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Tetanus, Pediatric Updated 4/2010

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BASICS

  • Description
  • General Prevention
  • Epidemiology
  • Risk Factors
  • Pathophysiology
  • Etiology

DIAGNOSIS

  • Signs and Symptoms
  • Tests
  • Differential Diagnosis

TREATMENT

  • Initial Stabilization
  • General Measures
  • Medication (Drugs)
  • Surgery

Ongoing Care

  • Prognosis
  • Complications
The following is an excerpt....
BASICS
Description
  • Tetanus is a disease characterized by muscle rigidity and spasms due to a neurotoxin produced by Clostridium tetani in infected wounds.
  • There are 4 clinical forms of tetanus: Generalized, localized, cephalic and neonatal.
General Prevention
  • All wounds should be cleaned with soap and water and foreign bodies should be removed.
  • Universal immunization with tetanus toxoid is vital.
    • Primary series: DTaP given at 2, 4, 6, 15–18 months and 4–6 years.
    • Booster dose: Tdap at 11–12 years.
    • Unimmunized pregnant women should complete primary series prior to delivery if possible or at least receive 2 doses of Td 4 weeks apart.
  • Tetanus prophylaxis should be initiated at the time of injury in the following manner for clean ...
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See Also
Images >
1
Figure 211.1. Gram stain of Clostridium tetani showing typical “drumstick” forms.Credit: Sherwood L. Gorbach, John G. Bartlett, etal. Infectious Diseases. Philadelphia: Lippincott Williams & Wilkins, 2004.
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