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Publication Type
Journal Article
Author, Analytic
Harding Goldson, Hyacinth E.; Hanna, Wadia J.
Author Affiliation, Ana.
Surgery, Radiology, Anaesthesia and Intensive Care
Article Title
Tetanus: A recurring intensive care problem.
Medium Designator
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Connective Phrase
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Journal Title
Journal of Tropical Medicine and Hygiene
Translated Title
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Reprint Status
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Date of Publication
1995
Volume ID
98
Issue ID
3
Page(s)
179-184
Language
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Connective Phrase
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Location/URL
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ISSN
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Notes
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Abstract
A fifteen-year retrospective study of 108 cases of tetanus admitted to the Intensive Care Unit (ICU) at the University Hospital of the West Indies is presented. Males predominated (70%), with peak incidence occurring amongst the young and the elderly. In 57% the disease was severe enough to require neuromuscular blockade and controlled ventilation. Respiratory complications occurred most commonly (80%), predominantly as a result of infection. Dysautonomia, exhibited by 55% of patients, presented the greatest difficulty in management. Mortality was high (20%), with sudden cardiac arrest being the most common cause of death. The average duration of stay in the ICU was long (27 days). As Jamaica is a Third World country with limited resources, the continued occurrence of this preventable disease represents a drain on existing intensive care funds. This must be brought to the attention of institutions responsible for planning health care programmes for developing countries.....
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Keywords
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