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October 20, 1962

Tetanus Antitoxin Skin Tests-Reply

Author Affiliations

1442 Medical & Dental Bldg., Seattle 1

JAMA. 1962;182(3):315. doi:10.1001/jama.1962.03050420091030

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To the Editor:—  I disagree with Dr. Kaufman's statement that "correct practice consists of obtaining a complete history of allergic conditions... and testing... by both the intradermal and conjunctival methods," because it implies that any deviation from his statement of procedure is incorrect practice.First of all, and unfortunately, a complete history of allergic conditions is not always obtainable in severe trauma, and it was stated in the first sentence of my article that the work referred particularly to "... those instances when a history pertinent to allergic sensitivity cannot be effectively elicited from patients...." Certainly as much information as possible should be obtained in this regard, but the fact that an allergic history is not complete does not make the effort incorrect.Secondly, with regard to testing procedures, standard references by authorities who treat acute trauma favor the skin test and do not specify that both the intradermal