Surgical tetanus in Abidjan, Cote d’Ivoire

Aba, Y.T.; Kra, O.; Tanoh, Abel Christian; Ello, F.; Anoumou, M.; Eholié, S.; Kakou, A.; Bissagnené, E.

doi:10.1684/mst.2012.0079

Cited by 5 publications

(2 citation statements)

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“…The most frequent forms of tetanus were of a generalized type. The authors mentioned skin burns, uterine curettage, hernioplasties, skin sutures, and open fractures, as well as medical procedures where sterilization protocols were broken as risk factors [16] . Furthermore, it has been reported that tetanus related to surgical procedures may be linked to medical equipment such as bandages, surgical materials, sutures, clips, and dust contaminated with spores in the operating room [17] .…”

Section: Discussionmentioning

confidence: 99%

Obstetric tetanus in an immunized patient

Principe-Collazos

Ramos-Yataco

Uribe

et al. 2022

IDCases

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Section: Discussionmentioning

confidence: 99%

Obstetric tetanus in an immunized patient

Principe-Collazos

Ramos-Yataco

Uribe

et al. 2022

IDCases

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“…The state phase is manifested by trismus (78%), generalized contractures with opistothonos posture, a glottic and/or diaphragmatic spasm that can be lifethreatening (57%), and finally neuro-vegetative disorders [14,15]. In a study conducted by Aba YT and al in Côte d'Ivoire, on 273 cases of tetanus, and a study in Senegal showed that tetanus was immediately generalized in all patients on admission [ [16,17].…”

Section: Epidemiologymentioning

confidence: 99%

Clostridium tetani infection in pediatric intensive care unit of the CHU of Tamatave Madagascar

Ratsimbazafy¹,

Andrianarivelo

Rakotomahefa³

et al. 2020

IJPR

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Justification: Tetanus, fatal disease, still exists in Madagascar in spite of the vaccination sessions of mass, and attacks also the children. Objective: To describe the epidemiology, the clinical aspect, the treatments and the evolutions of infantile tetanus. Patients and methods: Retrospective study in the pediatric intensive care unit of the University Hospital of Tamatave, on the cases listed during four years (2013-2016). Results: Twenty-seven cases were recensed, with an average age of 10.8 years old and a sex ratio (M/W) equal to 6. Only forty-one percent were already vaccinated before the one year age. No child of more than 11 years-old profited from vaccine recall. The stain of the wound after the ablation of flea was the most frequent cause (76%). Tetanus was generalized in 80%, including 44.4% with respiratory disorder having required intubation. All the children presented hyperthermia above 38°C at the entry and 63% higher or equal to 40°C. Sedation by diazepam, used at all children, was used with an average amount of 4 mg/kg/day. The beta-lactamine antibiotics were used in 100% of the cases. The antitetanus serum was administered at 3000 IU/day. Nosocomial infections occurred in 61%. The mean hospitalization duration was around 11 days. Mortality was 47%. Discussion and conclusion: The vaccine recalls are still negligent in the old children, making these latter vulnerable. Mortality is especially due to superinfections and denutrition.

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Morbidité et mortalité du tétanos des nouveau-nés et des enfants dans les Centres hospitaliers universitaires d’Abidjan, Côte d’Ivoire (2001-2010)

Cissé

Abalé

et al. 2016

Bull. Soc. Pathol. Exot.

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The lack of data on neonatal tetanus and children in university hospitals (UH) in Abidjan for over a decade has motivated the realization of this study. The objective of this study is to evaluate the morbidity and mortality related to neonatal tetanus (NT) and child tetanus (CT) in Abidjan University Hospital from 2001 to 2010. It is a retrospective study, multicenter analysis with records of newborns and children suffering from tetanus in the three UH of Abidjan. The collection and analysis of data were made by the SPHINX 4.5 and EPI.INFO 6.0 software. In ten years, 242 cases of tetanus (53 NT cases and 189 CT cases) were collected with a predominance of cases after the fifth year of life (59.5%). The incidence rate of NT was less than 1 case per 1,000 live births. All mothers of the newborns were inhabiting the city of Abidjan. Their median age was 19 years [16-32] and 64% were teenagers. Gateways were dominated by umbilical wounds (77.3%) in the NTand skin wounds (59%) in CT. The cure rate was 30.2% in the NT and 60% in the CT. Lethality was 60% for NT and 22% for CT with a positive correlation with young age (neonates: p = 4.10-7, age <5 years: p = 0.01), lack of intraspinal injection of tetanus serum (p = 8.10-6), the absence of conventional antibiotic therapy (p = 0.023), the existence of metabolic complications (p = 2.10-5), the score of ≥ 4 Dakar (p = 0.005). Tetanus remains a real morbidly cause among children in Abidjan University Hospital with high lethality. However, the incidence of NT seems consistent with the incidence threshold desired by WHO.

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Surgical tetanus in Abidjan, Cote d’Ivoire

Cited by 5 publications

References 0 publications

Obstetric tetanus in an immunized patient

Obstetric tetanus in an immunized patient

Clostridium tetani infection in pediatric intensive care unit of the CHU of Tamatave Madagascar

Morbidité et mortalité du tétanos des nouveau-nés et des enfants dans les Centres hospitaliers universitaires d’Abidjan, Côte d’Ivoire (2001-2010)

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