A Four Years Record Review of Tetanus Cases Admitted to Jimma University Specialized Hospital (JUSH), Southwest Ethiopia: A Slip of Tetanus Case Management?

Abstract

Background: Establishment of Intensive care unit (ICU) at JUSH did not improve mortality of tetanus cases due to infrequent tracheostomy and mechanical ventilation.

Outcome and Associated Factors among Adult Tetanus Patients Admitted to Jimma University Medical Center: A Retrospective Study

“…Modes/portal of entry can be viewed as different labels for the same underlying phenomena. Site has prognostic importance in this study, similar to the previous study at JUSH [15]. The within site risk of mortality tended to rise as location moves up towards head and neck.…”

“…Period of onset had predictive significance in this investigation, as it had in a prior study done at the same institution [15]. As the period of onset became shorter, mortality within groups of duration of onset tended to grow.…”

“…The fact that 12 (50.0 percent) of cases had generalized spasm on admission and that 6(50.00 percent) of those with generalized spasm died while 1(11.1 percent) of those with no generalized spasm died shows need for understanding of the course of the disease, for localized and cephalic forms can also progress to generalized form similar to previous study at JUMC [15].…”

“…One case died of respiratory failure (aspiration pneumonia, Lung abscess) and one case died of sepsis. The overall mortality in this study was 62.5% which was 40.0% and 38.0% in previous two consecutive studies done at JUMC [15]. There are, however, inherent differences between these two studies like sample size.…”

“…Sites located on lower limbs were commonest and mildest while those on head and neck were less common and severe. The importance of site is also reflected in the fact that cases with unrecorded sites had 30.77% mortality and 100% in the previous study [15][16].…”