Tetanus neonatorum: treated by intratecal tigh and single circum-umbilical ATS injection

ABSTRACT

Fifty cases of neonatal tetanus have been treated by us in the Nursery of Services Hospital, Lahore from July 1998 to December 1989. Human tetanus immunoglobulin [TIGH] 250 I.U. were given intrathecally along with a subcutaneous infusion in the abdominal wall around umbilicus of 200 [cc] half strength Normal saline [0.45%] with 50, 000 units of ATS. The traditional method of sedation with valium, phenobarbitone, largectil is followed along with benzyl penicillin. With the above mentioned protocol and isolation, even from light, sound, touch and by a good nursing care, we have succeeded to decline mortality rate from 60% to 34%