Tétano dos recém-nascidos: revisitado

Murahovschi, Jayme

doi:10.1590/s0103-05822008000400001

Cited by 4 publications

(7 citation statements)

References 1 publication

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“…In remote regions of Brazil, the popular names of the disease can be roughly translated into English as "seven-day evil" or "navel disease". (7,9) Home birth is still common in these regions, and a number of substances are often applied to the umbilical cord stump, including dust, coffee powder and spider webs, all of which are believed to promote healing or are used as part of a deeply rooted ritual. (9,10) In addition, shortcomings in the vaccination program (including vaccinations for pregnant women) and in prenatal care culminate in illness in the neonatal child.…”

Section: Clinical Featuresmentioning

confidence: 99%

“…(7,9) Home birth is still common in these regions, and a number of substances are often applied to the umbilical cord stump, including dust, coffee powder and spider webs, all of which are believed to promote healing or are used as part of a deeply rooted ritual. (9,10) In addition, shortcomings in the vaccination program (including vaccinations for pregnant women) and in prenatal care culminate in illness in the neonatal child. The clinical features of tetanus neonatorum manifest after a 5-13-day incubation time and begin as difficulty feeding from the breast due to an inability to suck, progressing to trismus and an inability to swallow.…”

Section: Clinical Featuresmentioning

confidence: 99%

“…Death is usually due to a perturbed hydro-electrolytic balance or asphyxia and can occur even with adequate therapy; in the case of adequate therapy, hemodynamic instability is a common cause of death. (9) Incubation is the time that passes from germ implantation (e.g., in a wound) until the first clinical signs and symptoms and averages seven days, although it can last from 5 to 15 days after infection with C. tetani. (2,3) Another factor that is vital for managing the patient is the progression of time, which includes the time period between the first signs and the onset of generalized spasms.…”

Section: Clinical Featuresmentioning

confidence: 99%

“…A diagnosis of tetanus neonatorum is based on clinical findings, including muscle stiffness and painful muscle spasms. (9) The presence of a causative agent does not confirm the diagnosis, nor does its absence preclude a diagnosis in patients who manifest the clinical features of tetanus. Cultures of material from the infective focus or blood cultures have no diagnostic value.…”

Section: Diagnosismentioning

confidence: 99%

“…Publish preventive measures using expressions such as "umbilical tetanus", "navel evil" or "seven-daysevil" (the latter two expression are approximate English translations of popular Brazilian expressions) to provide clear communication to the general population. (9,44) Prenatal care…”

Section: Health Education and Communication Actionsmentioning

confidence: 99%

See 4 more Smart Citations

Infecção por Clostridium tetani no recém-nascido: revisão sobre o tétano neonatorum

Gomes¹,

Freitas²,

Rodrigues³

et al. 2011

Rev. bras. ter. intensiva

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Although tetanus is a preventable disease by vaccination, it continues to claim lives around the world. Whereas cases of accidental origin reflect insufficient population immunization, tetanus neonatorum reveals a doublenature fault-poor vaccination coverage of adults coupled with difficulties accessing appropriate prenatal care; this situation is aggravated by the extreme severity of tetanus in this age group in which the mortality rate can reach up to 80%. The early detection of tetanus in neonates is essential for immediately initiating the proper therapy. Therefore, although reaching an early diagnosis of tetanus is important, the most relevant aspect is related to the appropriate management and prophylaxis of this disease. Consequently, the aim of this article is to review neonatorum tetanus with an emphasis on its therapy and prevention.

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Section: Clinical Featuresmentioning

confidence: 99%

Section: Clinical Featuresmentioning

confidence: 99%

Section: Clinical Featuresmentioning

confidence: 99%

Section: Diagnosismentioning

confidence: 99%

Section: Health Education and Communication Actionsmentioning

confidence: 99%

See 3 more Smart Citations

Infecção por Clostridium tetani no recém-nascido: revisão sobre o tétano neonatorum

Gomes¹,

Freitas²,

Rodrigues³

et al. 2011

Rev. bras. ter. intensiva

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Spatial distribution of prenatal indicators in the State of Tocantins 2001 to 2015

Brito

Pereira

Neto

et al. 2019

Rev. Bras. Saude Mater. Infant.

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Objectives: temporal-spatial analysis of prenatal indicators in the municipalities of the state of Tocantins based on the use of five-year intervals from 2001 to 2015. Methods: the indicators subject to analysis were: average prenatal care (APCPW), proportion of prenatal care in the first trimester (PPCFT) and proportion of pregnant women with vaccine on time (PWVT). Data from the DATASUS platform were used for spatialization of indicators through Thematic Maps, using the QGIS software. Results: indicators of proportion of prenatal care in the first trimester and proportion of pregnant women with vaccine on time showed gradual improvement in their indicators after 15 years of analysis, with values above 75% and 90%, respectively, showing compatibility with the current national scenario. However, APCPW has revealed that no municipality had more than 3 prenatal care visits within 15 years. Conclusions: among the indicators analyzed, the average of prenatal care, although it showed improvement in the 15-year interval, is the one with the greatest deficiency in the state and should therefore have a greater focus on primary care. Thus, it emphasizes the need to encourage the development of organized health systems and the use of specific policy actions to improve not only this indicator, but also the others, to improve prenatal quality.

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Tétano Neonatal: Perfil Epidemiológico Nos Últimos 5 Anos

Silva

Costa

2023

REASE

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O tétano neonatal, pode acometer os neonatos durante os seus primeiros 28 dias de vida. A doença se manifesta poucos dias após o parto com choro, irritabilidade e dificuldade progressiva na amamentação. Segundo estudos, é uma moléstia frequente em populações carentes, que possuem o acesso às unidades de saúde prejudicado. O objetivo deste presente estudo foi analisar os casos de tétano neonatal durante o período de dezembro de 2015 a dezembro de 2020 e suas repercussões nas regiões brasileiras. Estudo de cunho transversal, observacional e descritivo, realizado através de um levantamento de dados presentes no site do DATASUS, analisando o número de internações; média permanência; taxa de mortalidade, no intervalo de tempo de dezembro de 2015 a dezembro de 2020 em relação a morbidade do CID-10 tétano neonatal. Durante o intervalo de tempo de dezembro de 2015 a dezembro de 2020, no Brasil, ocorreram o total de 37 internações devido ao tétano neonatal. No caso da média de dias permanência, a região Nordeste possui o maior valor, com 11,2, seguida da região Sul com 8,0. A respeito da taxa de mortalidade, apenas as regiões Nordeste (16%) e Sudeste (50%) apresentam dados presentes no DATASUS. O tétano neonatal segue como um grande problema de saúde pública; é uma moléstia que acomete populações em carentes condições de vida, onde há dificuldade de acesso às unidades de saúde. É das doenças mais subnotificadas no Brasil. Por ser uma doença de grave prognóstico, demanda internação e cuidados intensivos. O tétano neonatal é uma patologia subnotificada, prejudicando estudos acerca da sua distribuição e morbidade para o país. O nordeste do país sofre com o maior número de internações e média de permanência devido as precárias condições de alguns municípios, todavia a região Sudeste lidera em relação a taxa de mortalidade.

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Tétano dos recém-nascidos: revisitado

Cited by 4 publications

References 1 publication

Infecção por Clostridium tetani no recém-nascido: revisão sobre o tétano neonatorum

Infecção por Clostridium tetani no recém-nascido: revisão sobre o tétano neonatorum

Spatial distribution of prenatal indicators in the State of Tocantins 2001 to 2015

Tétano Neonatal: Perfil Epidemiológico Nos Últimos 5 Anos

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