[Surgical tetanus in Abidjan, Cote d'Ivoire]. / Tétanos à porte d'entrée chirurgicale à Abidjan, Côte d'Ivoire.
Med Sante Trop
; 22(3): 279-82, 2012.
Article
en Fr
| MEDLINE
| ID: mdl-23164795
ABSTRACT
OBJECTIVE:
To describe the epidemiological and clinical features and the outcome of tetanus with a surgical wound (open fracture, burn, incision, curettage, etc) as the portal of entry.METHODS:
Cross-sectional analysis of records of patients hospitalized in the department of infectious and tropical diseases in Abidjan for surgical tetanus from 2003 to 2008.RESULTS:
During the 6-year study period, 29 cases were identified. They accounted for 11% of all tetanus cases admitted to the hospital 8% from 2003 through 2006 and 14% in 2007 and 2008. The patients' average age was 36 years (range 11-72). Most cases (86%) involved recent surgery, in both public (51%) and private (49%) health facilities. All patients had generalized tetanus at admission, and 24 (86%) paroxysms. Moderate forms predominated (69%). The lethality of tetanus in these surgical wound cases was 45%. The characteristics statistically associated with death were age >44 years, time of hospitalization >4 days, the presence of paroxysms, and a Dakar prognosis score ≥4.CONCLUSION:
The severity of surgical tetanus remains a concern for practitioners. Its high prevalence in recent years demonstrates the need to increase surgeons' awareness of tetanus prevention.
Texto completo:
1
Banco de datos:
MEDLINE
Asunto principal:
Infección de la Herida Quirúrgica
/
Tétanos
Tipo de estudio:
Diagnostic_studies
/
Observational_studies
/
Prevalence_studies
/
Prognostic_studies
/
Risk_factors_studies
Límite:
Adolescent
/
Adult
/
Aged
/
Child
/
Female
/
Humans
/
Male
/
Middle aged
País como asunto:
Africa
Idioma:
Fr
Año:
2012
Tipo del documento:
Article