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A Clinical Ovservation of Tetanus Neonatorum.

Journal of the Korean Pediatric Society 1988;31(8):992-998.
Published online August 31, 1988.
A Clinical Ovservation of Tetanus Neonatorum.
Gyeong Hye Jung, Hyo Sin Kim, Ock Seung jeong, Son Sang Seo
Department of Pediatrics, Il Sin Christian Hospital, Pusan, Korea
신생아 파상풍에 대한 임상적 고찰
정경혜, 김효신, 정옥승, 서손상
부산 일신기독병원 소아과
Received: 10 November 1987   • Accepted: 22 February 1988
A clinical study in 75 cases who were hospitalized and diagnosed as neonatal tetanus at II Sin Christian Hospital during the last 10 years (1976-1985) is reported. The results were as follows; 1) The mean annual incidence was 0.29% and the overall mortality rate was 29.4%. 2) Sex ratio of male to female was 1.6:1. 3) Home delivery without sanitory facilities was the most common problem (86.5%). 4) Most of umbilical cord was cut by unsterilized scissors (73.3%). 5) The most common symptom on admission was poor sucking (96%). Besides this trismus, convulsion and fever etcs. was noted commonly. 6) Most of patients was admitted within 2 days, the shorter this period was, the highr mortality was. 7) The mean age of onset was 5.41 days. The earlier the onset was, the worse the prognosis was 8) Hypothemia (below 36V) and hyperpyrexia (above 38*C) were significantly correlated with prognosis. 9) The weight of patients was not significantly correlated with prognosis. 10) The patients whose WBC counts on peripheral blood were below 5,000/mm3 and above 25,000/ mm3 had high mortality. 11) Dosage of antitoxin was not significantly correlated with mortality rate.
Key Words: Tetanaus, Neonate

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