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Med Bull Sisli Etfal Hosp. 1997; 31(1): 33-36 | |||
On Yenidoğan Tetanozu Olgusunun Retrospektif incelenmesiBetül Sezgin, Nuri Özer, Ünsal Yilmaz, Mehmet Demirkol, Mustafa Şahin, Nilüfer Dereli, Nimet KayaalpŞişli Etfal Hastanesi Çocuk KliniğiAMAÇ: Ülkemizde Sağlık Bakanlığı tarafından yıllardan beri gebelere tetanoz immürıoprofilaksisi uygulanmasına rağmen, yenidoğan tetanozu olgularına halen rastlanmaktadır. Bu çalışmada son altı yılda kliniğimizde neonatal tetanoz tanısı ile izlenen vakaların gözden geçirilmesi amaçlanmıştır. Retrospective Study of 10 Neonatal Tetanus CasesBetül Sezgin, Nuri Özer, Ünsal Yilmaz, Mehmet Demirkol, Mustafa Şahin, Nilüfer Dereli, Nimet KayaalpŞişli Etfal Hastanesi Çocuk KliniğiOBJECTIVE: Neonatal tetanus cases are still seen in our country. Although tetanus immunoprophylaxis has been done during pregnancy by the enforcement of the ministry of health. in this study we aimed to review neonatal tetanus cases who had heen followed in our clinic in last six year.
STUDY DESIGN: 10 neonatal tetanus cases which had been accepted to Şişli Etfal Hospital Paediatric Infection Diseases Department between the years 1990 to 1996 were examined retrospectively. And the ages ranged between 4 days to 22 days. The seven of the patients (70%) were males and the three (30%) were females. The symptoms recorded were inability to suck in all patients, convulsions in 5, cyanosis in 2 fever in 2 and constipation in one patient. All patients had been delivered at home and their umbilical cord had been cut in septic condition tetanus immunoprophylaxis had not heen given to mothers before or during pregnancy. 2 of the patients (20%) were admitted to the hospital during winter and 2 patient (20%) during spring, one patient during summer (10%) and the other remaning 5 patients during autumn. Patients with neonatal tetanus were taken into silent and darkened rooms. Umbilical cords were deaned using antiseptic solutions. They were treated wich penicillin G 200.000 Ülkglday and with TIG in doses between 500 and 3000 Ü and vitamin B 6 100 mglday was added to ıhe treatment plan. 3 cases (30%) died due to pulmonary insufficiency Betül Sezgin, Nuri Özer, Ünsal Yilmaz, Mehmet Demirkol, Mustafa Şahin, Nilüfer Dereli, Nimet Kayaalp. Retrospective Study of 10 Neonatal Tetanus Cases. Med Bull Sisli Etfal Hosp. 1997; 31(1): 33-36 Sorumlu Yazar: Betül Sezgin, Türkiye |
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