Study of Tetanus in the Infectious Diseases Hospital, Dhaka, Bangladesh

Abstract

Background: Tetanus is a vaccine preventable serious disease that can affect people of all age group with a high mortality. Although tetanus incidence is significantly reduced due to nationwide vaccination coverage, it is not uncommon in our country.
 Aims & Objectives: To determine of the socio-demographic profile, nature of injury, incubation period and outcome of the tetanus patients who were admitted in the Infectious Diseases Hospital, Dhaka during the study period. Materials and Methods: This cross sectional observational study was done in the Infectious diseases hospital, Dhaka during the period of February 2017 to January 2018. The data, were collected, compiled and analyzed.
 Results: Out of 149 patients, neonates were 13(8.7%) in number. Most of the cases were in middle aged group. Malefemale ratio about 4.5:1. Majority of the patients (134, 89.9%) had no history of immunization but one patient was immunized within five years. Mean incubation period tetanus was 8.45 days with ±5.56 SD. Death occurs in 41(27.5%) patients and all of them had no history of immunization. Death rate of patients having early incubation period was significantly higher (p=0.003). Death rate in neonatal tetanus (53.84%) also significantly higher than that of non-neonatal tetanus (25%) (p= 0.026).
 Conclusion: Tetanus is not uncommon in Bangladesh, especially in neonates and adult male and mortality rate is high. Short incubation period predicts were outcome.
 J Bangladesh Coll Phys Surg 2021; 39(3): 160-166

Đặc Điểm Lâm Sàng, Cận Lâm Sàng Và Kết Quả Điều Trị Bệnh Uốn Ván Tại Bệnh Viện Đà Nẵng

“…Sự khác biệt này có thể do nam giới thường hay lao động chân tay, lao động nặng thường có vết thương ngoài da tiếp xúc đất, cát bụi… Tuổi trung bình của nhóm nghiên cứu 60 ± 14,2 tuổi, nhỏ nhất là 26 tuổi, lớn nhất 93 tuổi, trong đó nhóm tuổi ≥ 60 tuổi chiếm tỷ lệ cao 50%, nhóm tuổi 30 -59 tuổi chiếm 46% và nhóm tuổi < 30 tuổi thấp nhất 4%. Nghiên cứu của tác giả Nguyễn Mạnh Trường cho thấy tuổi trung bình 54,2 ± 19,5 tuổi, Zhe Fan 56,7 ± 9,0 tuổi 4,7 8 .…”

Living standard and access to tetanus toxoid immunization among women in Bangladesh

“…A cross-sectional study of 149 (irrespective of age and gender) patients diagnosed with tetanus was conducted in Infectious Disease Hospital, Dhaka- which gave us a glimpse of present status of tetanus in the country. The result depicted an 8.7% (13 out of 149) of NT with a high fatality rate of 53.84% (7 out of 13) and patients were the least immunized with TT compared to those who survived [ 9 ]. Actual extent of death toll caused by tetanus is always undetectable in developing countries because in most cases newborns and mothers die at home and such incidents, either the birth or the death, are seldom reported to the proper authority [ 10 ].…”