Risk factors and clinical Outcome of Tetanus in Pediatric ICU of a developing country.

Authors

  • Murtaza Ali Gowa National Institute of Child Health.
  • Farjam Ahmed Zakai National Institute of Child Health.
  • Muhammad Shahzad National Institute of Child Health.
  • Habib Ahmed National Institute of Child Health.
  • Muhammad Ashfaq National Institute of Child Health.
  • Zubair Ahmed Khoso National Institute of Child Health.

DOI:

https://doi.org/10.29309/TPMJ/2022.29.06.6662

Keywords:

Children, Complications, Pediatric Intensive Care Unit, Tetanus

Abstract

Objective: To evaluate the Risk factors and clinical Outcome of Tetanus in Pediatric ICU of a developing country. Study Design: Prospective Cross-sectional study. Setting: PICU of National Institute of Child Health Karachi. Period: September 2019 to March 2020. Material & Methods: All cases of tetanus aged one month to 15 years were included with non-probability, convenient technique. Only children whose parents/guardians did not consent to the study participation, were excluded. Results: We enrolled 53 patients in study. Mean age was 8.2 years. Gender distribution was 33:20 male to female. History of trauma was present in 27% cases. Maximum ICU stay was 16 days (mean). Metallic material was used in 9/27 (33%) and wooden material was used in 4/27 (15%) patients, while in 14(51%) other materials were used. Otogenic infection was present in 9/53 (17%), post injury infection occurs in 1/53 (2%) while others are unknown. Conclusion: Tetanus is preventable disease with high morbidity, and mortality. It can be addressed at mass level with campaigns and prohibited with compliant EPI scheduled vaccination.

Author Biographies

Murtaza Ali Gowa, National Institute of Child Health.

MBBS, FCPS, Assistant Professor Pediatric ICU, 

Farjam Ahmed Zakai, National Institute of Child Health.

MBBS, PG Resident Pediatric ICU, 

Muhammad Shahzad, National Institute of Child Health.

MBBS, PG Resident Pediatric ICU, 

Habib Ahmed, National Institute of Child Health.

MBBS, FCPS, Assistant Professor Pediatric ICU, 

Muhammad Ashfaq, National Institute of Child Health.

MBBS, FCPS, Assistant Professor Pediatric ICU, 

Zubair Ahmed Khoso, National Institute of Child Health.

MBBS, FCPS, Assistant Professor Pediatric ICU, 

Downloads

Published

2022-05-31