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Tetanus Prone Wounds

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by

Mohamed Basiony

on 3 January 2013

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Transcript of Tetanus Prone Wounds

But What is Tetanus ? Tetanus Prone Wounds What are "Tetanus prone wounds" ? How to prophylaxis ? Thanks for listening Wounds containing foreign bodies Mohamed A. Basiony Wounds or burns that show a significant degree of devitalised tissue
or a puncture-type injury, particularly where there has been contact with soil or manure Wounds or burns that require surgical intervention that is delayed for more than six hours 2- 1- 3- Compound Fracture Compound fracture is simply
" An Open Fracture" which :
1- There is a wound communicating with the fracture .
2- Fracture hematoma has been exposed . But what is a compound fracture ? 4- Contamination with
horse excreta : 5- Wounds accompanied
with low O2 tension : 6- Tight Bandages Tetanus Cause A medical condition characterized by a prolonged contraction of skeletal muscle fibers. The primary symptoms are caused by tetanospasmin,
a neurotoxin produced by the Gram-positive, rod-shaped, obligate anaerobic bacterium Clostridium tetani . Signs & Symptoms Starts by pain and tingling at injury site , then jaw spasms and neck stiffness (Tonic Stage )
Then envolves the back causing it's arching , later on envolves sudden painful powerful contraction of group of muscles (Clonic Stage ) Types Generalized Tetanus Chronic Tetanus Local Tetanus Splanchnic Tetanus Cephalic Tetanus Post-Operative
Tetanus Cryptogeneic Tetanus Tetanus Neonatorum The classical type - Incubation period > 2 weeks .
- In immuned person .
- No reflex spasm . - No toxemia
- Affection of muscles around the wound only . - Affects muscles of deglutition & respiration
- Very rare . Affection of head muscles ( squint , diplopia ) Inadequate sterilization
( Catgut , dressings , etc. ) Mild form occurs in abscence of wound Affects newborns during cutting of umbilical cord without aseptic measures . Proper Care of wound -Proper Cleaning -Wound Debridement -Cover the wound with clean gauze . -Maintain wound cleaning and change gauze periodically -Proper nutrition and rest for maintaining good immunity . Vaccination Routine childhood vaccination by tetanus toxoid vaccine ( DPT ) , with booster injection every 7 - 10 years . Tetanus Immunoglobulin (TIG) -Gives passive immunity against tetanus just long enough for your body to pass recent infection .
- Given IM. or in the proximal portion of the wound . Scheme of Prophylaxis It is caused by the tetanus bacterium Clostridium tetani.
Tetanus is often associated with rust, especially rusty nails, but this concept is somewhat misleading. Objects that accumulate rust are often found outdoors, or in places that harbor anaerobic bacteria, but the rust itself does not cause tetanus nor does it contain more C. tetani bacteria. The nail affords a means to puncture skin and deliver endospore into the wound. Presented By : Team : Students from 551 to 559 References -Minnesota Department of Health http://www.health.state.mn.us/divs/idepc/diseases/tetanus/hcp/tetwdmgmtc.pdf -Health Protection Agency http://www.hpa.org.uk/webc/HPAwebFile/HPAweb_C/1194947314087 -The Australian Immunisation handbook Can you now answer this ?
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