Tuesday, July 07, 2009

Neonatal tetanus and control of

Neonatal tetanus, also known as "Wind 46", "umbilical Wind," "Wind on the 7th," and so on, as a result of tetani from umbilical invasive infection caused by a disease. Incidence is mainly due to delivery without a strict disinfection when the scissors cut the umbilical cord, or delivery person hands dirty, or after birth, the umbilical disinfection attention, resulting in tetanus caused by invasive bacteria from umbilical.
The disease occurred in more than 4-6 days after birth, in early disease are often irritability, crying, after the breast pump may be tight, lockjaw, convulsions, eye fissile small, hemifacial spasm, and the emergence of frown, give the amount of traction out of numbness of the mouth, lips crinkle, break off from the face into a smile; the neck and trunk limbs, muscle cramps, his hands make a fist again, his arms strong, head to the back, showing the anti-Zhang-shaped arch angle; In severe cases, respiratory muscle spasm appeared cyanotic lips, and even suffocation; and any minor stimulation, such as sound, light, vibration can be caused by spasm attack; the majority of children have a fever, but it may also be without heat or low heat.
The disease is entirely preventable.
1, pregnant women should receive tetanus immunization.
2, delivery should be used for new science delivery. In strictly aseptic delivery, pay attention to the clean side to deal with the umbilical cord is to prevent a fundamental measure of the disease. Radical production and the time and in the event the use of sterile delivery kits, scissors can be hot in the fire use, and the umbilical cord stump and leave 4-5 cm, and 24 hours of operation will be in accordance with strict disinfection of the umbilical cord cut off the remote again a period of re-ligation sterilization. Its proximal 1:4000 potassium permanganate solution or with 3% hydrogen peroxide solution to clean, apply a 2.5% tincture of iodine. At the same time, by intramuscular injection to neonatal tetanus antitoxin and penicillin, can prevent infection.

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