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Original ArticleOpen Access
Tetanus in Adults : A Review of 8S Cases at Chon Buri Hospital
Kanchanapongkul J 
From 19.88 to 1999, 85 cases of adult tetanus were admitted to the medical service of Chon
Buri Hospital. The male to female ratio was 2.2:1. In 50 patients disease was severe enough to
require paralysis and artificial ventilation. Fourteen patients needed diazepam and artificial ventila-
tion but not paralysis ; and in twenty-one the condition was mild, requiring diazepam only. Eleven
patients died, all of them had severe grade of tetanus. The mortality rate was 12.9 per cent. In 70
patients a wound was the source of infection, most of which were minor, often receiving no medical
attention. No wounds or obvious source of infection could be found in 15 patients.
Tetanus is a preventable disease. The treatment of tetanus is time -consuming and costly
and there is still a considerable mortality rate. In moderate to severe cases, the patients usually
have to spend three to four weeks in an intensive care unit.
Key word
: Tetanus
KANCHANAPONGKUL
Buri Hospital. The male to female ratio was 2.2:1. In 50 patients disease was severe enough to
require paralysis and artificial ventilation. Fourteen patients needed diazepam and artificial ventila-
tion but not paralysis ; and in twenty-one the condition was mild, requiring diazepam only. Eleven
patients died, all of them had severe grade of tetanus. The mortality rate was 12.9 per cent. In 70
patients a wound was the source of infection, most of which were minor, often receiving no medical
attention. No wounds or obvious source of infection could be found in 15 patients.
Tetanus is a preventable disease. The treatment of tetanus is time -consuming and costly
and there is still a considerable mortality rate. In moderate to severe cases, the patients usually
have to spend three to four weeks in an intensive care unit.
Key word
: Tetanus
KANCHANAPONGKUL
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