Epidemiological and therapeutic aspects of tetanus

A total of 890 patients were enrolled, including 63 cases of tetanus, i.e. a prevalence of 7.07%. Among the 63 patients, 60 were male and 3 were female, with an average age of 45.1 ± 15.8 years. The majority of cases were from urban areas (73%). The most represented professions were: farmers (27%), shopkeepers (20.6%), and workers (12.7%). Generalized tetanus was the predominant clinical form with 59 cases, i.e. 93.7%, the remainder was Rose's cephalic tetanus (3.1%) and tetanus localized to the limbs (1.6%). The portal of entry was found in 87.4% of cases. It was dominated by skin or integumentary wounds: 49 cases (77.8%), surgical wounds in 2 cases (3.2%), post IM injection, post circumcision, ENT and traditional in 1 case each, i.e. 1.6% and not found in 8 cases (12.7%). According to the Dakar classification, 38.1% of the patients were in score 2; Dakar score 1 and 3 each representing 22.2% of cases. Group II of the Mollaret classification predominates in 39 cases, i.e. 61.9%. The average duration of hospitalization was 8 days, with extremes of 0 to 32 days.

Autorentext
Ag Mohamed Baye, YoussoufDr. Youssouf Ag Mohamed Baye was born in Saraféré/Niafunké on 10/11/1993. He studied in Attara, Léré, Timbuktu and then in Bamako where he defended his doctoral thesis in Medicine. He works in the humanitarian field in the north of Mali and continues his studies in the field of public health.