Objective To investigate the present state of tetanus antitoxin administration in children aged 10 and below and evaluate the impact of standardized training implementation.Method In July 2019,a one-month standardised training program was implemented for tetanus injection administration in children following the Chinese Expert Consensus on Tetanus Immunoprophylaxis.Children aged 10 and below,admitted between January 2018 and June 2019,with traumatic injuries in ophthalmology,stomatology,otorhinolaryngology,and emergency surgery were selected as the control group.The observation group consisted of children aged 10 and below,admitted between August 2019 and June 2021.Tetanus antitoxin use and adverse reactions were observed in both groups.Results A total of 275 children in the control group received tetanus antitoxin or tetanus immunoglobulin injection,and 46 cases(16.70%)received desensitization therapy.In the observation group,51 cases(27.13%)received tetanus antitoxin or tetanus immunoglobulin injection from 188 children with traumatic injuries,and 3 cases(5.90%)received desensitization therapy.The difference between the two groups was statistically significant(χ2=284.616,3.962,P<0.05).Both groups did not experience allergic reactions and there were no cases of tetanus.Conclusions The use of tetanus antitoxin injection in children is unreasonable,which may increase the risk of allergic reactions caused by tetanus antitoxin injection and increase the suffering caused by desensitization therapy in children;standardized training can significantly reduce the unreasonable use of tetanus antitoxin.
childrentetanus antitoxintraumastandardized training