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|Title:||Evaluation of Six Adult Tetanus Patients Followed in Intensive Care Unit|
Yusuf Ziya DEMİROĞLU
Funda ERGİN TİMURKAYNAK
|Source:||Flora Infeksiyon Hastalıkları ve Klinik Mikrobiyoloji Dergisi, Vol 13, Iss 3, Pp 142-145 (2008)|
|Publisher Information:||Bilimsel Tip Yayinevi, 2008.|
|Collection:||LCC:Infectious and parasitic diseases
Intensive care unit
Infectious and parasitic diseases
|Description:||Tetanus is a disease with high mortality and preventable with appropriate vaccination. Demographic and clinical characteristics of the patients diagnosed as tetanus and followed in the intensive care unit were evaluated. Six adult tetanus patients treated in the intensive care unit between January 2002 and April 2007 are prospectively followed. The patients had a mean age of 67.3 (47-83); four of them were male and two were female. Only one of the patients had vaccination. Four of the patients had minor trauma with spine, piece of bone or rusty wire. One patient had history of fracture due to major trauma. There was no history of trauma in one patient. Mean period of incubation was 7.8 days. The most common symptom during administration was contractions and trismus. Five patients were entubated and mechanically ventilated for a mean period of 1.6 days. Four patients had nosocomial infection and Staphylococcus aureus was the most common pathogen. Three patients died, whereas the other three recovered without sequela. Non-infectious complications were gastrointestinal hemorrhage in one, acute renal failure, ventilator associated pneumonia and pneumothorax in two patients. Minor trauma may lead to tetanus in people without vaccination; majority of our patients did not have vaccination. Since these patients are followed in the intensive care units for a long period of time, one must consider that infectious and non-infectious complications may develop.|
|File Description:||electronic resource|
|Rights:||Journal Licence: CC BY-NC-SA|
|Database:||Directory of Open Access Journals|
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