scholarly journals Trends in neonatal and post-neonatal tetanus admissions at a Nigerian teaching hospital

2012 ◽  
Vol 6 (12) ◽  
pp. 847-853 ◽  
Author(s):  
Olusola Adetunji Oyedeji ◽  
Francis Fadero ◽  
Victor Joel-Medewase ◽  
Peter Elemile ◽  
Gabriel Ademola Oyedeji
Keyword(s):  
Secondary School ◽  
Teaching Hospital ◽  
Tetanus Toxoid ◽  
Statistical Significance ◽  
Case Fatality ◽  
University Teaching ◽  
Neonatal Tetanus ◽  
First Year ◽  
High Morbidity ◽  
School Dropouts

Introduction: Tetanus accounts for high morbidity and case fatality rates in developing countries. This study therefore aimed to identify reasons for the persistence of this disease. Methodology: Paediatric admissions at Ladoke Akintola University Teaching Hospital between 1 January 2006 and 31 December 2008 diagnosed with tetanus were studied. Data was analyzed with SPSS 18 and statistical significance was set at p < 0.05. Results: Of the total 1,681 paediatric admissions, 30 (1.8%) had tetanus. Of the 878 neonatal admissions, 8 (0.9%) had tetanus, while 22 (2.7%) of the total 803 post-neonatal admissions had tetanus. Neonatal tetanus admissions were significantly higher in 2006 compared to 2007 and 2008 (7 [2.3%] versus 1 [0.2%] [χ2= 7.50, P=0.01]). Of the eight mothers whose neonates had tetanus, seven did not receive tetanus toxoids in pregnancy and five (62.5%) were secondary school dropouts. Post-neonatal tetanus cases admitted in the years 2006, 2007, and 2008 were 4, 12, and 6 children respectively. Most of these 22 children did not receive tetanus toxoid immunization in their first year of life. None of the 22 children received booster doses of tetanus toxoids after their first years of life. Conclusion: Mothers at risk of their babies having tetanus, such as secondary school dropouts, must be identified antenatally and vaccinated with tetanus toxiod. Their babies should also receive good care post-delivery. Completion of routine tetanus toxoid schedule in the first year and booster doses in the post-neonatal age should be ensured.

scholarly journals Post Neonatal Tetanus as Seen in Rivers State University Teaching Hospital, Nigeria: Prevalence, Clinical Profile and Outcome

2021 ◽  
pp. 38-47
Author(s):  
Tamunoiyowuna Grace Okari ◽  
Boma Awoala West
Keyword(s):  
Teaching Hospital ◽  
Tetanus Toxoid ◽  
Rural Areas ◽  
Case Fatality ◽  
Clinical Profile ◽  
University Teaching ◽  
Neonatal Tetanus ◽  
State University ◽  
The Mean ◽  
Rivers State

Background: Post neonatal tetanus, a vaccine preventable disease is a cause of childhood morbidity and mortality in many developing countries including Nigeria. This study was carried out to determine the prevalence, clinical profile and outcome of children with post-neonatal tetanus. Methods: This prospective observational study carried out over 3years in the Paediatric ward of the Rivers State University Teaching Hospital, was among children older than 28days and up to 16years. Result: Of 966 children admitted during the period of study, 12 had post-neonatal tetanus giving a prevalence of 1.2%. Six (50%) were > 10years old with a M:F ratio of 5:1, 5(41.7%) resided in rural areas and all (100%) were of low socioeconomic status. Six (50%) did not receive tetanus toxoid vaccine and no child had booster doses. Portal of entry for the infection was majorly via injuries on their limbs, 7(58.3%). The mean incubation period was 10.58±7.39 days while the mean onset interval was 31.58±27.85 hours. Three (25%) children had severe tetanus using Ablett’s classification with spasm 11(91.7%) documented as the commonest symptom. Half, 6(50%) of the children had autonomic complications and an overall case fatality rate of 25%. Conclusion: The prevalence of post-neonatal tetanus in the Rivers State University Teaching Hospital was low being 1.2%, although unacceptable. The mortality rate of post-neonatal tetanus of 25% was high. Thus, there is a need to strengthen existing immunization program and immediately adopt the commencement of booster doses of tetanus toxoid vaccines for eligible children in Nigeria.

scholarly journals Prevalence and outcome of neonatal tetanus in Zaria, Northwestern Nigeria

