Abstract

A clinical analysis of ten cases of neonatal tetanus treated at the Command Hospital, Central Command, Lucknow (U.P.), during a period of three years is presented. All the cases except one were delivered at home. All the neonates were full term and weighed over 2,500 G. at the time of admission. The onset of symptoms varied from the fourth to thirteenth day of birth. The diagnosis was based on clinical data. Umbilical sepsis was found in eight cases; the cord swab grew pyogenic organisms butCl. tetani were not grown. The management of all the cases was uniform throughout the period of study. Antitetanus serum (ATS) was given in one single dose on admission. Appropriate doses of sedatives and muscle relaxants were used in all the cases. Their use was judicious and adjusted as required. The survival rate of the series is 70%.

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