THE RELATIONSHIP TETANUS SEVERITY WITH OUTCOME CLINIC

Abstract

Introduction : Tetanus is an acute toxemia caused by a neurotoxin produced by C. tetani characterized by periodic and severe muscle stiffness and spasms. Prognostic assessment is the most important thing to see the risk of mortality. Score systems are often used by clinicians such as Phillips score (1967), Ablett classification (1967), Dakar score (1975).20 Methods: This study was an analytic study with a cross-sectional design in a population of tetanus patients treated from January 2019 to December 2021. The inclusion criteria in this study were patients who had complete medical records. Information was taken from medical record data, including demographics, incubation period, Port of entry, Ablett score, Phillips score, type of wound, autonomic symptoms, clinical manifestations, comorbidities, vaccination history, complications, ventilator use, antibiotic management, length of stay and output. patient clinical. To find out the relationship between variables using the Chi-square test. Results: The results of the analysis of the relationship between the degree of Phillips score and the outcome of tetanus patients after treatment obtained p = 0.038. The results of the analysis of the relationship between the degree of Ablett score and the outcome of tetanus patients after treatment obtained p = 0.007. The results of the analysis of the relationship between the use of breathing apparatus and the output of tetanus patients after treatment obtained p = 0.041. Discussion: There is a significant relationship between the degree of Phillips score and Ablett score with the patient's clinical outcome. There is a significant relationship between the use of breathing apparatus and the patient's clinical outcome.