Tetanus Essay

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Tetanus
• It Is a nervous system disease define by muscle spasms that are caused by the toxin which producing anaerobe Clostridium tetani, and it is found in the soil.
• The term "lockjaw" (which nowadays called trismus) one of the leading features of tetanus and it is painful and intense muscle spasm of masseter(1)
Tetanus occurs globally but is most often turn up in heavily populated area in damp, hot climates with soil rich in organic element.(2)

Neonatal tetanus
It Is a pattern of generalised tetanus in new-born infants which they do not have passive protective immunity and that because the mom is not immune.(3)
Neonatal tetanus is cause of neonatal mortality, and it is preventable and that by increasing the cover of toxoid immunisation.(4)
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failure to use the aseptic approach in dealing with the umbilical stump in the babies of mothers who are poorly immunised.(3)
2. The application of unusual substances to the umbilical stump (e.g., ghee or clarified butter, juices, and cow dung) have been defined as standard cultural practices that contribute to neonatal tetanus.(3)
3. From dirty hands and instruments or contamination by straw, dirt, or other nonsterile materials in the delivery field.(3)
• Neonatal tetanus occurs fifth to the seventh day following birth (range 3 to 24 days).(3)

• There was a cross-sectional study conducted in 17 hospitals in paediatric words in Wenzhou, China, to review the risk factor of neonatal tetanus. There were two hundred forty-six neonatal tetanus cases includes and two hundred fifty-seven controls were included. They found having one of three risk factors "home delivery, unsterile delivery or unexperienced birth attendants” increase the risk of neonatal tetanus and having all 3 had a much higher risk of neonatal tetanus. The study showed that the gender of neonatal, maternal parity, the age of mother, and weight of neonatal did not influence the three risk factor “home delivery, unsterile delivery or unexperienced birth
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The study includes twenty-six cases and fifty-two controls, and the age ranged from three days to sixteen days. The study found that most of the cases identified in male infants "61.5%. They found that neonatal tetanus is significant in multipara mother regardless of maternal age, young mother "15 to 25 years", in mother with religious education, and unimmunized mother. They found that mothers whose infants developed neonatal tetanus were significantly had home delivery and had unskilled birth attendants. In their study the neonatal tetanus fatality rate was 70.8%.(fig.

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