Current prevention and treatment of posttraumatic tetanus in Ningxia

Abstract

Objective: By studying the understanding of tetanus among trauma related medical personnel in the Ningxia Hui Autonomous Region, summarizing the prevention and treatment of tetanus in trauma patients, and analyzing the status quo of posttraumatic tetanus prevention and treatment in Ningxia, it provided ideas for the prevention and treatment of posttraumatic tetanus in Ningxia. Methods: Through a questionnaire design and distribution survey, it explored the knowledge of the medical staff in the Ningxia region on the prevention and treatment of tetanus after external injury. Through the medical records of trauma patients treated at the General Hospital of Ningxia Medical University, analyed the standard of post-trauma prevention and treatment in the General Hospital of Ningxia Medical University. Results：A total of 381 valid questionnaires were collected. There were significant differences in the level of awareness of tetanus prevention among different professions (c2 =15.37, P> 0.01) and different working departments (F=12.787, P>0.05) and difference between those who participated in tetanus-related training and those who did not (c2 =5.162, P> 0.05); occupation (OR=0.189,CI 0.070~514) was an independent factor for questionnaire eligibility. A total of 2307 patients were included in the medical records. Comparison between the standard group and the non-standard group for the prevention and treatment of posttraumatic tetanus, there were statistically significant differences in sex, age, injury mechanism, wound nature and injury site (P>0.05). Comparison between the animal injury group and non-animal injury group, there were statistical differences in gender, age, wound nature, injury site, and whether standard tetanus preventive treatment was given (P>0.05). Conclusion: The outlook for the prevention and treatment of tetanus in Ningxia is still not optimistic, and the low rate of prevention and treatment of posttraumatic tetanus, the low awareness of medical personnel and the insufficient attention of the public to tetanus are all problems that urgently need to be solved. The medical industry and health authorities should further establish and improve relevant systems, train medical personnel, and provide popular science to the public, so as to promote the standardized prevention and treatment of posttraumatic tetanus.