Incidence of neonatal and non-neonatal tetanus at San Lazaro Hospital : a retrospective study January - December 1993 /
Icasiano V. Geremillo Jr. ; Arnida R. Hembrador ; Isabel Montalbo ; Ericson G. Singson and Jonathan Valdez.
- Manila: Department of Pathology, FEU-NRMF, December 1993.
- 40 pages: illustrations, tables; 28cm.
Includes appendices and bibliographical references.
Abstract: Neonatal Tetanus Case. A total of 113 cases of neonatal tetanus were admitted at San Lazaro Hospital since the beginning of January 1993. There were 63 deaths for a case fatality ratio of 55.75%. Ninety one percent (103) of these cases were delivered at home. They were attended by as follows : 94(83.2%)by hilots, 12 (10.6%) by registered midwives, 6 (5.3%) by physicians and 1 (0.9%) of unknown personnel. Seventy four (65.5%) cases came from Metro Manila while the rest (34.5%) came from different provinces. Eighty (70%) of the infants mothers had no history of immunization against tetanus during their pregnancy. Two (1.8%) were partially immunized and 24 (21.2%) have unknown immunization status. There is slight decrease in the incidence of neonatal tetanus as compare to 117 cases of this disease for the same time period last year. However, This does not mean an end in strengthening efforts in immunization of pregnant women with tetanus toxoid and in emphasizing the importance of completion of scheduled doses. Neonatal tetanus cases is still an important cause of infant morbidity and mortality. Non Neonatal Tetanus Case A total 1050 patients were admitted at the San Lazaro Hospital from January 1, 1993 to December 31, 1993 with the diagnosis of non-neonatal tetanus. (NNT) Ages range from one month or more than 100 years (median 27 years). Eight hundred seventy two (CF 83.05%) were recorded during the same time period. A clustering of morbidity and mortality was noted during the month of January. There were 792 (75.43%) and 258 (24.57%) female, males NNT admission of which 24.4% (256/1050) were due do dental caries, 15.1% (158/1050) were due to nail puncture, 6.7% (169/1050) were due to firecrakers and the remaining 53.8% were due to different causes of injury There is an increase in the incidence of non-neonatal tetanus as compared to 1027 cases of this disease for the same time period last year. This should prompt the health officers to strengthen their efforts in immunizing not only pregnant women but other people as well, especially those exposed to high risks of developing the disease.
Thesis - Department of Pathology & Laboratory Diagnosis