Neonatal Tetanus in Vietnam: Comprehensive Intensive Care Support Improves Mortality
- PMID: 26407289
- PMCID: PMC5407131
- DOI: 10.1093/jpids/piv059
Neonatal Tetanus in Vietnam: Comprehensive Intensive Care Support Improves Mortality
Abstract
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.
Keywords: autonomic dysfunction; magnesium sulfate; neonatal tetanus.
© The Author 2015. Published by Oxford University Press on behalf of the Pediatric Infectious Diseases Society.
References
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- World Health Organization. Viet Nam eliminates maternal and neonatal tetanus. Available at: http://www.who.int/mediacentre/news/releases/2006/pr10/en/. Accessed 17 August 2015. - PubMed
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- UNICEF. Review of expanded program of immunization Vietnam 2009. In: National EPI report. Available at: http://www.unicef.org/vietnam/EPI_NATIONAL_Review_Report_Vietnam_2009_Fi... Accessed 17 August 2015.
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