Neonatal Tetanus in Vietnam: Comprehensive Intensive Care Support Improves Mortality

被引:12
|
作者
Trieu, Huynh T. [1 ]
Lubis, Inke N. [2 ]
Qui, Phan T. [1 ]
Yen, Lam M. [1 ]
Wills, Bridget [3 ,4 ]
Thwaites, C. Louise [3 ,4 ]
Sabanathan, Saraswathy [3 ,4 ]
机构
[1] Hosp Trop Dis, 764 Vo Van Kiet,Dist 5, Ho Chi Minh City, Vietnam
[2] Univ North Sumatera, Jl Dr Mansur 5, Medan, Indonesia
[3] Hosp Trop Dis, Oxford Univ Clin Res Unit, Ho Chi Minh City, Vietnam
[4] Univ Oxford, Nuffield Dept Med, Ctr Trop Med & Global Hlth, Oxford OX1 2JD, England
基金
英国惠康基金;
关键词
autonomic dysfunction; magnesium sulfate; neonatal tetanus; MAGNESIUM-SULFATE; METAANALYSIS; DYSFUNCTION; PROGNOSIS; INFANTS;
D O I
10.1093/jpids/piv059
中图分类号
R51 [传染病];
学科分类号
100401 ;
摘要
We report a 66% reduction in neonatal tetanus mortality after introducing a new management bundle integrating antibiotic therapy, muscle relaxation and invasive monitoring. The latter allowed rapid detection of autonomic instability which was treated with magnesium sulphate. This is the first report of its use in neonatal tetanus.
引用
收藏
页码:227 / 230
页数:4
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