Improving immunization strategy and promoting the development of tetanus prevention and control in China
10.3760/cma.j.issn.0253-9624.2019.12.003
- VernacularTitle: 完善免疫策略促进我国破伤风防治工作的规范发展
- Author:
Chuanlin WANG
1
Author Information
1. Emergency Depratment/Trauma Center, Peking University People′s Hospital, Beijing 100044, China
- Publication Type:Journal Article
- Keywords:
Tetanus;
Vaccination;
Tetanus toxoid containing vaccine;
Tetanus immunoglobulin
- From:
Chinese Journal of Preventive Medicine
2019;53(12):1203-1205
- CountryChina
- Language:Chinese
-
Abstract:
Neonatal tetanus has been basically eliminated in China, but the incidence of non-neonatal tetanus is still high. Tetanus after trauma is the main type of non-neonatal tetanus. The correct application of tetanus toxoid containing vaccine (TTCV) has been neglected in the prevention of tetanus after trauma in China. On May 9, 2019, National Advisory Committee of Experts on Immunization Planning (NIAC) reviewed and approved the first guidelines for the use of TTCV and passive immune preparation after trauma, which clarified the basic process of treatment of tetanus after trauma, as well as the pointer to the use of TTCV and passive immune preparation after trauma. The main measure to prevent tetanus after trauma is to use TTCV for active immunization, and to use passive immune preparation for those without TTCV immune history. Through the construction of the top-down control and prevention system of tetanus, the change of the concept of tetanus immunoprophylaxis of medical staff is promoted. Active immunization is the main measure, but passive immunization is an added measure for the prevention of tetanus after trauma, which is of great significance to reverse the mistake of prevention of tetanus in China.
