Neonatal tetanus in Nigeria: does it still pose a major threat to neonatal survival?

Oruamabo, R S

doi:10.1136/adc.2006.102087

Cited by 20 publications

(22 citation statements)

References 5 publications

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“…A similar low prevalence figure of 0.7% and a declining trend in the incidence of neonatal tetanus was reported in a previous study conducted in the northern part of Nigeria [14]. Possible reasons for the observed decline in the present study include the utilization of routine immunization practices among the pregnant women with tetanus toxoids and aseptic obstetric and post-natal umbilical-cord practices.…”

Section: Discussionsupporting

confidence: 56%

“…Possible reasons for the observed decline in the present study include the utilization of routine immunization practices among the pregnant women with tetanus toxoids and aseptic obstetric and post-natal umbilical-cord practices. Previous studies have adduced the same reasons for this decline [13,14]. It is also possible that the low number of cases in the years 2006 and 2007 was due to failure to present at our health facility so cases were not recorded.…”

Section: Discussionmentioning

confidence: 92%

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Trends in neonatal and post-neonatal tetanus admissions at a Nigerian teaching hospital

Oyedeji

Fadero

Joel-Medewase

et al. 2012

J Infect Dev Ctries

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Section: Discussionsupporting

confidence: 56%

Section: Discussionmentioning

confidence: 92%

Trends in neonatal and post-neonatal tetanus admissions at a Nigerian teaching hospital

Oyedeji

Fadero

Joel-Medewase

et al. 2012

J Infect Dev Ctries

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“…This phenomenon could be attributed to several factors, including the severity of illness at presentation, the limited number of skilled intensive care personnel, the inadequate facilities, and the high incidence of associated sepsis [3,7,10,12].…”

Section: Discussionmentioning

confidence: 99%

“…Tetanus accounts for 7% of neonatal deaths globally, and up to 20% in Nigeria [3]. Although only 5% of neonatal tetanus cases are actually reported to health services [3], the incidence of neonatal tetanus in Nigeria ranges between 14.6 and 20 per 1,000 live births [4]. Recent data [2] revealed that Nigeria contributes 16% of global neonatal tetanus deaths, second only to India.…”

Section: Introductionmentioning

confidence: 99%

“…This laudable project of the World Health Organization (WHO) is extremely important because neonatal tetanus contributes significantly to neonatal mortality [2]. Tetanus accounts for 7% of neonatal deaths globally, and up to 20% in Nigeria [3]. Although only 5% of neonatal tetanus cases are actually reported to health services [3], the incidence of neonatal tetanus in Nigeria ranges between 14.6 and 20 per 1,000 live births [4].…”

Section: Introductionmentioning

confidence: 99%

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Prevalence and outcome of neonatal tetanus in Zaria, Northwestern Nigeria

Onalo

Ishiaku

Ogala

2011

J Infect Dev Ctries

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Introduction: Neonatal tetanus is a highly debilitating disease with high mortality. Global efforts at eliminating the disease in developing countries are yielding results but slower than expected. The high case fatality of neonatal tetanus remains a therapeutic challenge to physicians and requires continuous evaluation. This study aimed to determine the incidence and outcome of neonatal tetanus in Zaria, northwestern Nigeria. Methodology: A retrospective study of neonatal tetanus was conducted at the Neonatal Unit of Ahmadu Bello University Teaching Hospital, Zaria, between January 2005 and December 2009. Data generated were analyzed using the Epi Info version 3.5.1 software and statistical significance was set at p < 0.05. Results: Of the 2,692 newborns admitted during the study period, 20 had tetanus, giving an overall prevalence of 0.7%. There were 14 males and 6 females (male to female ratio 2.3:1). The mean age and weight at presentation were 8.3 ± 4.0 days and 2.7 ± 0.3 kg, respectively. The mean incubation period was 3.2 ± 2.0 days. Four infants (20.0%) survived, one was discharged against medical advice and 15 (75.0%) died. Factors associated with mortality were presentation at less than seven days of life, low Hendrickse score at presentation (p = 0.0005) and hypoglycaemia (p = 0.0374). Conclusion: The incidence and the mortality rate of neonatal tetanus appear to be lower than those previously reported by our centre for the same region. Therefore, the ongoing global efforts for disease elimination and further improvements in the quality of care should be sustained.

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Preventing Perinatal Mortality in the Developing Countries

Ogunlesi

Adetoro

2021

Contemporary Obstetrics and Gynecology for Developing Countries

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Neonatal tetanus in Nigeria: does it still pose a major threat to neonatal survival?

Cited by 20 publications

References 5 publications

Trends in neonatal and post-neonatal tetanus admissions at a Nigerian teaching hospital

Trends in neonatal and post-neonatal tetanus admissions at a Nigerian teaching hospital

Prevalence and outcome of neonatal tetanus in Zaria, Northwestern Nigeria

Preventing Perinatal Mortality in the Developing Countries

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