Tetanus risk factors: Difference between revisions
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__NOTOC__ | |||
{{Tetanus}} | {{Tetanus}} | ||
{{CMG}} | {{CMG}} | ||
{{MJM}} | {{MJM}}; {{AE}} {{USAMA}} | ||
==Overview== | |||
Risk factors for the development of a tetanus infection include contaminated [[wounds]], punctured [[wounds]], [[Crush injury|crushing]], [[burns]] and working or living in poor hygiene conditions.<ref name="urlTetanus | About Tetanus Disease | Lockjaw | CDC">{{cite web |url=https://www.cdc.gov/tetanus/about/index.html |title=Tetanus | About Tetanus Disease | Lockjaw | CDC |format= |work= |accessdate=}}</ref><ref name="pmid25065047">{{cite journal| author=Del Pilar Morales E, Bertrán Pasarell J, Cardona Rodriguez Z, Almodovar Mercado JC, Figueroa Navarro A| title=Cephalic tetanus following penetrating eye trauma: a case report. | journal=Bol Asoc Med P R | year= 2014 | volume= 106 | issue= 2 | pages= 25-9 | pmid=25065047 | doi= | pmc= | url=https://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=25065047 }} </ref> | |||
==Risk Factors== | |||
Risk factors for developing a tetanus infection include:<ref name="urlTetanus | About Tetanus Disease | Lockjaw | CDC">{{cite web |url=https://www.cdc.gov/tetanus/about/index.html |title=Tetanus | About Tetanus Disease | Lockjaw | CDC |format= |work= |accessdate=}}</ref><ref name="pmid25065047">{{cite journal| author=Del Pilar Morales E, Bertrán Pasarell J, Cardona Rodriguez Z, Almodovar Mercado JC, Figueroa Navarro A| title=Cephalic tetanus following penetrating eye trauma: a case report. | journal=Bol Asoc Med P R | year= 2014 | volume= 106 | issue= 2 | pages= 25-9 | pmid=25065047 | doi= | pmc= | url=https://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=25065047 }} </ref><ref name="pmid26797167">{{cite journal| author=Grund JM, Toledo C, Davis SM, Ridzon R, Moturi E, Scobie H et al.| title=Notes from the Field: Tetanus Cases After Voluntary Medical Male Circumcision for HIV Prevention--Eastern and Southern Africa, 2012-2015. | journal=MMWR Morb Mortal Wkly Rep | year= 2016 | volume= 65 | issue= 2 | pages= 36-7 | pmid=26797167 | doi=10.15585/mmwr.mm6502a5 | pmc= | url=https://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=26797167 }} </ref><ref>{{Cite journal | |||
| author = [[Robert A. Felter]] & [[Lauren E. Zinns]] | |||
| title = Cephalic Tetanus in an Immunized Teenager: An Unusual Case Report | |||
| journal = [[Pediatric emergency care]] | |||
| volume = 31 | |||
| issue = 7 | |||
| pages = 511–513 | |||
| year = 2015 | |||
| month = July | |||
| doi = 10.1097/PEC.0000000000000360 | |||
| pmid = 25853723 | |||
}}</ref><ref>{{Cite journal | |||
| author = [[Anisha Doshi]], [[Clare Warrell]], [[Dima Dahdaleh]] & [[Dimitri Kullmann]] | |||
| title = Just a graze? Cephalic tetanus presenting as a stroke mimic | |||
| journal = [[Practical neurology]] | |||
| volume = 14 | |||
| issue = 1 | |||
| pages = 39–41 | |||
| year = 2014 | |||
| month = February | |||
| doi = 10.1136/practneurol-2013-000541 | |||
| pmid = 24052566 | |||
}}</ref> | |||
*Inadequate [[immunization]] | |||
**Never immunized for tetanus | |||
**No booster after 10 years of last dose | |||
*Presence of a [[puncture wound]] | |||
*Simultaneous [[infection]] with other pathogens | |||
*Penetrating injury with a [[foreign body]] such as a splinter or a nail | |||
*Untreated [[necrotic tissue]] | |||
*[[Crush injury|Crushing injuries]] | |||
*[[Burns]] | |||
*Limited [[ischemia]] | |||
*Hiking in bat caves | |||
*Sports injuries | |||
*Road side accidents | |||
===Injuries related to Tetanus=== | |||
Injuries that have been associated with an increased risk of tetanus include:<ref name="urlTetanus | About Tetanus Disease | Lockjaw | CDC">{{cite web |url=https://www.cdc.gov/tetanus/about/index.html |title=Tetanus | About Tetanus Disease | Lockjaw | CDC |format= |work= |accessdate=}}</ref><ref name="pmid26797167">{{cite journal| author=Grund JM, Toledo C, Davis SM, Ridzon R, Moturi E, Scobie H et al.| title=Notes from the Field: Tetanus Cases After Voluntary Medical Male Circumcision for HIV Prevention--Eastern and Southern Africa, 2012-2015. | journal=MMWR Morb Mortal Wkly Rep | year= 2016 | volume= 65 | issue= 2 | pages= 36-7 | pmid=26797167 | doi=10.15585/mmwr.mm6502a5 | pmc= | url=https://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=26797167 }} </ref> | |||
== | *[[Animal bite|Animal bites]] | ||
*Different types of [[dental]] procedures | |||
*[[Wounds]] from [[surgeries]] | |||
*Infection of umbilical stump in [[neonates]] | |||
