STUDY OF TETANUS CASES IN INTENSIVE CARE UNIT OF PEDIATRICS
Journal Title: World Journal of Pharmaceutical and Medical Research - Year 2018, Vol 4, Issue 4
Abstract
Objective: To study the demographic and clinical features, outcome, complications and treatment cost of tetanus patients admitted in Paediatirc Intensive Care Unit of Benazir Bhutto hospital Rawalpindi. Methods: It is a descriptive observational study conducted at Benazir Bhutto hospital Rawalpindi from July 2013 to June 2015. Patients of tetanus admitted in PICU during the study period were enrolled. Data was collected from the file records of patients and included the demographic profile, clinical presentation, grade of severity, length of stay, complications and outcome. It also included the cost of treatment. Descriptive statistics were applied to describe the results. Results: During the study period, 23 cases of tetanus were admitted in P.I.C.U. twelve were male and 11 female. Majority of cases (13) belonged to age group 2-6 years. Seventeen cases were unvaccinated and 6 had received only BCG & OPV. None was appropriately vaccinated for age. There were 9 cases of post injury tetanus, 6 of them were males, 5 cases of otogenic tetanus and 9 cases had no clinically identifiable portal of entry. Eleven cases belonged to grade III severity of Ablett classification and 6 had grade IV severity. Mortality in our case series was 26%. Autonomic instability was seen in 17 patients and all of them needed ionotropic support. The estimated cost of per day treatment of a tetanus patient with mechanical ventilation was approximatly 31, 979/Pak Rs and without mechanical ventilation was 20,000/Pak Rs. Conclusion: Tetanus is an entirely preventable disease with a high mortality. Treatment is very costly as compared to vaccination which is free of cost. Complete vaccination and proper wound care is the only option to reduce the ongoing burden of tetanus.
Authors and Affiliations
Dr. Waqar Anwar
Keywords
Related Articles
- EP ID EP659845
- DOI -
- Views 142
- Downloads 0
CALCIFYING ODONTOGENIC CYST ASSOCIATED WITH COMPLEX ODONTOMA: UNCOMMON CASE REPORT
Calcifying odontogenic cyst (COC), first described as a separate entity by Gorlin et al. in 1962, is a cystic lesion lined by an ameloblastoma-like epithelium containing ghost cells and calcifications. It is an uncommon...
TEA DRINKING HABITS AND OSTEOPOROTIC HIP/FEMUR FRACTURES
Objective: To explore the relationship between tea drinking habits and osteoporotic hip/femur fractures. Methods: Paired case-control method was used for face-to-face interviews from January 2010 to June 2014. Patients (...
PROGNOSTIC ROLE OF HUMAN PAPILLOMA VIRUS IN ORAL SQUAMOUS CELL CARCINOMA: A REVIEW
Aim & background: In spite of increase in the incidence of oral squamous cell carcinoma, there are not serious achievements gained in related treatment modalities and survival rates. Hence, through identifying the etiolo...
CHRONIC SINUS INFECTIONS IN PATIENTS AFTER LAPAROSCOPIC CHOLECYSTECTOMY
Introduction: A laparoscopic cholecystectomy is a surgical procedure in which the gall bladder of the patient is removed via minimal intrusion into the human body; it is a procedure in which four incisions are given, of...
SCIENTIFIC VIEW OF INFANT DISORDERS ACCORDINGTO CHARAK: A CONCEPTUAL STUDY
Paediatrics is regarded as the medical science which enables an anticipated new born to grow into a healthy adult useful to the society. It is a study of the child from conception through childhood nay adolescence. Breas...