We found a match
Your institution may have access to this item. Find your institution then sign in to continue.
- Title
Tetanus - still a scourge in the 21st century: a paediatric hospital-based study in India.
- Authors
Mishra, Kirtisudha; Basu, Srikanta; Kumar, Dipti; Dutta, Ashok Kumar; Kumar, Praveen; Rath, Bimbadhar
- Abstract
Tetanus remains endemic in India. A retrospective hospital-based study was conducted to review the profile of all children admitted with diagnosis of tetanus betweenJanuary 2009 and December 2010. Atotal of 140 cases of tetanus were admitted;45 cases of neonatal tetanus (NT) and 77 cases of post-neonatal tetanus (PNT) were studied. Age of presentation of NTwas 9.4+1.2 days. Home-delivered children accounted for 86.7% of cases, with 77.8% being attended by untrained birth attendants. Unimmunizedmothers accounted for 93.4%. In PNT, otogenic route of infection and traumawere present in 58.4% and 23.3% of cases, respectively.The rate of hospital admission of tetanus remains high. Unlike previously published reports, otogenic route is themost common mode of PNT infection in this study. Improving immunization, increasing deliveries by skilled birth attendants and prompt treatment of suppurative otitismedia are themain areas in which public health initiatives need to be focused.
- Subjects
TETANUS in newborn infants; CHILDBIRTH at home; LABOR complications (Obstetrics); MIDWIVES; IMMUNIZATION; PUBLIC health
- Publication
Tropical Doctor, 2012, Vol 42, Issue 3, p157
- ISSN
0049-4755
- Publication type
Article
- DOI
10.1258/td.2012.110445