*[[Abortion|Septic abortion]] | |||
*Male [[Circumcised|circumcision]] (specially in sub Saharan Africa) | |||
*[[Crush injury|Crush injuries]] | |||
*Gunshot [[wounds]] | |||
*Puncture [[wounds]] | |||
*[[Burns]] | |||
*[[Diabetic foot|Foot ulcers in diabetic patients]] | |||
*[[Ear infections]] | |||
*[[Compound fracture]]s | |||
*[[Intravenous drug use]] | |||
*Self tattooing | |||
===Rare Conditions leading to Tetanus=== | |||
Rarely, the following conditions may increase the risk of developing tetanus:<ref>{{Cite journal | |||
| author = [[Robert A. Felter]] & [[Lauren E. Zinns]] | |||
| title = Cephalic Tetanus in an Immunized Teenager: An Unusual Case Report | |||
| journal = [[Pediatric emergency care]] | |||
| volume = 31 | |||
| issue = 7 | |||
| pages = 511–513 | |||
| year = 2015 | |||
| month = July | |||
| doi = 10.1097/PEC.0000000000000360 | |||
| pmid = 25853723 | |||
}}</ref> | |||
*Intramuscular injections | |||
*[[IV drug abusers|IV drug abuse]] | |||
*Chronic sores | |||
*[[Dental Infection|Dental infections]] | |||
*Superficial clean [[wounds]] | |||
*[[Insect bites]] | |||
*[[Immunocompromised|Immunocompromised]] (cephalic tetanus) | |||
==References== | ==References== | ||
{{Reflist|2}} | {{Reflist|2}} | ||
{{WH}} | |||
{{WS}} | |||
[[Category:Disease]] | |||
[[Category:Bacterial diseases]] | |||
[[Category:Emergency mdicine]] | |||
[[Category:Up-To-Date]] | |||
[[Category:Infectious disease]] | |||
[[Category:Neurology]] |
Latest revision as of 00:25, 30 July 2020
Tetanus Microchapters |
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Tetanus risk factors On the Web |
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Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1] Michael Maddaleni, B.S.; Associate Editor(s)-in-Chief: Usama Talib, BSc, MD [2]
Overview
Risk factors for the development of a tetanus infection include contaminated wounds, punctured wounds, crushing, burns and working or living in poor hygiene conditions.[1][2]
Risk Factors
Risk factors for developing a tetanus infection include:[1][2][3][4][5]
- Inadequate immunization
- Never immunized for tetanus
- No booster after 10 years of last dose
- Presence of a puncture wound
- Simultaneous infection with other pathogens
- Penetrating injury with a foreign body such as a splinter or a nail
- Untreated necrotic tissue
- Crushing injuries
- Burns
- Limited ischemia
- Hiking in bat caves
- Sports injuries
- Road side accidents
Injuries that have been associated with an increased risk of tetanus include:[1][3]
- Animal bites
- Different types of dental procedures
- Wounds from surgeries
- Infection of umbilical stump in neonates
- Septic abortion
- Male circumcision (specially in sub Saharan Africa)
- Crush injuries
- Gunshot wounds
- Puncture wounds
- Burns
- Foot ulcers in diabetic patients
- Ear infections
- Compound fractures
- Intravenous drug use
- Self tattooing
Rare Conditions leading to Tetanus
Rarely, the following conditions may increase the risk of developing tetanus:[6]
- Intramuscular injections
- IV drug abuse
- Chronic sores
- Dental infections
- Superficial clean wounds
- Insect bites
- Immunocompromised (cephalic tetanus)
References
- ↑ 1.0 1.1 1.2 "Tetanus | About Tetanus Disease | Lockjaw | CDC".
- ↑ 2.0 2.1 Del Pilar Morales E, Bertrán Pasarell J, Cardona Rodriguez Z, Almodovar Mercado JC, Figueroa Navarro A (2014). "Cephalic tetanus following penetrating eye trauma: a case report". Bol Asoc Med P R. 106 (2): 25–9. PMID 25065047.
- ↑ 3.0 3.1 Grund JM, Toledo C, Davis SM, Ridzon R, Moturi E, Scobie H; et al. (2016). "Notes from the Field: Tetanus Cases After Voluntary Medical Male Circumcision for HIV Prevention--Eastern and Southern Africa, 2012-2015". MMWR Morb Mortal Wkly Rep. 65 (2): 36–7. doi:10.15585/mmwr.mm6502a5. PMID 26797167.
- ↑ Robert A. Felter & Lauren E. Zinns (2015). "Cephalic Tetanus in an Immunized Teenager: An Unusual Case Report". Pediatric emergency care. 31 (7): 511–513. doi:10.1097/PEC.0000000000000360. PMID 25853723. Unknown parameter
|month=
ignored (help) - ↑ Anisha Doshi, Clare Warrell, Dima Dahdaleh & Dimitri Kullmann (2014). "Just a graze? Cephalic tetanus presenting as a stroke mimic". Practical neurology. 14 (1): 39–41. doi:10.1136/practneurol-2013-000541. PMID 24052566. Unknown parameter
|month=
ignored (help) - ↑ Robert A. Felter & Lauren E. Zinns (2015). "Cephalic Tetanus in an Immunized Teenager: An Unusual Case Report". Pediatric emergency care. 31 (7): 511–513. doi:10.1097/PEC.0000000000000360. PMID 25853723. Unknown parameter
|month=
ignored (help)