Background: Tetanus still remains a major public health problem in India like in most other developing countries, with a high morbidity and mortality.Objectives: To study the socio-demographic profile and the clinical profile that they presented with, as well as the outcome of the tetanus patients who were admitted to the E.D Hospital, Mysore in India. Methodology:The data of all the patients of tetanus who were above the age of 15 years, who were admitted from January 2001 to December 2010, were collected, compiled and analyzed from the Medical Records Department of the Hospital. Results:Out of the 512 cases of tetanus, 379 (74%) were males and 133 (26%) were females. Their ages varied from 15 to 81 years, with a mean and a standard deviation respectively of 47.7 and 15.0 years. The overall mortality rate was 42.2%. The most common presenting symptoms were trismus (95.7%), neck stiffness (89.3%), body spasms/stiffness (73%) and dysphagia (38.9%). The ages of the patients and the presence of complications had a statistically significant relationship with respect to the outcome (survival versus death).
Background: Rabies is the 10th biggest cause of death due to infectious diseases worldwide. It is estimated that 2.5 billion people across 100 countries are at risk of contracting rabies. India reports 20,000 human rabies deaths annually which constitutes one third of global mortalities pertaining to the disease.Methods: Retrospective 15 years case record analysis was undertaken at Epidemic Disease hospital, Mysore. All the records of human rabies cases reported to the hospital from January 1999 to December 2013 were analyzed. Details regarding socio-demographic characteristics, exposure, post exposure prophylaxis, incubation period, duration of survival were collected in a structured proforma.Results: Among 100 human rabies reported in fifteen years, majority 76 (76.0%) were above the age of 14 years, 83 (83%) were males, 61 (61%) were belonging to lower socio economic status. Exposure to dogs was noted among 95 (95%) cases. Only 12 (12%) victims had washed the wound with soap and water, 41 (41%) had received antirabies vaccine of whom only 06 (14.6%) received full course.Conclusions: Majority of human rabies cases observed in the present study was among adults. Dog was the chief reservoir of infection. Poor post exposure prophylaxis was an important factor responsible for rabies.
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