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TETANUS

Also known as Dhanustankar & Luck Jaw. Disorder is characterized b !ain"ul #uscular ri$idit !ri#aril in%ol%in$ &asseter and neck #uscles. 'ausati%e A$ent( 'lostridiu# tetani )Anaerobic* +ra# !ositi%e* S!ore "or#in$ bacillus, &ode o" Trans#ission( 'onta#ination and 'ontact* -irth .ncubation /eriod 0 Da s to 0 1eeks )A%era$e 2 Da s, /redis!osin$ 3actors A$e( Neonates* All A$es 4ural Areas 4ain Season -urn* crush in5ur Unclean -irth and Surroundin$ 'hronic Su!urati%e 6titis &edia Uni##unized &other

/atho!h siolo$ .n5ur 7 wound7 -urn Entrance o" 6r$anis# /roduction o" To8ins Tetanos!as#in Acts throu$h S!inal cord * -rain* &otor Ner%ous S ste# .ncreases &uscle E8citibilit &uscle Sti""ness 9 4e:uire#ents "or Disease /resence o" -acteria 7 S!ores Tissue .n5ur * 1ound 3a%orable 1ound 'ondition "or -acterial +rowth Susce!tible ;ost Tetanol sin Local Tissue .n5ur Necrosis

'linical 3eatures Di""icult in Suckin$ E8cessi%e 'r .rritabilit Nuchal ri$idit /ro$ressi%e Sti""ness< Neck and Jaw Tris#us )Di""icult in 6!enin$ &outh, 4isus Sardonicus )+rinnin$ "ace, 6!isthotonus /osition -oard like ri$idit < Abdo#en* Li#bs Di""icult in Swallowin$ .ncreased 4es!onses to Sti#uli< =isual* Auditor * Tactile /oolin$ o" Secretion< 6ral 'a%it 4es!irator Arrest /neu#onia 'onsti!ation 6thers( /ain* An8ious 3ace* An8iet * .ncreased /ulse and Sweatin$. &ortalit ( Neonate ( >?@ < A?@* 'hildren ( 0?@ < 9B@

Treat#ent
1.

;T.+ );u#an tetanus .##uno$lobulin,( 0???<>??? units7.& ATS )Anti tetanus Seru#,( B???<C???? units7 .= .& Antibiotics( .n5. /enicillin + D?????7k$ in 9 di%ided Doses "or D weeks Sedation( .n5. Diaza!a# ?.C E ?.D #$7k$7 9 hourl .n5. &edazola# C#$7 k$ Neuro#uscular -lockin$ A$ents( .n5. /ancuroniu# -ro#ide Su!!orti%e 'are( .solation* A%oid Sti#ulation

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=ital #onitorin$) 4es!irator 4ate* S/6D,

6ral Suctionin$ Fee! Nil /er 6ral* 3eed a"ter B da s

/lace Naso$astri tube*

; dration /re%ention( .##unize #other* Sa"e deli%er * 'ord 'are Tetanus to8oide( )>* C?* C9 weeks* C2 #onths* B* CC* C> ears,

Then C? earl or as needed.

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