Patients' understanding of tetanus immunisation.

OBJECTIVE: To investigate patients' understanding of the use of adsorbed tetanus toxoid (ATT) in an accident and emergency (AE 35.6% thought that concurrent antibiotic treatment would be rendered unnecessary. There was a significant gradient in accuracy of response from social classes I to V for each question. CONCLUSIONS: While few patients refuse the offer of ATT immunisation, true understanding of its purpose and limitations is lacking. This may reduce awareness of potential wound infection and possibly decrease compliance with concurrent antibiotic prescription. A&E and primary care staff should acknowledge the prevalence of these misunderstandings and assist in patient education.