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
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.
Key words:
Tetanus, non-neonatal; Benchmarking; Diagnosis; Treatment
Contributor Information
Chuanlin Wang
Emergency Department/Trauma Center, Peking University People's Hospital, Beijing 100044, China
Si Liu
Department of Emergency, Peking University First Hospital, Beijing 100034, China
Qingjun Chen
Emergency Department, Beijing Hepingli Hospital, Beijing 100013, China
Zhujun Shao
National Institute for Communicable Disease Control and Prevention, Chinese Center for Disease Control and Prevention, Beijing 102206, China
Jifeng Wu
Surgical Department, Shijiazhuang Fifth Hospital, Shijiazhuang 050021, China
Zhao Fan
Emergency Department, Peking University Shenzhen Hospital, Shenzhen 518036, China
Peige Wang
Emergency Department, Affiliate Hospital of Qingdao University, Qingdao 266003, China
Zhenggang Zhu
Rabies Clinic, Wuhan Center for Disease Control and Prevention, Wuhan 430015, China
Pin Lan
Department of Emergency, Lishui Hospital, Zhejiang University School of Medicine, Lishui 323000, China
Jianguo Li
Emergency Department, Hebe General Hospital, Shijiazhuang 050051, China
Yishan Zheng
Department of Critical Care Medicine, Second Hospital of Nanjing, Nanjing 210003 China
Wubing He
Provincial Clinical Medical College, Fujian Medical University, Fuzhou 350001, China
Zhe Xu
Centre of Infectious Diseases, Fifth Medical Centre of PLA General Hospital, Beijing 100039, China
Weidong Tang
Department of Orthopedics, Suzhou Road Hospital, Xinjiang Autonomous Region People's Hospital, Urumqi 830000, China
Jinman Pang
Thyroid and Breast Surgery, Third Hospital of Jinan, Jinan 250132, China
Zhihong Ban
Emergency Department, Guangxi International Zhuang Medicine Hospital, Nanning 530200, China
Shuqing Yang
Emergency Department, Chongqing Emergency Medical Center/Central Hospital of Chongqing University, Chongqing 400014, China
Wentao Ding
Department of General Surgery, Tianjin First Central Hospital, Tianjin 300192, China
Xifu Zheng
Department of Orthopedic Surgery, First Affiliated Hospital of Dalian Medical University, Dalian 116011, China
Qilong Zhang
Department of Emergency and Critical Care Medicine, Jiangxi Chest Hospital, Nanchang 330006, China
