Use of the tetanus quick stick (TQS) test in the emergency services
Por:
Martin-Casquero, T, Ruescas-Escolano, E and Tuells, J
Publicada:
29 nov 2019
Resumen:
Standard procedure when treating tetanigenic risk wounds in an emergency room setting, usually includes administering a dose of gamma-globulin or/and a tetanus vaccine.
The rapid detection test (Tetanus Quick Stick [TQS]) can better the current procedure of detecting people who are not immunized. Our objective was to review and analyse the validity of the TQS test, and determine the cost-benefit with the data available.
We searched the following data bases for information: WoS, PubMed, EMBASE & SCOPUS. After reviewing articles and applying inclusion/exclusion criteria, we included 20 articles mostly European and written by Emergency room services. Sensitivity ranged from 55%-100%, specificity from 66.6%-100%, PPV: 81.1%-100%, NPV: 42.9%-100%. Most of the tests supported the cost-benefit analysis of the TQS test. We determined that in emergency room situations, it would be beneficial to use the TQS test, and an example of good clinical practice. (C) 2019 Elsevier Espana, S.L.U. All rights reserved.
Filiaciones:
Martin-Casquero, T:
Hosp Univ Vinalopo, Serv Urgencias, Elche, Spain
Ruescas-Escolano, E:
Hosp Univ Vinalopo, Serv Urgencias, Elche, Spain
:
Univ Alicante, Catedra Balmis Vacunol, Alicante, Spain
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