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Clinical study of Pediatric Tetanus A hospital based study

Clinical study of Pediatric Tetanus A hospital based study. Dr. Sanjeev Chetry Dr. Kamal Lochan Bora Prof. D.K. Patgiri. Introduction. Areteus “ inhuman calamity, and unseemly sight, a spectacle painful event to be hold, not to be recognised by dearest friends.”

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Clinical study of Pediatric Tetanus A hospital based study

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  1. Clinical study of Pediatric Tetanus A hospital based study Dr. Sanjeev Chetry Dr. Kamal Lochan Bora Prof. D.K. Patgiri

  2. Introduction • Areteus “ inhuman calamity, and unseemly sight, a spectacle painful event to be hold, not to be recognised by dearest friends.” • Occurs sporadically. • Not a notifiable disease. • Not an uncommon condition in this part • No comprehensive data available

  3. Materials and methods • All cases in age group of 0 – 12yrs with features suggestive of tetanus. • Period : April 2002 to August 2005 • Grading done as per Modified Patel and Joag criteria. • Medical and Surgical management.

  4. Age wise distribution of cases

  5. Age and sex wise distribution of the cases 33.4 18.8 Percentage of cases — 12.5 8.3 12.4 8.3 4.2 2.1 Age --

  6. 12.5 % 39.6 % 47.9 %

  7. SHOWING POSSIBLE MODE OF ENTRY Neonatal Tetanus Post Neonatal Tetanus

  8. Age and mode of infection in Post Neonatal Tetanus No. of cases - Age -

  9. Clinical features in Post Neonatal Tetanus

  10. Incidence of Tetanus according to grade (as per Modified Patel & Joag criteria) 10.5 % 21.1 % 68.4 %

  11. Showing incubation period

  12. Showing Immunisation status

  13. Neonatal Tetanus Showing Mortality Post neonatal Tetanus 20 % 34.5 % 65.5 % 80 %

  14. Key message • No change in occurence of cases. • Its only the tip of an iceberg. • Otogenic tetanus is most common below 6yrs while post traumatic tetanus is common above 6yrs. • Check for tetanus immunisation in all cases with Otitis Media. • Awareness about birth and cord care practices. • Awareness about immunisation and its practical implementation in tea garden of upper Assam is the need of hour to reduce the incidence of cases.

  15. THANK YOU

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