title: [Anti-tetanus vaccination after 3 cases of tetanus in a basic rural health area].
abstract: OBJECTIVE
  a) To find the prevalence of anti-tetanus vaccination in a health district, and b) to detect difficulties in the implementation of corrective measures, after the appearance of three cases of tetanus in 6 months.
  
  
  METHODS
  An observational descriptive crossover study.
  
  
  METHODS
  Primary care. Rural health district with 18266 inhabitants.
  
  
  METHODS
  People of both sexes over 14 from the 3 population nuclei, which had the best records of attendance and vaccination in the health district.
  
  
  METHODS
  Vaccination coverage at the start and end of the intervention for 328 people chosen by systematic randomised sampling.
  
  
  METHODS
  clinical records.
  
  
  RESULTS
  At the start of the intervention there was less vaccination coverage among males, over-50s and people living in small nuclei of population. During the study period vaccination coverage increased more in the nuclei where there had been a tetanus case. Vaccines were lacking at the start of the intervention.
  
  
  CONCLUSIONS
  A low use of clinical records in the health district was detected, which posed difficulties for the research. Except for one of the population nuclei, very few people at the start of the study were recorded as correctly vaccinated. It is seen that the health service responded slowly to such serious cases as these. It is suggested that primary health care activities should be programmed more in accord with the health problems prevailing in each area. With an illness like tetanus we should not wait for a case to occur before acting.
authors.affiliation: Unidad Docente Medicina de Familia, Hospital Clinico, Granada.
authors.forename: A D
authors.initials: AD
authors.lastname: Pérez Vallejo
authors.forename: I M
authors.initials: IM
authors.lastname: Fernández Alonso
authors.forename: M
authors.initials: M
authors.lastname: Gálvez Ibáñez
mesh_terms: D002391:Catchment Area, Health; D003430:Cross-Sectional Studies; D005260:Female; D006801:Humans; D008297:Male; D008875:Middle Aged; D012423:Rural Health; D013030:Spain; D013742:Tetanus / Q000453:epidemiology* / Q000517:prevention & control; D013745:Tetanus Toxoid; D014611:Vaccination / Q000706:statistics & numerical data*
chemical_list: D013745:Tetanus Toxoid
vernacular_title: Vacunación antitetánica tras 3 casos de tétanos en una zona básica de salud rural.