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Arch Emerg Med. 1993 December; 10(4): 331–335.
PMCID: PMC1286044

The storage of tetanus vaccine in accident and emergency departments: a postal survey.


The aim of this study was to assess the quality of storage of tetanus vaccine in accident and emergency (A&E) departments and also of the awareness of Department of Health guidelines. A postal questionnaire was sent to 50 randomly selected major A&E departments in the British Isles, enquiring about awareness of Department of Health guidelines (Department of Health, 1990). Forty (80%) A&E departments responded. Only 14 were aware of the Department of Health guidelines and in only 18 was there a member of staff taking responsibility for vaccine storage. The study found that safe storage of vaccine, and therefore guarantee of efficacy, is not occurring in the majority of A&E departments. Unnoticed failure of refrigerators could be exposing patients to the risk of tetanus infection.

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Selected References

These references are in PubMed. This may not be the complete list of references from this article.
  • Hunter S. Storage of vaccines in general practice. BMJ. 1989 Sep 9;299(6700):661–662. [PMC free article] [PubMed]
  • Thakker Y, Woods S. Storage of vaccines in the community: weak link in the cold chain? BMJ. 1992 Mar 21;304(6829):756–758. [PMC free article] [PubMed]

Articles from Archives of Emergency Medicine are provided here courtesy of BMJ Publishing Group