BMJ 1994;309:474 (13 August)

Letters

Sports medicine Booster doses are not needed

EDITOR, - J C M Sharp's advice on tetanus immunisation1 is contrary to that specified in the current edition of the "green book."

For immunised adults who have received five doses of tetanus vaccine, either as children or according to the recommended schedule of immunisation for those aged 10 years and over, booster doses are not recommended, other than at time of injury, since they have been shown to be unnecessary and can cause considerable local reactions.2 Sharp's recommendation that people should have booster doses at 10 year intervals and that boosters should be considered at five year intervals for athletes is now out of date.

F Sim

  1. Sharp JCM. Infections in sport. BMJ 1994;308:1702-6. [Free Full Text]
  2. Department of Health, Welsh Office, Scottish Home and Health Department, DHSS (Northern Ireland). Immunisation against infectious disease. London: HMSO, 1992:37-43.

Author's reply

EDITOR, - The Department of Health's recommendation limiting the number of doses of tetanus vaccine . . . [Full text of this article]


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Relevant Article

ABC of Sports Medicine: Infections in sport
J C M Sharp
BMJ 1994 308: 1702-1706. [Extract] [Full Text]

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