EPIDEMIOLOGIC TREND AND CASE FATALITY OF CHILDHOOD TETANUS IN FEDERAL TEACHING HOSPITAL GOMBE; A 20YEARS REVIEW.

Autor:	Isaac WE; Department of Paediatrics, Federal Teaching Hospital, Gombe., Jalo I; Department of Paediatrics, Federal Teaching Hospital, Gombe., Yohanna G; Department of Paediatrics, Federal Teaching Hospital, Gombe., Aliu R; Department of Paediatrics, Federal Teaching Hospital, Gombe., Ebiseke K; Department of Paediatrics, Federal Teaching Hospital, Gombe., Girbo A; Department of Paediatrics, Federal Teaching Hospital, Gombe., Olatoke L; Department of Paediatrics, Federal Teaching Hospital, Gombe., Raymond PM; Department of Paediatrics, Federal Teaching Hospital, Gombe., Iliya A; Department of Paediatrics, Federal Teaching Hospital, Gombe., Ndubusi V; Department of Paediatrics, Federal Teaching Hospital, Gombe., Rabo Y; Department of Paediatrics, Federal Teaching Hospital, Gombe., Daniel GE; Department of Paediatrics, Federal Teaching Hospital, Gombe., Apollos D; Department of Paediatrics, Federal Teaching Hospital, Gombe., Bakura B; Department of Paediatrics, Federal Teaching Hospital, Gombe., Usman MO; Department of Paediatrics, Federal Teaching Hospital, Gombe., Kamaludden H; Department of Paediatrics, Federal Teaching Hospital, Gombe., Abdulshaheed B; Department of Paediatrics, Federal Teaching Hospital, Gombe., Tukur H; Department of Paediatrics, Federal Teaching Hospital, Gombe., Joel Z; Department of Paediatrics, Federal Teaching Hospital, Gombe., Abdulkarim H; Department of Paediatrics, Federal Teaching Hospital, Gombe., Abdulrahman S; Department of Paediatrics, Federal Teaching Hospital, Gombe., Adeniran OA; Department of Paediatrics, Federal Teaching Hospital, Gombe., Adamu A; Department of Paediatrics, Federal Teaching Hospital, Gombe., Ibrahim B; Department of Paediatrics, Federal Teaching Hospital, Gombe., Meller BT; Department of Paediatrics, Federal Teaching Hospital, Gombe.
Jazyk:	angličtina
Zdroj:	West African journal of medicine [West Afr J Med] 2023 Nov 10; Vol. 40 (11 Suppl 1), pp. S9.
Abstrakt:	Introduction: Tetanus is a vaccine-preventable disease, it remains a significant cause of morbidity and mortality in both neonatal and post-neonatal periods, especially in developing countries with limited health facilities and inadequate vaccination. The overall case fatality rate (CFR) is 13.2% globally, highest in the neonatal period and in sub-Saharan Africa. CFR is 64%, 47%, and 43% in Nigeria, Uganda, and Tanzania respectively. Objectives: To determine the Case Fatality Rate of Childhood tetanus in FTHG from 2000-2019. Methodology: All cases and deaths from tetanus amongst children aged 0-18 years in paediatric medical ward of FTHG over the last two decades diagnosed clinically and classified using ICD-10 were analysed. Results: 95 cases of tetanus out of 26,716 total admissions constituting 0.004%. There were 49 tetanus deaths out of 3956 total childhood deaths (0.012%) over the study period. Males constituted 66% (63/95). 30% (28/95) were aged 0-28 days; 23.1% (22/95) were adolescents. Fulani and Hausa constituted 37% (34/95) and 31% (29/95) respectively. Admission was highest in the dry season 52% (50/95 %). The overall tetanus CFR was 51.6%; 78% of deaths were in males (38/49), 30% in neonates, and 23% in adolescents. CFR was highest during the dry season (67.3%). Hausa and Fulani had CFR of 51% and 40% respectively. P-value <0.05 The CFR was 88% between 2000-2004, 72% from 2005-2009, 71% between 2010-2014 and 33% from 2015-2019. Conclusion: Tetanus CFR is still high among neonates and adolescents. Maternal tetanus vaccine and booster doses in children need strengthening. Competing Interests: The Authors declare that no competing interest exists. (Copyright © 2023 by West African Journal of Medicine.)
Databáze:	MEDLINE
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