Intensive care in tetanus: management, complications, and mortality in 100 cases.

Edmondson, R.S.; Flowers, M W

doi:10.1136/bmj.1.6175.1401

Cited by 141 publications

(88 citation statements)

References 5 publications

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“…Los pacientes adultos diagnosticados de tétanos en el HNCH entre 1971 y 1990 presentaron la siguiente evolución en el hospital: 28 pacientes (36.8%) se comportaron como leves, 12 (15.8%) como moderados, 24 (31.6%) como severos y 12 (15.8%) presentaron hiperactividad del sistema nervioso simpático y fueron catalogados como muy severos (14). Estos últimos tuvieron una letalidad muy elevada (83.3%), concordando con lo descrito en la literatura médica para este tipo de manifestaciones (2, 9, 15-17).…”

Section: Discussionunclassified

Criterios de pronóstico en el tétanos del adulto.

Légua¹,

Ocharan²

2013

Rev Med Hered

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SUMMARYThe records of 76 patients with tetanus were reviewed. Factors associated with severe/ very severe cases were: age ≥ 70 years, incubation period ≤7 days, a time from first symptom to admission ≤ 4 days and a surgical portal of entry. Three different prognostic classifications were evaluated. Because of the small sample size, letality result found have very wide confident intervals, which do not allow the detection of possible significant differences in letality between confident intervals, whitch do not allow the detection of possible significant differences in letality between the three classifications. We consider that the classification which takes into account the time from first syptom to admission and the presence of spasms, is the most simple and easy to reproduce in an urban and urban-marginal area. ( RESUMENSe revisó las historias clínicas de 76 pacientes con tétanos del adulto. Los factores asociados significativamente a los casos severos/muy severos fueron: una edad ≥ 70 años, un periodo de incubación ≤ 7 días, un tiempo de enfermedad ≤ 4 días y una puerta de entrada quirúrgica. Se evaluó tres clasificaciones de pronóstico diferentes. Debido al tamaño pequeño de la muestra, los resultados de letalidad encontrados tienen intervalos de confianza muy amplios, lo que no permite detectar diferencias significativas en la letalidad entre las tres clasificaciones. Consideramos que la clasificación que toma en cuenta el tiempo de enfermedad y la presencia de espasmos, es la más simple y fácil de reproducir en el medio urbano y urbano-marginal. (Rev Med Hered 1993; 4(4): 165-172)

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Section: Discussionunclassified

Criterios de pronóstico en el tétanos del adulto.

Légua¹,

Ocharan²

2013

Rev Med Hered

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“…(12,19) 2. Is a clinical strategy of grading the severity of disease relevant to the management of tetanus patients?…”

Section: Rationalementioning

confidence: 99%

“…(12) Orotracheal intubation may be performed initially. However, the presence of the endotracheal tube may trigger or exacerbate laryngeal and generalized spasms.…”

Section: Rationalementioning

confidence: 99%

“…(1,2,(9)(10)(11)(12)(13)(14)(15)(16)(17)(18) In the ICU, appropriate monitoring and quick detection of complications can be performed by a trained multidisciplinary team. (12)(13)(14)17,19,20) We highlight five studies that showed reduced mortality after ICU admission in tetanus patients. In Japan, a decrease in mortality from 40-50% for patients treated between 1940 and 1970, to 20% for patients treated between 1971and 1980, and 10% for patients treated between 1981 and 1982 was shown.…”

Section: Rationalementioning

confidence: 99%

See 1 more Smart Citation

Diretrizes para o manejo do tétano acidental em pacientes adultos

Lisboa¹,

Ho²,

Filho³

et al. 2011

Rev. bras. ter. intensiva

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“…Her condition was further complicated by laryngeal spasm, respiratory muscle impairment and cardiovascular instability -known complications of tetanus (3).…”

mentioning

confidence: 99%