Tetanus risk factors: Difference between revisions
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==Overview== | ==Overview== | ||
Clostridium tetani spores can be found in various locations including manure, soil and dust. Inhabitants of developing countries are at a higher risk of acquiring tetanus because of lack of tetanus vaccination. Various risk factors for tetanus include contaminated wounds, punctured wounds, crushing, burns and working in unhygienic environment.<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> | [[Clostridium tetani]] [[spores]] can be found in various locations including manure, soil and dust. Inhabitants of developing countries are at a higher risk of acquiring tetanus because of lack of tetanus vaccination and less focus on general [[hygiene]]. Various [[risk factors]] for tetanus include contaminated [[wounds]], punctured [[wounds]], [[Crush injury|crushing]], [[burns]] and working in unhygienic environment.<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== | ||
There are various risk factors that increase the chance of acquiring tetanus. These 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> | There are various [[risk factors]] that increase the chance of acquiring tetanus. These 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 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> | ||
*Improper [[immunization]] | *Improper [[immunization]] | ||
| Line 14: | Line 14: | ||
**No booster after 10 years of last dose | **No booster after 10 years of last dose | ||
*Presence of a [[puncture wound]] | *Presence of a [[puncture wound]] | ||
*Simultaneous infection with other pathogens | *Simultaneous [[infection]] with other pathogens | ||
*Presence of a foreign body, such as a splinter or a nail | *Presence of a foreign body, such as a splinter or a nail | ||
*Presence of dead [[tissue]] | *Presence of dead [[tissue]] | ||
*Crushing injuries | *[[Crush injury|Crushing injuries]] | ||
*Burns | *[[Burns]] | ||
*Limited ischemia | *Limited [[ischemia]] | ||
*Working in unhygienic environment | *Working in unhygienic environment | ||
*Hiking in bat caves | *Hiking in bat caves | ||
| Line 28: | Line 28: | ||
There are many different injuries that can result in tetanus. Some of these injuries 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> | There are many different injuries that can result in tetanus. Some of these injuries 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 bites | *[[Animal bite|Animal bites]] | ||
*Different types of [[dental]] procedures | *Different types of [[dental]] procedures | ||
*[[Wounds]] from [[surgeries]] | *[[Wounds]] from [[surgeries]] | ||
*Infection of umbilical stump in neonates | *Infection of umbilical stump in neonates | ||
*[[Septic abortion]] | *[[Abortion|Septic abortion]] | ||
*Male circumcision (specially in subSaharan Africa) | *Male circumcision (specially in subSaharan Africa) | ||
*[[Crush]] | *[[Crush injury|Crush injuries]] | ||
*Gunshot [[wounds]] | *Gunshot [[wounds]] | ||
*Puncture [[wounds]] | *Puncture [[wounds]] | ||
*[[Burns]] | *[[Burns]] | ||
*Foot ulcers in diabetic patients | *[[Diabetic foot|Foot ulcers in diabetic patients]] | ||
*[[Ear infections]] | *[[Ear infections]] | ||
*[[Compound fracture]]s | *[[Compound fracture]]s | ||
*Injecting drugs | *Injecting drugs | ||
*Self | *Self tattooing | ||
===Rare Conditions leading to Tetanus=== | ===Rare Conditions leading to Tetanus=== | ||
*Intra muscular injections | *Intra muscular injections | ||
*[[IV drug abuse]] | *[[IV drug abusers|IV drug abuse]] | ||
*Chronic | *Chronic sores | ||
*[[Dental infections]] | *[[Dental Infection|Dental infections]] | ||
*Superficial clean wounds | *Superficial clean [[wounds]] | ||
*[[Insect bites]] | *[[Insect bites]] | ||
Revision as of 14:01, 1 June 2017
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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
Clostridium tetani spores can be found in various locations including manure, soil and dust. Inhabitants of developing countries are at a higher risk of acquiring tetanus because of lack of tetanus vaccination and less focus on general hygiene. Various risk factors for tetanus include contaminated wounds, punctured wounds, crushing, burns and working in unhygienic environment.[1][2]
Risk Factors
There are various risk factors that increase the chance of acquiring tetanus. These include:[1][2] [3]
- Improper immunization
- Never immunized for tetanus
- No booster after 10 years of last dose
- Presence of a puncture wound
- Simultaneous infection with other pathogens
- Presence of a foreign body, such as a splinter or a nail
- Presence of dead tissue
- Crushing injuries
- Burns
- Limited ischemia
- Working in unhygienic environment
- Hiking in bat caves
- Sports injuries
- Road side accidents
There are many different injuries that can result in tetanus. Some of these injuries 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 subSaharan Africa)
- Crush injuries
- Gunshot wounds
- Puncture wounds
- Burns
- Foot ulcers in diabetic patients
- Ear infections
- Compound fractures
- Injecting drugs
- Self tattooing
Rare Conditions leading to Tetanus
- Intra muscular injections
- IV drug abuse
- Chronic sores
- Dental infections
- Superficial clean wounds
- Insect bites
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.