Neonatal Tetanus
DOI:
https://doi.org/10.14238/pi18.9-10.1978.263-8Keywords:
neonatal tetanusAbstract
Analysis of 108 cases of Neonatal Tetanus by using a scoring system (Tjandra et al., 1974) revealed that 18 patients belonged to Grade I with a mortality rate of 5.6%; 43 belonged to Grade II with a mortality nate of 58.1%; and 47 belonged to Grade III with 91.5% mortality. The differences of mortality between the 3 groups are statistically significant. Mortality rate of 1973 was the lowest (50%) compared to that of 1972 (75%); 1974 (72.2%) and 1975 (61.4%). However, the number of patients belonging to Grade I in 1973 was the highest, 36.4%; whereas that of 1972 was 16.7%; 1974 was 11.1% and 1975 was 9.1 %. Classification of severity in Neonatal Tetanus is therefore, not only important for selecting a "treatment of choice" by comparing mortality rates of those having the same grade of severity, but may be also very useful in determining the method of treatment for different levels of severity.References
BARTEN, J.: Neonatal Tetanus - A Review of 192 Cases. Proc. 5th Asian Congr. Obstet. Cynaecol. p. 368- 370, 1971 Jakarta, Indonesia.
FEMI- PEARSE, D. : Experience with Diazepam in Tetanus. Br. med. J. 2: 862- 865 (1966).
JENKINS, M.T. and LUHN, N.R. : Anaesthesiology. 23 : 690, 1962. (Cited from Femi-Pearse 1966).
MC.CRACKEN, Jr., G.H.; DOWELL, D.I. and MARSHALL, F.N.: Doubleblind Trial of Equine Antitoxin and Human Immune Globulin in Tetanus Neonatorum. Lancet i : 1146 - 1149 (1971).
NKRUMAH, F.K. and VERMA A. Neonatal Tetanus, Analysis of 61 cases from Accra. Ghana med. J. 8: 280- 282 (1971).
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PHATAK, A.T. and SHAH. S.B.: Indices of Severity of Neonatal Tetanus. Indian Pediatr. 10 : 87-91 (1973).
SALIMPOUR, S: : Amobarbital Chlorpromazine in the Treatment of Tetanus Neonatorum. Trop. Geogr. Med: 23 : 131- 134 (1971).
SHIRKEY, H.G. Pediatric therapy. 4th. ed., p. 411 (Mosby, St. Louis 1972).
TJANDRA H.; RAMPENGAN, T.H.; HARIJANTO, Ign.; ARIF, J.D. and MUNIR, M. : Neonatal Tetanus. Evaluation of Treatment and Proposal for Classification of Severity. Paediatr. Indones. 16 : 345 (1976).
FEMI- PEARSE, D. : Experience with Diazepam in Tetanus. Br. med. J. 2: 862- 865 (1966).
JENKINS, M.T. and LUHN, N.R. : Anaesthesiology. 23 : 690, 1962. (Cited from Femi-Pearse 1966).
MC.CRACKEN, Jr., G.H.; DOWELL, D.I. and MARSHALL, F.N.: Doubleblind Trial of Equine Antitoxin and Human Immune Globulin in Tetanus Neonatorum. Lancet i : 1146 - 1149 (1971).
NKRUMAH, F.K. and VERMA A. Neonatal Tetanus, Analysis of 61 cases from Accra. Ghana med. J. 8: 280- 282 (1971).
PATEL, J.C. and JOAG, G.G.: Grading of Tetanus to evaluate Prognosis. Indian J. med. Sci. 13: 834-840 (1959).
PHATAK, A.T. and SHAH. S.B.: Indices of Severity of Neonatal Tetanus. Indian Pediatr. 10 : 87-91 (1973).
SALIMPOUR, S: : Amobarbital Chlorpromazine in the Treatment of Tetanus Neonatorum. Trop. Geogr. Med: 23 : 131- 134 (1971).
SHIRKEY, H.G. Pediatric therapy. 4th. ed., p. 411 (Mosby, St. Louis 1972).
TJANDRA H.; RAMPENGAN, T.H.; HARIJANTO, Ign.; ARIF, J.D. and MUNIR, M. : Neonatal Tetanus. Evaluation of Treatment and Proposal for Classification of Severity. Paediatr. Indones. 16 : 345 (1976).
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2017-06-13
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Tjandra H, Munir M. Neonatal Tetanus. PI [Internet]. 2017Jun.13 [cited 2025Apr.30];18(9-10):263-8. Available from: https://paediatricaindonesiana.org/index.php/paediatrica-indonesiana/article/view/1484
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Received 2017-06-05
Accepted 2017-06-05
Published 2017-06-13
Accepted 2017-06-05
Published 2017-06-13
