Abstract

ABSTRACT To the Editor:— In the instructive and interesting survey by Drs. Miller and Rogers of the present status of tetanus (The Journal, January 19, p. 186) I note the following passage: Ordinary wounds acquired in the home or in clean places [italics mine], free from possible fecal contamination, or while bathing at the [italics mine], should not require the injection [of antitetanus serum]. Many medical practitioners have the experience, or at least the impression, that shore injuries are often complicated by tetanus. Few metropolitan beaches, if any, are free from possible fecal contamination. Wreckage containing rusty nails, wire and corroded metal, odds and ends of garbage and other jetsam and flotsam, broken clam shells and bottles, sharp stones, wood splinters, and so on, are present in abundance. Of thirty-three cases listed in abstract by the authors of the paper, nine at least gave a history of injuries such as

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