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Research Article 


Current Prognosis Factor of Tetanus in Abidjan: 2005-2014

Tanon Koffi Aristophane, Adama Doumbia, Patrick Ahuatchi Coffie, Alain N 'douba Kassi, Bonaventure Asseke, Aka Rigobert Kakou.


Cited By:10

Abstract
Objective: To describe the epidemiological, clinical and prognosis aspects of tetanus in patients hospitalized at the Infectious and Tropical Diseases Unit of Treichville Teaching Hospital.
Methods: A retrospective study of the medical records of all patients hospitalized between 2005 and 2014. The ”Dakar prognosis score” was established on the basis of six parameters: incubation period, duration of invasion, site of entry, presence of paroxysms, body temperature and pulse rate. A logistic regression model was used to identify the factors associated with death.
Results: Overall, 455 cases of tetanus were included, with a predominance of males (86%). Most patients lived in Abidjan (77%). A very high proportion of cases were generalized tetanus (96%), and 137 patients (30%) died. The factors associated with death were age >60 years (aOR 2.76; 95% CI 1.07 to 9.91), being a labourer (aOR 2.83 95% CI 1.07-9.39), a severe Dakar prognostic score (aOR 5.76; 95% CI 2.26-14.72), no intrathecal serotherapy (aOR = 15.6; 95% CI 5.40- 44.84), no penicillin-therapy (aOR 2.33; 95% CI 1.11-4.87) and the presence of complications (aOR 8.53, 95% CI 4.83-15.09).
Conclusion: This study identifies a number of factors for a poor prognosis among patients with tetanus admitted to our hospital, indicating that measures to reduce morbidity and mortality due to tetanus should be strengthened and prevention improved in resource limited settings. The prognostic parameters in ”the Dakar score” should therefore be adapted to the current epidemiological and clinical contexts in Côte d 'Ivoire. J Microbiol Infect Dis 2017; 7(3):125-131

Key words: Prognosis factors, tetanus Côte d 'Ivoire, West-Africa


 
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How to Cite this Article
Pubmed Style

Tanon Koffi Aristophane, Adama Doumbia, Patrick Ahuatchi Coffie, Alain N douba Kassi, Bonaventure Asseke, Aka Rigobert Kakou. Current Prognosis Factor of Tetanus in Abidjan: 2005-2014. J Microbiol Infect Dis. 2017; 7(3): 125-131 . doi:10.5799/jmid.367529

Web Style

Tanon Koffi Aristophane, Adama Doumbia, Patrick Ahuatchi Coffie, Alain N douba Kassi, Bonaventure Asseke, Aka Rigobert Kakou. Current Prognosis Factor of Tetanus in Abidjan: 2005-2014. https://www.jmidonline.org/?mno=302657175 [Access: November 22, 2024]. doi:10.5799/jmid.367529

AMA (American Medical Association) Style

Tanon Koffi Aristophane, Adama Doumbia, Patrick Ahuatchi Coffie, Alain N douba Kassi, Bonaventure Asseke, Aka Rigobert Kakou. Current Prognosis Factor of Tetanus in Abidjan: 2005-2014. J Microbiol Infect Dis. 2017; 7(3): 125-131 . doi:10.5799/jmid.367529


Vancouver/ICMJE Style

Tanon Koffi Aristophane, Adama Doumbia, Patrick Ahuatchi Coffie, Alain N douba Kassi, Bonaventure Asseke, Aka Rigobert Kakou. Current Prognosis Factor of Tetanus in Abidjan: 2005-2014. J Microbiol Infect Dis. (2017), [cited November 22, 2024]; 7(3): 125-131 . doi:10.5799/jmid.367529


Harvard Style

Tanon Koffi Aristophane, Adama Doumbia, Patrick Ahuatchi Coffie, Alain N douba Kassi, Bonaventure Asseke, Aka Rigobert Kakou (2017) Current Prognosis Factor of Tetanus in Abidjan: 2005-2014. J Microbiol Infect Dis, 7 (3), 125-131 . doi:10.5799/jmid.367529


Turabian Style

Tanon Koffi Aristophane, Adama Doumbia, Patrick Ahuatchi Coffie, Alain N douba Kassi, Bonaventure Asseke, Aka Rigobert Kakou. 2017. Current Prognosis Factor of Tetanus in Abidjan: 2005-2014. Journal of Microbiology and Infectious Diseases, 7 (3), 125-131 . doi:10.5799/jmid.367529


Chicago Style

Tanon Koffi Aristophane, Adama Doumbia, Patrick Ahuatchi Coffie, Alain N douba Kassi, Bonaventure Asseke, Aka Rigobert Kakou. "Current Prognosis Factor of Tetanus in Abidjan: 2005-2014." Journal of Microbiology and Infectious Diseases 7 (2017), 125-131 . doi:10.5799/jmid.367529


MLA (The Modern Language Association) Style

Tanon Koffi Aristophane, Adama Doumbia, Patrick Ahuatchi Coffie, Alain N douba Kassi, Bonaventure Asseke, Aka Rigobert Kakou. "Current Prognosis Factor of Tetanus in Abidjan: 2005-2014." Journal of Microbiology and Infectious Diseases 7.3 (2017), 125-131 . Print. doi:10.5799/jmid.367529


APA (American Psychological Association) Style

Tanon Koffi Aristophane, Adama Doumbia, Patrick Ahuatchi Coffie, Alain N douba Kassi, Bonaventure Asseke, Aka Rigobert Kakou (2017) Current Prognosis Factor of Tetanus in Abidjan: 2005-2014. Journal of Microbiology and Infectious Diseases, 7 (3), 125-131 . doi:10.5799/jmid.367529


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