Table 1 The questions submitted to the experts

Can you define “clean” a traumatic wound in the setting of the emergency department?

What is your approach to the prophylaxis of wounds with a high risk of infection (e.g., bites, wounds of the hand/foot…)?

Do exist, and, if yes, how reliable are the signs predictive of risk of infection?

Your opinion on methods of prevention of infection: irrigation, closure technique, antibiotic prophylaxis.

In such wounds do you consider as appropriate to assess the status of immunization against tetanus?

Do you consider appropriate the classification of traumatic wounds “clean wound not tetanigenic”?

Since it has been shown that only about 15 % of patients with traumatic wounds carry with them the documentation on their own tetanus immunization status, as noted by the vaccination status of patients prior to tetanus prophylaxis?

Have you ever had difficulties during the anamnesis to assess the state of tetanus vaccine injured patients who present to the emergency department?

Since only 15 % of patients present with documented data on vaccinations and health registry is rarely accessible from the emergency room, in the absence of data, trusts the patient’s history on their vaccination status?

If you had to provide a quick diagnostic test to evaluate immediately and with certainty immunization status of injured patients compared to tetanus, would consider it useful in the emergency department to improve the appropriateness of tetanus immunoprophylaxis and management of his patients?