gms | German Medical Science

14th Triennial Congress of the International Federation of Societies for Surgery of the Hand (IFSSH), 11th Triennial Congress of the International Federation of Societies for Hand Therapy (IFSHT)

17.06. - 21.06.2019, Berlin

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Tetanus Quick Stik – is the NHS missing a trick?

Meeting Abstract

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  • presenting/speaker Ted Welman - Chelsea and Westminster NHS Foundation Trust, London, United Kingdom
  • Natalie Carroll - Chelsea and Westminster NHS Foundation Trust, London, United Kingdom
  • Andrew McKean - Chelsea and Westminster NHS Foundation Trust, London, United Kingdom
  • Shakeel Rahman - Chelsea and Westminster NHS Foundation Trust, London, United Kingdom
  • Luke Moore - Chelsea and Westminster NHS Foundation Trust, London, United Kingdom
  • Maxim Horwitz - Chelsea and Westminster NHS Foundation Trust, London, United Kingdom

International Federation of Societies for Surgery of the Hand. International Federation of Societies for Hand Therapy. 14th Triennial Congress of the International Federation of Societies for Surgery of the Hand (IFSSH), 11th Triennial Congress of the International Federation of Societies for Hand Therapy (IFSHT), 11th Triennial Congress of the International Federation of Societies for Hand Therapy (IFSHT). Berlin, 17.-21.06.2019. Düsseldorf: German Medical Science GMS Publishing House; 2020. DocIFSSH19-747

doi: 10.3205/19ifssh0807, urn:nbn:de:0183-19ifssh08071

Veröffentlicht: 6. Februar 2020

© 2020 Welman et al.
Dieser Artikel ist ein Open-Access-Artikel und steht unter den Lizenzbedingungen der Creative Commons Attribution 4.0 License (Namensnennung). Lizenz-Angaben siehe http://creativecommons.org/licenses/by/4.0/.

Gliederung

Text

Objectives/Interrogation: Lacerations and open hand fractures make up a significant proportion of admissions under hand surgeons. These patients require determination of tetanus immunity to allow prophylaxis if deemed at risk of contamination. Studies show that 57% of patients are unable to recall seroprotection status. The "Tetanos Quick Stik®" (TQS) is a 10-minute bedside test for tetanus immunity that boasts 100% specificity and 80% sensitivity. We aimed to identify the potential cost saving of the TQS at a tertiary plastic surgery centre.

Methods: Retrospective literature searches of EMBASE, Medline, Pubmed and Google Scholar were conducted. Search terms included "tetanos quick stik", "tetanus prophylaxis" and "cost analysis". Financial data on tetanus prophylaxis was collected from the clinical coding and pharmacy departments. Published statistics were then applied to our hospital data.

Results and Conclusions: Studies have demonstrated that TQS can avoid treatment with vaccine or tetanus immunoglobulin (TIG) in 77% of patients. Our hospital spent £21,376 over the financial year 2017/18 on vaccine doses and TIG. Using published data, we have identified a potential cost saving of £7162.18 (34%) in our centre alone and £8,929.86 across the whole trust.

The TQS is a cost effective bedside tool, available on NHS Supply Chain, that has potential to make significant cost savings in the NHS. We have developed a protocol that is being implemented in our trust for tetanus prophylaxis in the ED.