2011 ◽  
Vol 5 (04) ◽  
pp. 255-259 ◽  
Author(s):  
Richard Onalo ◽  
Hassan Mshalia Ishiaka ◽  
Williams Nuhu Ogala
Keyword(s):  
Statistical Significance ◽  
Case Fatality ◽  
University Teaching ◽  
Neonatal Tetanus ◽  
Female Ratio ◽  
Factors Associated ◽  
Continuous Evaluation ◽  
The Mean ◽  
Male To Female

Introduction: Neonatal tetanus is a highly debilitating disease with high mortality. Global efforts at eliminating the disease in developing countries are yielding results but slower than expected. The high case fatality of neonatal tetanus remains a therapeutic challenge to physicians and requires continuous evaluation. This study aimed to determine the incidence and outcome of neonatal tetanus in Zaria, northwestern Nigeria. Methodology: A retrospective study of neonatal tetanus was conducted at the Neonatal Unit of Ahmadu Bello University Teaching Hospital, Zaria, between January 2005 and December 2009. Data generated were analyzed using the Epi Info version 3.5.1 software and statistical significance was set at p < 0.05. Results: Of the 2,692 newborns admitted during the study period, 20 had tetanus, giving an overall prevalence of 0.7%. There were 14 males and 6 females (male to female ratio 2.3:1). The mean age and weight at presentation were 8.3 ± 4.0 days and 2.7 ± 0.3 kg, respectively. The mean incubation period was 3.2 ± 2.0 days. Four infants (20.0%) survived, one was discharged against medical advice and 15 (75.0%) died. Factors associated with mortality were presentation at less than seven days of life, low Hendrickse score at presentation (p = 0.0005) and hypoglycaemia (p = 0.0374). Conclusion: The incidence and the mortality rate of neonatal tetanus appear to be lower than those previously reported by our centre for the same region. Therefore, the ongoing global efforts for disease elimination and further improvements in the quality of care should be sustained.

scholarly journals Trauma Registry Development for Jos University Teaching Hospital: Report of the First Year Experience

2015 ◽  
Vol 77 (4) ◽  
pp. 297-300 ◽  
Author(s):  
Kenneth N. Ozoilo ◽  
Mariam Ali ◽  
Solomon Peter ◽  
Lohfa Chirdan ◽  
Charles Mock
Keyword(s):  
Teaching Hospital ◽  
Trauma Registry ◽  
University Teaching ◽  
First Year Experience ◽  
First Year ◽  
Hospital Report

scholarly journals A 14 year review of neonatal tetanus at Ahmadu Bello University Teaching Hospital, Zaria, Northwest Nigeria

2017 ◽  
Vol 9 (5) ◽  
pp. 99-105
Author(s):  
A. Aliyu Alhaji ◽  
Abdulkadir Isa ◽  
Amadu Lawal ◽  
Dahiru Tukur
Keyword(s):  
Teaching Hospital ◽  
University Teaching ◽  
Neonatal Tetanus

scholarly journals Maternal and perinatal outcome in severe preeclampsia and eclampsia at the Rivers State university teaching hospital, Nigeria

2020 ◽  
Vol 9 (11) ◽  
pp. 4389
Author(s):  
Peter A. Awoyesuku ◽  
Dickson H. John ◽  
Dickson H. John ◽  
Lewis B. Lebara ◽  
Lewis B. Lebara
Keyword(s):  
Birth Weight ◽  
Teaching Hospital ◽  
Gestational Age ◽  
Mode Of Delivery ◽  
Case Fatality ◽  
Severe Preeclampsia ◽  
University Teaching ◽  
State University ◽  
The Mean ◽  
Rivers State

Background: Severe preeclampsia and eclampsia remain a challenge in tropical obstetric practice. It is a major contributor to feto-maternal morbidity and mortality in developing countries. This study seeks to determine the prevalence, associated risk factors and the feto-maternal outcome of severe preeclampsia and eclampsia at the rivers state university teaching hospital (RSUTH).Method: A retrospective study of all women who had severe preeclampsia and eclampsia and were delivered at the RSUTH in a two-year period, 1ST January 2018 to 31ST December 2019, was carried out. Data on patients’ age, parity, education, booking status, gestational age at delivery, diagnosis, complications, mode of delivery and fetal sex, birth weight and Apgar scores were retrieved using structured pro-forma. Data were analyzed using SPSS version 20.Results: There were 4496 deliveries of which 128 had severe preeclampsia and eclampsia, giving a prevalence of 2.85%. Of these, 94 (73.4%) had severe preeclampsia and 34 (26.6%) had eclampsia. The mean age of the women ± SD was 29.84±5.44 years, median parity was para 1, and mean gestational age ± SD was 35.38±3.84 weeks. There were 10 maternal deaths giving case fatality of 7.8%. The mean birth weight ± SD was 2.61±0.91 kg and stillborn rate was 14.4%. There was significant association with maternal age, education, booking status, method of delivery and Apgar score of the baby.Conclusion: The prevalence in this study is high with associated high maternal mortality and stillborn rates. Timely and appropriate intervention including primary management and judicious termination of pregnancy will reduce mortality of mother and fetus.

