Department of Paediatrics, University of Calabar Teaching Hospital, Calabar, Nigeria.
Pan Afr Med J. 2019 Nov 13;34:143. doi: 10.11604/pamj.2019.34.143.20606. eCollection 2019.
Non accidental injury sustained following deliberate self-harm or inflicted by parents or caregivers for disciplinary, traditional and therapeutic measures have grave consequences including exposing the incompletely child to post neonatal tetanus. This contributes to the continuing high incidence of post neonatal tetanus in developing countries.
A 12 year retrospective review of all children admitted into the children's ward of the University of Calabar Teaching Hospital with diagnosis of post neonatal tetanus was carried out. The demographic characteristics of the children were documented. Immunization status, possible portal of entry and outcome status were also recorded. Data obtained was analysed using SPSS version 22.
There was a male preponderance of 70.5% amongst the 44 children with post neonatal tetanus. Non-accidental injuries accounted for 20(45.5%). Broom stick injury sustained during corporal punishment was responsible for 60% of tetanus from the non-accidental injury group. Low socio economic class and Inadequate or no immunizations are major risk factors for tetanus infection.
Non accidental injuries inflicted on children as disciplinary measures accounted for about half of children with post neonatal tetanus. Broom stick injury was a major contributory factor. Lack of immunization and low social class remains major risk factors for post neonatal tetanus. Post neonatal tetanus presents another reason for sustained campaign against physical abuse of children.
非意外损伤是由故意自残或父母或看护人实施的纪律处分、传统和治疗措施造成的，后果严重，包括使不完全发育的儿童暴露于新生儿破伤风后。这导致发展中国家新生儿破伤风的持续高发。
对在卡拉巴尔大学教学医院儿童病房住院诊断为新生儿破伤风的所有儿童进行了 12 年的回顾性研究。记录了儿童的人口统计学特征。还记录了免疫状况、可能的入口和结果状况。使用 SPSS 版本 22 分析获得的数据。
44 名新生儿破伤风患儿中，男性占 70.5%。20 例（45.5%）为非意外损伤。在体罚中遭受的扫帚棒损伤导致非意外损伤组 60%的破伤风。社会经济地位低和免疫接种不足或不充分是破伤风感染的主要危险因素。
作为纪律措施对儿童造成的非意外损伤占新生儿破伤风患儿的一半左右。扫帚棒损伤是一个主要的促成因素。缺乏免疫接种和社会地位低下仍然是新生儿破伤风的主要危险因素。新生儿破伤风是反对儿童身体虐待的持续运动的另一个原因。
