All issues > Volume 17(2); 1974

Original Article

J Korean Pediatr Soc. 1974;17(2):111-117. Published online February 28, 1974.

Clinical Observation of Neonatal Tetanus

Sang Ha Suh¹, Ki Chang Han¹, Yeung Wo Sohn¹, Dong Sup Han¹

¹Department of Pediatrics，College of Medicine, Kyungpook National University Taegu，Korea

Abstract

Total 75 cases of the patients of neonatal tetanus were clinically evaluated, who were admitted to the Department of Pediatrics, Kyungpook University Hospital during period from January 1967 to August 1971. The result were as follows; 1) The number of patients yearly mean were 15 to 16 cases which was 4. 8% of total admitted patients of Pediatrics. 2) There was revealed the high incidence of the male than the female and its ratio was about 3 ： 1. 3) The mortality rate was 44%. 4) Home delivery with no sanitary facilities was a problem of the neonatal tetanus. 5) The majority of patients (76%) were before 6 days of age on admission. It is clear that recovery correlates more closely with the age of admission. Patients with age on admission over 7 days had a good prognosis. 6) The 72 cases out of the total 75 cases were admitted in hospital during 3 days after onset. Most patients who survived as long as 6 to 7 days after admission recovered completely. 7) The most common chief complaints on admission were poor sucking 96. 2%), convulsion, trismus and oozing of umbilicus (66. 0%). 8) Hypothermia and hyperpyrexia was significantly correlated with mortality. 9) The main complications were pneumonia, hyperexia and asphyxia which showed poor prognosis.

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