Neonatal Tetanus Evaluation of Treatment and a Proposal for Classification of Severity
Abstract
An evaluation was made on 22 neonates with Tetanus Neonatorum (age 5 - 21 days), who were admitted to the Military Hospital, Teling, Manado, in 1973. Seventeen of our patients were babies born in their homes and were delivered by the "dukun kampong"; 5 babies were born in the maternity clinic and were helped by midwives.
The therapy given were :
- Anti-Tetanus serum 10,000 U, single dose, given immediately on admission.
- Procain Penicilline 100,000 U/kg. b.w./day; i.m. divided into 2 equal doses for 10 days.
- Diazepam (valium) 5 mg./kg. b.w./day; oral, divided into 8 equal doses, and 2.5 mg, parenterally 4 times a day.
References
2. ANTAVALE, V.B. and PAI P.N. : J. pediatr. 67 : 649 (1965). Cited by Salimpur (1971).
3. A YIM, E.M. Cited by Schofield (1973).
4. BARTEN, J.: Neonatal tetanus in Indonesia. Trop. Doc. 3 : 107 (1973).
5. BYTCHENKO, B. : Geographical distribution of tetanus in the world, 1951-60; a review of the problem. Bull. W.H.O. 34: 71-104 (1966) .
6. CHEAH, P.S.; MAH. P.K.; and FENG, P.H. : Severe tetanus successfully treated with high dose of diazepan (Valium) and propranolol; a case report. Singapore. med. J. 13 : 163 (1972).
7. COLE, L.B. : Tracheostomy in tetanus. Proc. r. Soc. med. 52 : 411-12 (1959).
8. CONN, H.F. : Current therapy, p. 57 (Saunders, Philadelphia/ London 1962).
9. DAILI, S.; JAHJA, S.; and ASNIL, P.O.: Valium as anticonvulsnnt in tetanus. Paediatr. Indones. 12 : 229 (1972).
10. FEMI-PEARS. D. Experience with diazepam in tetanus. Br. med. J. 2 : 862-865 (1966).
11. JELLIFFE, D.B.: Diseases of children in the subtropics and tropics. 2nd ed., p. 650 (Arnold, London 1970).
12. JENKINS, H.T. and LUI-IN, N.R.: Anesthesiology. 23 : 6'-)0 (1962). Cited by Femi-Pears ( 1966).
13. JO KIAN TJAY :mel LEMAN SEMBIRING: Modified treatment on neonates tetanus. Paediatr. Indones. 12 : 281 ( 1972).
14. KLOLTZFL, K. Clinical patterns in severe tetanus. J Am. med. Assoc. 559 (1963).
Copyright (c) 2019 Tjandra Husada, T. H. Rampengan, Ign. Harjanto, I. D. Arif, Muzief Munir
This work is licensed under a Creative Commons Attribution-NonCommercial-ShareAlike 4.0 International License.
Authors who publish with this journal agree to the following terms:
Authors retain copyright and grant the journal right of first publication with the work simultaneously licensed under a Creative Commons Attribution License that allows others to share the work with an acknowledgement of the work's authorship and initial publication in this journal.
Authors are able to enter into separate, additional contractual arrangements for the non-exclusive distribution of the journal's published version of the work (e.g., post it to an institutional repository or publish it in a book), with an acknowledgement of its initial publication in this journal.
Published 2019-09-17