Caban J
Kliniki Chorób Zakaźnych Collegium Medicum Uniwersytetu Jagiellońskiego, Kraków.
Przegl Lek. 1994;51(11):465-7.
The incidence of tetanus is more frequent in South-Eastern Poland than other areas of the country. The patients are treated in Clinic of Infectious Diseases in Cracow. Our observations concern 869 patients of the last 30 years. In the years 1963-1972 young patients prevailed and the mortality rate was 28% in the years 1983-1992. 15% of the patients were below 50 years of the age and 44% were above the age of 70. The mortality rate in the latter period (the third decade) increased to 42%. The increase in the age of the patients is explained by the introduction of immunization against tetanus and the mortality rate increase by the greater frequency of respiratory failure and other complications of the disease and treatment in elderly patients.
波兰东南部破伤风的发病率高于该国其他地区。患者在克拉科夫的传染病诊所接受治疗。我们的观察涉及过去30年的869名患者。1963年至1972年年轻患者居多,1983年至1992年死亡率为28%。15%的患者年龄在50岁以下,44%的患者年龄在70岁以上。后一时期(第三个十年)的死亡率增至42%。患者年龄增加是由于破伤风免疫接种的推广,而死亡率上升则是因为老年患者呼吸衰竭及该疾病和治疗的其他并发症更为频繁。