Tetanus Flashcards

1
Q

Tetanus Vaccine for children

A

DTaP, DT (remember capital letter = larger dose)

child is defined as < 7 years old

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2
Q

Tetanus Vaccine for adults

A

Td, Tdap (remember capital letter = larger dose)

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3
Q

Tetanus “T’s”

A

Tetani: spasm
Top to bottom (descending pattern)
Clostridium Tetani (gram + anaerobic rod)
Trismus (lockjaw)
No test to diagnos
Tetanus Toxoid (vaccine), Tetanus Immune Globulin to treat

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4
Q

Trismus

A

Lock jaw: symptom of tetanus

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5
Q

Tetanus description

A
Exotoxin: rigidity, muscle spasm
Bacterium: Clostridium Tetani
Spores are highly resistant
Harbored in animal feces and soil: think rusty nail
Vaccine preventable
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6
Q

Tetanus pathogenesis

A

Usually contracted via wound
Have been outbreaks from drug users, nat disasters
Incubation period: 3-21 days, 4-14 neonatal

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7
Q

Tetanus complication

A
laryngospasm
fractures
hypertension
nosocomial infections
pulmonary embolism
aspiration pneumonia
death
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8
Q

Tetanus clinical patterns

A
Generalized type: 80%
- descending pattern: trismus, diff. swallowing, rigidity
-fever, sweating
-trismus (lockjaw)
-spasms
-recovery may take months
Neonatal Generalized Type
-from a mother not immune
-infected umbilical cord
-rare in US
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