OBJECTIVES Most data regarding the prognosis in neonatal tetanus originate from regions where limited resources have historically impeded management. It is not known whether recent improvements in critical care facilities in many low- and middle-income countries have affected indicators of a poor prognosis in neonatal tetanus. We aimed to determine the factors associated with worse outcomes in ...

Neonatal tetanus (NT) remains common in developing countries. Its poor prognosis is characterized by a high mortality rate. Patients and methods – Our retrospective review concerned 50 cases of NT admitted to the intensive care and neonatology units in the Casablanca Children’s Hospital between 1990 and 1999. The diagnosis was made on clinical signs and gravity was evaluated with the Dakar scor...

Neonatal tetanus continues to be a cause of neonatal death in the lowand middle-income countries. Recently we managed two cases of neonatal tetanus at our institute. Both the families were migrants, one from Bihar and other from Jharkhand. Both the pregnancies were unsupervised and delivery was conducted at home. There was history of application of cowdung on umbilical stump in first case and o...

No previous publication about domestic neonatal burns exists in the literature. The authors have treated a 16-day-old baby boy for deep partial-thickness scalds that happened at home. The case report is followed by a literature review and discussion of the data previously published on neonatal burns. Special considerations to domestic neonatal burns are highlighted. A 16-day-old baby boy presen...

This study aims to study the demographics, clinical presentation, treatment and outcome of neonatal tetanus patients managed at Hospital Duchess of Kent from January 1st 2006 to December 31st 2006. Five neonates were studied. All presented with fever, poor sucking and limb stiffness, with a history of unsterile delivery and uncertain maternal tetanus immunity status. All were nursed in a minima...

INTRODUCTION The causative agent of tetanus, Clostridium tetani is widespread in the environment throughout the world and cannot be eradicated. To reduce the number of cases of tetanus efforts are focussed on prevention using vaccination and post-exposure wound care. SOURCES OF DATA Medline, Pubmed and Cochrane databases; World Health Organization and United Nations Children's Fund publicatio...

Background. Tetanus toxoid immunisation of pregnant mother has remained the most effective strategy in eliminating neonatal tetanus. Impaired production and/or transplacental transfer of antibodies may affect the effectiveness of this strategy. We studied the effect of maternal HIV infection on serum levels and transplacental transfer of anti-tetanus antibodies. Methods. A total of 162 mother-b...