa27 |
| institution | Directory Open Access Journal |
| issn | 2280-6423 |
| language | English |
| last_indexed | 2024-12-13T21:03:59Z |
| publishDate | 2016-03-01 |
| publisher | PAGEPress Publications |
| record_format | Article |
| series | Microbiologia Medica |
| spelling | doaj.art-acfb7602efe74b2d9aca19f94b5dfa272022-12-21T23:31:31ZengPAGEPress PublicationsMicrobiologia Medica2280-64232016-03-0131110.4081/mm.2016.50824722Management of unscheduled tetanus prophylaxis in Emergency Departments: Point-of-Care implementation as a rapid tool for the evaluation of anti-tetanus antibodiesAndrea Rocchetti0Rossana Uberti1Carolina Prevaldi2Clara Maria Lazzara3Federica Riccio4Microbiology Unit, Department of Hospital Services, SS. Antonio e Biagio e C. Arrigo Hospital, AlessandriaDepartment of Surgery and Emergency Care, SS. Antonio e Biagio e C. Arrigo Hospital, AlessandriaDepartment of Surgery and Emergency Care, Veneto Orientale Local Health Unit 10, PortogruaroMicrobiology Unit, Department of Hospital Services, SS. Antonio e Biagio e C. Arrigo Hospital, AlessandriaDepartment of Public Health, Hygiene Section, University of PaviaBackground and aim: Each analytical activity, including those carried out in Point of Care (POCT) must be, at law, under the control of Laboratory Medicine. Before the implementation of the rapid tetanus quick stick (TQS) test for the evaluation of the specific tetanus immunisation, a multi-disciplinary and multi-professional group was created. The aim of this study was to evaluate the ability of Emergency Department (ED) staff to manage and correctly understand the result of TQS test in POCT. <br />Materials and Methods: This analysis took into consideration 152 patients admitted to ED with traumatic wounds; information on the state of tetanus immunisation at their arrival wasn’t recorded. Blood sample analysis was performed twice. The Laboratory confirmed a 100% concordance between their results and ELISA test (standard criterion). Study design consisted of 2 phases: the first one (50 test) to preliminarily evaluate if any corrective action or improvement of procedures is required, and the second one (102 tests) to confirm the quality of corrective actions. <br />Results: The concordance of results between TQS test in Laboratory and POCT test in ED was 80% in the first phase and 95% in the second one.<br />Conclusions: The use of the rapid TQS test is a valuable tool; however, to avoid serious mistakes of interpretation, periodic checks on the quality of the results must be arranged.http://www.pagepressjournals.org/index.php/mm/article/view/5082Tetanuspoint of care testingtetanus quick stickimmunisation |
| spellingShingle | Andrea Rocchetti Rossana Uberti Carolina Prevaldi Clara Maria Lazzara Federica Riccio Management of unscheduled tetanus prophylaxis in Emergency Departments: Point-of-Care implementation as a rapid tool for the evaluation of anti-tetanus antibodies Microbiologia Medica Tetanus point of care testing tetanus quick stick immunisation |
| title | Management of unscheduled tetanus prophylaxis in Emergency Departments: Point-of-Care implementation as a rapid tool for the evaluation of anti-tetanus antibodies |
| title_full | Management of unscheduled tetanus prophylaxis in Emergency Departments: Point-of-Care implementation as a rapid tool for the evaluation of anti-tetanus antibodies |
| title_fullStr | Management of unscheduled tetanus prophylaxis in Emergency Departments: Point-of-Care implementation as a rapid tool for the evaluation of anti-tetanus antibodies |
| title_full_unstemmed | Management of unscheduled tetanus prophylaxis in Emergency Departments: Point-of-Care implementation as a rapid tool for the evaluation of anti-tetanus antibodies |
| title_short | Management of unscheduled tetanus prophylaxis in Emergency Departments: Point-of-Care implementation as a rapid tool for the evaluation of anti-tetanus antibodies |
| title_sort | management of unscheduled tetanus prophylaxis in emergency departments point of care implementation as a rapid tool for the evaluation of anti tetanus antibodies |
| topic | Tetanus point of care testing tetanus quick stick immunisation |
| url | http://www.pagepressjournals.org/index.php/mm/article/view/5082 |
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