Recently Occurring Adult Tetanus in Korea: Emphasis on Immunization and Awareness of Tetanus
Journal of Korean Medical Science
;
: 11-16, 2003.
Article
in English
| WPRIM
| ID: wpr-63361
ABSTRACT
Since a nationwide childhood vaccination with tetanus toxoid, tetanus has become a rare disease in Korea. However, we recently experienced 17 cases of adult tetanus in a university hospital during a 21-month period. Seventy percent of the patients were female, and the mean age was 63 yr (range, 29-87). The majority (88.2%) of the patients did not get primary vaccinations for tetanus and decennial tetanus-diph-theria toxoid booster. Most patients (88.2%), who sustained acute injury, did not seek medical care for their wounds or did not receive the prophylaxis for tetanus. Tetanus was found most frequently among farmers. Tetanus was diagnosed initially only in 53% of patients. The case-fatality ratio was 23.5%. These cases show that recently occurring tetanus in Korea is a disease, affecting the elderly and the female who may have a lower immunity against tetanus, and the farmers who are likely to be exposed to Clostridium tetani. In addition, diagnosis of tetanus is often delayed in area where cases are seen infrequently. Therefore, improved education among patients and physicians, emphasis of anti-tetanus immunization and awareness of tetanus respectively, may be essential for the prevention of disease and the reduction of its mortality.
Full text:
Available
Index:
WPRIM (Western Pacific)
Main subject:
Tetanus
/
Wounds, Penetrating
/
Tetanus Antitoxin
/
Tetanus Toxoid
/
Diphtheria-Tetanus-Pertussis Vaccine
/
Health Knowledge, Attitudes, Practice
/
Health Education
/
Immunization, Secondary
/
Vaccination
/
Treatment Outcome
Type of study:
Controlled clinical trial
/
Diagnostic study
Limits:
Adult
/
Aged
/
Aged80
/
Humans
Country/Region as subject:
Asia
Language:
English
Journal:
Journal of Korean Medical Science
Year:
2003
Type:
Article
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