Vaccination Program of Tetanus Toxoid for Staff

概要

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Acquisition of tetanus immunity is expected to occur in all people. Induction of tetanus immunity is desirable as a precaution after a bite or disaster activity from a patient in healthcare workers. Tetanus toxoid inoculation program was carried out for our staff. Individuals born before April 1968, when the diphtheria, pertussis, and tetanus (DPT) vaccination was introduced, were given three inoculations of tetanus toxoid. Individuals born after April 1968 were given one inoculation, and individuals who could not remember previous DPT vaccination were given three inoculations, if requested. Immunization coverage in this program was 74.3% (754/1021), which seemed to be high regardless of occupational groups. In the first day of the program, half of our entire staff were given tetanus toxoid. Immunization coverage rate by age was about 30% in the twenties and thirties group; 17% in the forties and fifties group, and 3% in the sixties group. The coverage rate was 92.8% (285/307) in all staff aged more than 40s including a person born before DPT commuter pass inoculation start. The coverage rate was 65.7% (469/714) in staff aged less than 30s born after DPT vaccine commuter pass inoculation. Adverse reactions of local redness and swelling were observed frequently without severe reaction. Acquisition of tetanus immunity is strongly recognized as useful in hospital personnel, resulting in such a high inoculation rate.