Clinical characteristics of adult tetanus in a Taiwan medical center

Journal of the Formosan Medical Association

Volumn 110, Issue 11, 2011, Pages 705-710

  Weng, Wei Chieh ^a,b   Huang, Wen Yi ^a,b   Peng, Tsung I ^a,b   Chien, Yu Yi ^a,b   Chang, Kuo Hsuan ^a,b   Ro, Long Sun ^a,b   Lyu, Rong Kuo ^a,b   Wu, Chia Lun ^a,b  

^a CHANG GUNG MEMORIAL HOSPITAL   (Taiwan)

^b CHANG GUNG UNIVERSITY   (Taiwan)

Author keywords

Immunization; Respiratory failure; Tetanus

Indexed keywords

ANTITOXIN; BACLOFEN; BENZODIAZEPINE; METRONIDAZOLE; PENICILLIN G; SPASMOLYTIC AGENT; TETANUS TOXOID;

ACUTE HEART INFARCTION; ACUTE KIDNEY FAILURE; ADULT; AGED; ARTICLE; CLINICAL ARTICLE; CLINICAL FEATURE; CONVALESCENCE; DEBRIDEMENT; DEMOGRAPHY; DYSARTHRIA; DYSPHAGIA; DYSPNEA; ENDOTRACHEAL INTUBATION; FEMALE; GASTROINTESTINAL HEMORRHAGE; GROUPS BY AGE; HEART ARREST; HUMAN; INCUBATION TIME; MALE; MEDICAL RECORD REVIEW; MUSCLE SPASM; MYALGIA; PNEUMONIA; PROSPECTIVE STUDY; RESPIRATORY FAILURE; RHABDOMYOLYSIS; RIGIDITY; RISK FACTOR; SKIN INJURY; SURVIVAL; TAIWAN; TETANUS; TREATMENT OUTCOME; TRISMUS; WOUND INFECTION;

ADOLESCENT; ADULT; AGED; AGED, 80 AND OVER; FEMALE; HUMANS; INCIDENCE; MALE; MIDDLE AGED; RETROSPECTIVE STUDIES; TAIWAN; TETANUS; TREATMENT OUTCOME;

EID: 82255175629     PISSN: None     EISSN: 09296646     Source Type: Journal    
DOI: 10.1016/j.jfma.2011.09.007     Document Type: Article

References (17)

1. Centers for Diseases Control, Taiwan, R.O.C. National Notifiable Disease Surveillance System, 1990-2010 [in Chinese]. Available from: [accessed 20.08.10]. http://nidss.cdc.gov.tw/SingleDisease.aspx.
2. Chen F.C., Sheen-Chen S.M., Chou F.F. High incidence of tetanus in the middle-aged and elderly. Chang Geng Yi Xue Za Zhi 1990, 13:296-303.
3. Chao C.H., Yu K.W., Liu C.Y., Cheng D.L., Wang L.S., Wong W.W. Tetanus: 20 years of clinical experience. Chin Med J 1991, 48:110-115.
4. Pascual F.B., McGinley E.L., Zanardi L.R., Cortese M.M., Murphy T.V. Tetanus surveillance-US 1998-2000. MMWR Surveill Summ 2003, 52:1-8.
5. Hahne S.J., White J.M., Crowcroft N.S., Brett M.M., George R.C., Beeching N.J., et al. Tetanus in injecting drug users, United Kingdom. Emerg Infect Dis 2006, 12:709-710.
6. Beeching N.J., Crowcroft N.S. Tetanus in injecting drug users. Br Med J 2005, 330:208-920.
7. Gergen P.J., McQuillan G.M., Kiely M., Ezzati-Rice T.M., Sutter R.W., Virella G. A population-based serologic survey of immunity to tetanus in the United States. N Engl J Med 1995, 32:761-766.
8. Steger M.M., Maczek C., Berger P., Grubeck-Loebenstein B. Vaccination against tetanus in the elderly: do recommended vaccination strategies give sufficient protection?. Lancet 1996, 348:762.
9. Baily G. Are the elderly inadequately protected against tetanus?. Lancet 1996, 348:1389-1390.
10. Wu C.J., Ko H.C., Lee H.C., Tsai W.C., Li M.G., Pao Y.Z., et al. Decline of tetanus antitoxin level with age in Taiwan. J Formos Med Assoc. 2009, 108:395-401.
11. Anuradha S. Tetanus in adults-a continuing problem: an analysis of 217 patients over 3 years from Delhi, India, with special emphasis on predictors of mortality. Med J Malay 2006, 61:7-14.
12. Brook I. Current concepts in the management of clostridium tetani infection. Expert Rev Anti Infect Ther 2008, 6:327-336.
13. Ogunrin O.A. Unuigbe EI. Tetanus: an analysis of the prognosticating factors of cases admitted into the medical wards of a tertiary hospital in a developing African country between 1990 and 2000. Trop Doct 2004, 34:240-241.
14. Bunch T.J., Thalji M.K., Pellikka P.A., Aksamit T.R. Respiratory failure in tetanus: case report and review of a 25-year experience. Chest 2002, 122:1488-1492.
15. Ergonul O., Erbay A., Eren S., Dokuzoguz B. Analysis of the case fatality rate of tetanus among adults in a tertiary hospital in Turkey. Eur J Clin Microbiol Infect Dis 2003, 22:188.
16. Shin D.H., Yu H.S., Park J.H., Shin J.H., Kim S.J. Recently occurring adult tetanus in Korea: emphasis on immunization and awareness of tetanus. J Korean Med Sci 2003, 18:11.
17. Ajose F.O.A., Osusanya O.O. Survival from adult tetanus in Lagos, Nigeria. Trop Doct 2009, 39:39-40.