Neonatal and post-neonatal tetanus in Nnamdi Azikiwe University Teaching Hospital, Nnewi, South-East, Nigeria: A 10-year review

2015 ◽  
Vol 18 (1) ◽  
pp. 30 ◽  
Author(s):  
ChijiokeElias Ezeudu ◽  
KenechiOgbodo Nnamani ◽  
JohnOnuora Chukwuka
Keyword(s):  
Teaching Hospital ◽  
University Teaching ◽  
Neonatal Tetanus

Mortality of tetanus at the Lagos University Teaching Hospital, Nigeria

2005 ◽  
Vol 35 (3) ◽  
pp. 178-181 ◽  
Author(s):  
F I Ojini ◽  
M A Danesi
Keyword(s):  
Intensive Care Unit ◽  
Intensive Care ◽  
Teaching Hospital ◽  
Case Fatality Rate ◽  
Case Fatality ◽  
Developed Countries ◽  
University Teaching ◽  
Age Group ◽  
Fatality Rate ◽  
Medical Wards

Records of 349 tetanus patients, aged 10 years and above, admitted to the Lagos University Teaching Hospital, Nigeria, between 1990 and 1999 were reviewed. The male:female ratio was 1.98:1, and the ages were between 10 and 88 years, with a mean age of 29.8 years. The overall case fatality rate (CFR) of tetanus was 36.96% (33.19% for men and 44.44% for women). The CFR is similar to that previously reported in the hospital, but higher than that reported from Europe and North America. The lowest CFR was in the 10-19-year age group, and there was a trend towards increasing CFR with increasing age. Tetanus patients in the intensive care unit (ICU) had a significantly higher CFR than those in the medical wards. Unlike in developed countries, where management of tetanus in ICU has resulted in a decrease in CFR, the CFR of tetanus at the Lagos University Teaching Hospital has not significantly reduced over the years.

Patterns of Trauma Deaths in an Accident and Emergency Unit

2007 ◽  
Vol 22 (1) ◽  
pp. 75-78 ◽  
Author(s):  
Odigie Clement Osime ◽  
Stephen Udi Ighedosa ◽  
Olugbenga Ojo Oludiran ◽  
Pius Ehiawaguan Iribhogbe ◽  
Eddy Ehikhamenor ◽  
...  
Keyword(s):  
Teaching Hospital ◽  
Motor Vehicle ◽  
Case Fatality ◽  
The Body ◽  
University Teaching ◽  
Emergency Unit ◽  
Accident And Emergency ◽  
Injured Region ◽  
Transfer Services ◽  
Trauma Deaths

AbstractIntroduction:Trauma is a leading cause of death in most countries. Different patterns of trauma deaths are recorded in different countries. The purpose of this study was to evaluate retrospectively the pattern of trauma deaths in the emergency unit of a University Teaching Hospital in Nigeria.Methods:This is a descriptive, retrospective study. The data were obtained from patient case files and nurses'records. The data abstracted included age, sex, cause of trauma/death, parts of the body injured, time of death, andthe duration of stay in the Accident and Emergency Unit (AEU).Results:A total of 5,537 cases presented to the AEU of the University of Benin Teaching Hospital between 01 January 2001 and 31 December 2004. Of these, 5,446 were due to trauma (98.4%). A total of 127 patients died (case fatality rate: 2.3%). Of the deaths, 81.9% were males. Motor vehicle crashes were the most frequent cause (54.3%), and drowning was the least common cause of trauma (0.8%). The most frequently injured region of the body was the head and neck (53.4%). A total of 67.4% of the deaths occurred within six hours of presentation to the AEU.Conclusions:There is a great need for improved road safety, adequate pre-hospital medical care, and prompt transfer services for victims of trauma.

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