Clinical Profile and Outcome of Adult Tetanus in Oghara, Delta State

Authors

  • Obiabo Yo

Keywords:

Clinical profile, Tetanus

Abstract

Background: Tetanus persists to be a global problem due to either failed immunization or poor  coverage of many inaccessible populations in both developing and developed societies.  Mortality is higher in the developing world with poorly organized health systems. Aim: To report the clinical profile and outcome of tetanus admissions in Delta State University  Teaching Hospital , Og h a r a , between June 2010 and April 2015 . 

Methods: The records of all patients managed for tetanus on the medical wards and the  intensive care unit of the hospital were studied. 

Results: Twenty-seven patients comprising 21(77.8%) males and 6 (22.2%) females were  diagnosed and managed for tetanus during the period under review. The mean age of the  patients was 34.07±1.50 years.The patients were largely of low socioeconomic group. Lower  extremity wounds and lesions was the commonest portal of entry,74.1%. The overall case  fatality rate (CFR) was 37%. Among those managed in the intensive care unit the case fatality  was 50%. The factors significantly associated with increased mortality include short incubation  period (p =0.009 ), short onset time (p = 0.001), severity of the disease (p = 0.014) and  increasing age (p = 0.03). The commonest complications recorded in this study were laryngeal  and pharyngeal spasms, aspiration pneumonia and autonomic dysfunction.  

Conclusion: Tetanus is a life-threatening disease with high case fatality that is still a health  challenge in our environment. There is a need to provide better vaccination coverage for all  including booster doses for adult males and to improve on medical intensive care facilities and  training.  

Author Biography

Obiabo Yo

Department of Internal Medicine, College of Health Sciences, Delta State University, Abraka ,  Nigeria 



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Published

2015-03-01

How to Cite

Obiabo , Y. (2015). Clinical Profile and Outcome of Adult Tetanus in Oghara, Delta State. African Journal of Tropical Medicine and Biomedical Research, 3(1), 21-27. Retrieved from https://www.ajtmbr.org.ng/index.php/home/article/view/47