Neonatal tetanus in Turkey; what has changed in the last decade?

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dc.contributor.authorDikici, Bünyamin
dc.contributor.authorUzun, Hakan
dc.contributor.authorKeskin, Ebru Yılmaz
dc.contributor.authorTaş, Taşkın
dc.contributor.authorGüneş, Ali
dc.contributor.authorKocamaz, Halil
dc.contributor.authorTaş, Mehmet A.
dc.date.accessioned2020-04-30T23:19:29Z
dc.date.available2020-04-30T23:19:29Z
dc.date.issued2008
dc.departmentDÜ, Tıp Fakültesi, Dahili Tıp Bilimleri Bölümüen_US
dc.descriptiondikici, bunyamin/0000-0001-7572-6525en_US
dc.descriptionWOS: 000259222800001en_US
dc.descriptionPubMed: 18713452en_US
dc.description.abstractBackground: Neonatal tetanus (NT) is still considered as one of the major causes of neonatal death in many developing countries. The aim of the present study was to assess the characteristics of sixty-seven infants with the diagnosis of neonatal tetanus followed-up in the Pediatric Infectious Diseases Ward of Dicle University Hospital, Diyarbakir, between 1991 and 2006, and to draw attention to factors that may contribute (or may have contributed) to the elimination of the disease in Diyarbakir. Methods: The data of sixty-seven infants whose epidemiological and clinical findings were compatible with neonatal tetanus were reviewed. Patients were stratified into two groups according to whether they survived or not to assess the effect of certain factors in the prognosis. Factors having a contribution to the higher rate of tetanus among newborn infants were discussed. Results: A total of 55 cases of NT had been hospitalized between 1991 and 1996 whereas only 12 patients admitted in the last decade. All of the infants had been delivered at home by untrained traditional birth attendants (TBA), and none of the mothers had been immunized with tetanus toxoid during her pregnancy. Twenty-eight (41.8%) of the infants died during their follow-up. Lower birth weight, younger age at onset of symptoms and at the time admission, the presence of opisthotonus, risus sardonicus and were associated with a higher mortality rate. Conclusion: Although the number of neonatal tetanus cases admitted to our clinic in recent years is lower than in the last decade efforts including appropriate health education of the masses, ensurement of access to antenatal sevices and increasing the rate of tetanus immunization among mothers still should be made in our region to achieve the goal of neonatal tetanus elimination.en_US
dc.identifier.doi10.1186/1471-2334-8-112en_US
dc.identifier.issn1471-2334
dc.identifier.scopusqualityQ2en_US
dc.identifier.urihttps://doi.org/10.1186/1471-2334-8-112
dc.identifier.urihttps://hdl.handle.net/20.500.12684/3771
dc.identifier.volume8en_US
dc.identifier.wosWOS:000259222800001en_US
dc.identifier.wosqualityQ2en_US
dc.indekslendigikaynakWeb of Scienceen_US
dc.indekslendigikaynakPubMeden_US
dc.indekslendigikaynakScopusen_US
dc.language.isoenen_US
dc.publisherBiomed Central Ltden_US
dc.relation.ispartofBmc Infectious Diseasesen_US
dc.relation.publicationcategoryMakale - Uluslararası Hakemli Dergi - Kurum Öğretim Elemanıen_US
dc.rightsinfo:eu-repo/semantics/openAccessen_US
dc.titleNeonatal tetanus in Turkey; what has changed in the last decade?en_US
dc.typeArticleen_US

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