Post-Neonatal Tetanus in Nguru, Yobe State, North-Eastern Nigeria

Akuhwa, RT; Alhaji, MA; Bello, MA; Bulus, SG

doi:10.4314/nmp.v57i3.55752

Cited by 10 publications

(14 citation statements)

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“…This study demonstrated that social class of parents plays an important role in the likelihood of having complete immunization; twenty-six (53%) of the subjects belong tothe lower social class and had either no or incomplete immunization. Similar finding were documented by Akuhwa et al [ 22 ] and Adegboye et al [ 23 ]. The reasons given by the caregivers of our patients for no or incomplete immunization included relocation from place of residence, mother's ill-health and lack of funds for transportation and payment at health centres.…”

Section: Discussionsupporting

confidence: 92%

“…The lower proportion of tetanus subjects among those admitted during the study period may also be a reflection of decreasing trend in reported cases which has been seen in some centres [ 21 ]. There were significantly higher number of males compared with females, similar findings were documented by earlier authors in Nigeria and ouside Nigeria [ 6 , 7 , 10 , 21 , 22 ]. This may be explained by the likelihood of the male child to be more adventurous and to play barefoot which puts them at greater risk of injuries (especially of the lower limbs) and subsequently tetanus infection.…”

Section: Discussionsupporting

confidence: 88%

“…This may be explained by the likelihood of the male child to be more adventurous and to play barefoot which puts them at greater risk of injuries (especially of the lower limbs) and subsequently tetanus infection. The mean age of 6.5 +3.2 years found in this study was similar to that documented by Alhaji [ 7 ] among children in the Northern part of Nigeria but lower than 5.83 + 3.4 documented by Akunhwa et al [ 22 ] and Tullu et al [ 21 ]. In all the reports most of the subjects were in the school age which suggests that the current programme on immunization confers immunization on of the child up to age of five years, this further emphasises the need to include booster doses of tetanus toxoid in all children as part of the National programme on Immunization.…”

Section: Discussionsupporting

confidence: 88%

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Profile and outcome of patients with post-neonatal tetanus in a tertiary centre in south west Nigeria: any remarkable reduction in the scourge?

Animasahun¹,

Gbelee²,

Ogunlana³

et al. 2015

Pan Afr Med J

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IntroductionThe incidence of tetanus has remained unacceptably high in developing countries. We aimed to describe the profile and outcome of children with tetanus admitted at the Lagos State University Teaching Hospital (LASUTH), Ikeja.MethodsA prospective and cross-sectional study of children aged 1 month to 12 years of age admitted with clinical diagnosis of tetanus, between January 2011 and December 2013, at the Paediatric department of LASUTH. The age, sex, presenting complaint, immunization status, portal of entry, socio-economic class, complications, duration of admission and outcome of the subjects were analyzed using Microsoft Excel supplemented with Statistical Package for Social Sciences (SPSS) version 17.0. Level of significance set at p< 0.05.ResultsA total of 49 subject participated in the study. Male: Female ratio was 1.7: 1.0. mean age ± SD of 6.5± 3.2 years. Only 24.5% of the subjects were fully immunized, lower limb injury was the most common portal of entry (34.7%). Majority (79.6) were of the middle and lower social classes. Most of the subjects (67.3%) presented with generalised spasm. Only 1 patient (2.0%) did not have trismus. Case fatality rate was 4.1%.ConclusionTetanus is still prevalent among children in our environment. It is commoner among those with no immunization or incomplete immunization, commoner in those in the middle and lower social class. Lower limb injury was the most common portal of entry. Trismus was a common presenting feature. There is a need to develop programmes with will help improve compliance to immunization.

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Section: Discussionsupporting

confidence: 92%

Section: Discussionsupporting

confidence: 88%

Section: Discussionsupporting

confidence: 88%

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Profile and outcome of patients with post-neonatal tetanus in a tertiary centre in south west Nigeria: any remarkable reduction in the scourge?

Animasahun¹,

Gbelee²,

Ogunlana³

et al. 2015

Pan Afr Med J

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“…The cases were aged 11 years and 14 years respectively. All the cases were unimmunized in infancy which is similar to reports documented by previous studies [3]- [5] [16]. Although they were unimmunized against the disease in infancy, they were also eligible for booster doses which they also failed to receive.…”

Section: Discussionsupporting

confidence: 78%

“…This vaccine preventable disease is associated with both neonatal and post neonatal morbidity and mortality in developing countries of Africa and Asia including Nigeria [3]- [5]. Recent analysis of data from 2000 to 2010 showed that neonatal tetanus decreased in Africa and accounted for 20,000 -276,000 neonatal deaths (1% of all child mortality) in 2010 [6].…”

Section: Introductionmentioning

confidence: 99%

The Socio-Economic Challenges in Post Neonatal Tetanus

Eberechukwu¹,

Angela²

2015

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Background: Tetanus has remained a major public health problem worldwide although it is a vaccine preventable disease. It is a major contributor to under-five morbidity and mortality globally. Its effect is worse in developing countries such as Nigeria. Aims and Objectives: To highlight the socioeconomic challenges in the management of Post neonatal tetanus at the University of Port Harcourt Teaching Hospital, Nigeria. Study Design: A Retrospective Descriptive study. Place of Study: University of Port Harcourt Teaching Hospital. Methods: Report of the socioeconomic challenges in the management of three consecutive cases of Post neonatal tetanus at the University of Port Harcourt Teaching Hospital from February to April 2015 was studied. Data on socioeconomic variables were retrieved from case notes of the patients. Results: These were three patients, two females and a male. Their ages were 11 years old of the two females and 14 years old of the male. None was immunized with tetanus toxoid in infancy. All three children survived. They were all from low socioeconomic class, two mothers were petty traders while one was unemployed, only one mother had complete secondary education. One mother was immunized in pregnancy, while one mother was married. Conclusions: The socioeconomic challenges of tetanus are immense, but could be prevented by simple measures such as education of the girl child, immunization of all school children, raising community awareness among other measures, and strengthening the school health program.

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Cephalic Tetanus: A Case Report

Abdulhafiz²,

Atuanya³

et al. 2011

Case Reports in Infectious Diseases

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A case report of cephalic tetanus in a 2-year-old girl who was not immunized against tetanus following suppurative otitis media (SOM) is presented. This case is reported because of the rarity of cephalic tetanus associated with high mortality, to highlight the risk of cephalic tetanus as sequelae of SOM and the need for proper aural care and prompt treatment of SOM. Primary immunization of all eligible children as well as booster vaccination at appropriate time as an effective management strategy for tetanus is emphasized.

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Post-Neonatal Tetanus in Nguru, Yobe State, North-Eastern Nigeria

Cited by 10 publications

References 0 publications

Profile and outcome of patients with post-neonatal tetanus in a tertiary centre in south west Nigeria: any remarkable reduction in the scourge?

Profile and outcome of patients with post-neonatal tetanus in a tertiary centre in south west Nigeria: any remarkable reduction in the scourge?

The Socio-Economic Challenges in Post Neonatal Tetanus

Cephalic Tetanus: A Case Report

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