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Correspondence to Author: Numen Bdalazim, 

Faculty of Medicine, University of Gezira, Wad Medani, Gezira State, Sudan.

Introduction: The According to the World Health Organization (WHO), tetanus is an acute infection brought on by the neurotoxinproducing bacteria Clostridium tetani [1]. Animal excrement, dust, and dirt are all home to the obligate anaerobic bacillus Clostridium tetani, which is Grampositive and sporeforming. The WHO notes that the death rate has improved after vaccination, supporting the idea that tetanus is a preventable disease [2]. Tetanus remains a serious problem worldwide despite the immunization campaign, particularly in developing nations where the fatality rate ranges from 20 to 45% [2, 3]. Its high frequency can be attributed to inadequate wound care and low immunization awareness in poorer nations [4]. Developed nations have reduced tetanus incidence and fatality rates; this is because many hospitals in developing nations with low resources do not have intensive care units or early treatment available. Tetanus infections typically happen after burns, wounds, surgeries, ulcers, or gangrene. There are additional records of dog and snake bites [3]. -The strong neurotoxin tetanospasmin, produced by e bacterium, is what causes the clinical signs and symptoms of tetanus. The most frequent presenting symptoms are dysphagia, lock jaw, generalized muscle spasms, and stiff neck. The diagnosis is based mostly on clinical manifestations; imaging or laboratory testing are not required to confirm the diagnosis [6]. Depending on the disease’s severity, different treatments are used; still, early supportive measures, the use of antibiotics, and muscle. Tetanus is still a serious health concern in Sudan, particularly in rural regions, where it is linked to a high rate of morbidity and mortality. -Data regarding the incidence and prognosis of adult tetanus in Sudan are lacking. -The purpose of this study is to characterize the treatment outcome and pattern of presentation among adult tetanus patients in our community and to pinpoint the most frequent causes.

Citation:

Numen Bdalazim. A retrospective review of tetanus experiences in a Sudanese tertiary care hospital.. The American Journal of Public Health 2024.