Trends of tetanus patients in north of Pakistan. | [Journal of Medical Science • 2012]

Author(s):

1. Saleem Iqbal: Department of Medicine, Khyber Teaching Hospital, Peshawar, Pakistan

2. Noor-Ul-Iman: Department of Medicine, Khyber Teaching Hospital, Peshawar, Pakistan

3. Sadeeq-Ur-Rahman: Department of Medicine, Khyber Teaching Hospital, Peshawar, Pakistan

4. Zainab Zaheer: Department of Medicine, Khyber Teaching Hospital, Peshawar, Pakistan

5. Najeeb-Ur-Rahman: Department of Medicine, Khyber Teaching Hospital, Peshawar, Pakistan

6. Mohammad Tariq: Department of Medicine, Khyber Teaching Hospital, Peshawar, Pakistan

7. Mohammad Haroon: Intensive Care Unit, Khyber Teaching Hospital, Peshawar, Pakistan

Abstract:

Objectives: To do prospective analysis of tetanus patients, especially with respect to mode of presentation, complications & outcome. Material and Methods: This study was conducted from January 2009 to July 2011, at Khyber Teaching Hospital, Peshawar. All the patients above 14 years of age who presented with signs, symptoms or complications of tetanus were included in the study. Result: Total 29 patients were managed, 23 were males and 06 females. Age ranged from 14 to 72 years. Source ofinfection was evident in 25 (86.20%) patients. The most common site of injury was right lower limb, involved in 13 (44.82%) patients. 14 patients (48.27%) presented with pain at the site of wound. Tachycardia was present in 24 patients & labile blood pressure in 08 patients. Incubation period varied from 05 to 25 days, while onset time varied from 01 to 05 days. History of immunization was present in 10 patients. All the patients were managed in intensive care unit. Five patients were treated with Benzyl penicillin while rest with Benzyl Penicillin and Metronidazole. Wounds were cleaned and debrided. Tetanus toxoid and human tetanus immunoglobulin was injected to all the patients. One patient expired, the rest recovered completely. Recovery period varied from 16 to 31 days. Conclusion: Tetanus is more common in males, to reduce mortality all the patients should be managed in intensivecare unit.

Page(s): 90-93

DOI: DOI not available

Published: Journal: Journal of Medical Science, Volume: 20, Issue: 2, Year: 2012

Keywords:

Keywords are not available for this article.

References:

References are not available for this document.

Citations

Citations are not available for this document.

Citations

Downloads

Views