尼日利亚吉加瓦州杜茨谢科尼专科医院新生儿破伤风病例回顾

A Review of Neonatal Tetanus Seen in Rasheed Shekoni Specialist Hospital, Dutse, Jigawa State, Nigeria.

作者信息

Umar Also, Garba Gwarzo

机构信息

Department of Paediatrics, Rasheed Shekoni Specialist Hospital, Dutse, Jigawa State, Nigeria.

Department of Paediatrics, Bayero University and Aminu Kano Teaching Hospital, Kano, Nigeria.

出版信息

Niger Med J. 2021 Dec 10;62(1):29-32. eCollection 2021 Jan-Feb.

PMID:38504789

原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC10903287/

Abstract

BACKGROUND

Neonatal tetanus is a major contributor of neonatal mortality in developing countries. The study was aimed to identify the prevalence, routes and mortality rate among newborns with tetanus admitted to the Special Care Baby Unit (SCBU) of Rasheed Shekoni Specialist Hospital (RSSH), Dutse Jigawa State, Nigeria.

METHODOLOGY

The study was a retrospective hospital-based. Neonates less than one month old, with a diagnosis of tetanus and who were admitted into SCBU from January 2016 to December 2018 were included. Their medical records were retrieved and analyzed. Data were analysed using SPSS version 16. Ethical clearance was obtained from RSSH.

RESULTS

There were 36 cases of neonatal tetanus admitted over the 3 years under review. This represented 4.30% of the total admission into the unit in the same period. Thirty cases (83.33%) had complete record for analysis. There were 20(66.7%) males, while male: female ratio was 2:1. The age range was 6 to 22 days, and mean age of 10.70±4.69 days. Only 28.6% of the mothers received tetanus toxoids during antenatal care. The major route of entry was traditional uvulectomy (80.0%).Twelve (40.0%) babies were discharged home. Mortality rate was 53.3%.

CONCLUSION

Traditional uvulectomy is the major route of entry for neonatal tetanus. The mortality rate is still high.

摘要

背景

新生儿破伤风是发展中国家新生儿死亡的主要原因之一。本研究旨在确定尼日利亚吉加瓦州杜茨谢科尼专科医院（RSSH）特别护理婴儿病房（SCBU）收治的破伤风新生儿的患病率、感染途径和死亡率。

方法

本研究是一项基于医院的回顾性研究。纳入2016年1月至2018年12月期间入住SCBU、年龄小于1个月且诊断为破伤风的新生儿。检索并分析他们的病历。使用SPSS 16版软件进行数据分析。已获得RSSH的伦理批准。

结果

在研究的3年期间，共收治36例新生儿破伤风病例。这占同期该病房总入院人数的4.30%。30例（83.33%）有完整记录可供分析。男性20例（66.7%），男女比例为2:1。年龄范围为6至22天，平均年龄为10.70±4.69天。只有28.6%的母亲在产前护理期间接受了破伤风类毒素。主要感染途径是传统悬雍垂切除术（80.0%）。12例（40.0%）婴儿出院回家。死亡率为53.3%。