Specifications for diagnosis and treatment of non-neonatal tetanus

Chuanlin Wang; Si Liu; Qingjun Chen; Zhujun Shao; Jifeng WU; Zhao Fan; Peige Wang; Zhenggang Zhu; Pin Lan; Jianguo LI; Yishan Zheng; Wubing HE; Zhe XU; Weidong Tang; Jinman Pang; Zhihong Ban; Shuqing Yang; Wentao Ding; Xifu Zheng; Qilong Zhang

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Specifications for diagnosis and treatment of non-neonatal tetanus

VernacularTitle: 非新生儿破伤风诊疗规范
Author: Chuanlin WANG ¹ ; Si LIU ² ; Qingjun CHEN ³ ; Zhujun SHAO ⁴ ; Jifeng WU ⁵ ; Zhao FAN ⁶ ; Peige WANG ⁷ ; Zhenggang ZHU ⁸ ; Pin LAN ⁹ ; Jianguo LI ¹⁰ ; Yishan ZHENG ¹¹ ; Wubing HE ¹² ; Zhe XU ¹³ ; Weidong TANG ¹⁴ ; Jinman PANG ¹⁵ ; Zhihong BAN ¹⁶ ; Shuqing YANG ¹⁷ ; Wentao DING ¹⁸ ; Xifu ZHENG ¹⁹ ; Qilong ZHANG ²⁰
Author Information

1. Emergency Department/Trauma Center, Peking University People's Hospital, Beijing 100044, China
2. Department of Emergency, Peking University First Hospital, Beijing 100034, China
3. Emergency Department, Beijing Hepingli Hospital, Beijing 100013, China
4. National Institute for Communicable Disease Control and Prevention, Chinese Center for Disease Control and Prevention, Beijing 102206, China
5. Surgical Department, Shijiazhuang Fifth Hospital, Shijiazhuang 050021, China
6. Emergency Department, Peking University Shenzhen Hospital, Shenzhen 518036, China
7. Emergency Department, Affiliate Hospital of Qingdao University, Qingdao 266003, China
8. Rabies Clinic, Wuhan Center for Disease Control and Prevention, Wuhan 430015, China
9. Department of Emergency, Lishui Hospital, Zhejiang University School of Medicine, Lishui 323000, China
10. Emergency Department, Hebe General Hospital, Shijiazhuang 050051, China
11. Department of Critical Care Medicine, Second Hospital of Nanjing, Nanjing 210003 China
12. Provincial Clinical Medical College, Fujian Medical University, Fuzhou 350001, China
13. Centre of Infectious Diseases, Fifth Medical Centre of PLA General Hospital, Beijing 100039, China
14. Department of Orthopedics, Suzhou Road Hospital, Xinjiang Autonomous Region People's Hospital, Urumqi 830000, China
15. Thyroid and Breast Surgery, Third Hospital of Jinan, Jinan 250132, China
16. Emergency Department, Guangxi International Zhuang Medicine Hospital, Nanning 530200, China
17. Emergency Department, Chongqing Emergency Medical Center/Central Hospital of Chongqing University, Chongqing 400014, China
18. Department of General Surgery, Tianjin First Central Hospital, Tianjin 300192, China
19. Department of Orthopedic Surgery, First Affiliated Hospital of Dalian Medical University, Dalian 116011, China
20. Department of Emergency and Critical Care Medicine, Jiangxi Chest Hospital, Nanchang 330006, China
Publication Type:Guideline
Keywords: Tetanus, non-neonatal; Benchmarking; Diagnosis; Treatment
From: Chinese Journal of Trauma 2020;36(1):18-23
CountryChina
Language:Chinese
Abstract: Tetanus consists of neonatal tetanus and non-neonatal tetanus. Non-neonatal tetanus remains a serious public health problem, although neonatal tetanus has been eliminated in China since 2012. Non-neonatal tetanus is a potential fatal disease. In the absence of medical intervention, the mortality rate of severe cases is almost 100%. Even with vigorous treatment, the mortality rate remains 30%-50% globally. These specifications aim to regulate non-neonatal tetanus diagnosis and treatment in China, in order to improve medical quality and safety. These specifications introduce the etiology, epidemiology, pathogenesis, clinical manifestations and laboratory tests, diagnosis, differential diagnosis, grading and treatment of non-neonatal tetanus.