Original article
English
O Adekanle 1, O O Ayodeji 2, L O Olatunde 1
1 – Department of Internal Medicine, Federal Medical Centre, Owo, Nigeria 2 – Department of Community Medicine, Federal Medical Centre, Owo, Nigeria
Libyan J Med 2009; 4(2):D100-104
Abstract
We review the records of 79 tetanus patients in two hospitals (one tertiary and one secondary level) in Owo, Ondo state, Nigeria from 1997 to 2006. The male: female ratio was 3:1. Ages were 14-70 years (mean 33.25 years, SD ±16.76). The overall case fatality rate (CFR), 32.91%, did was not significantly different in the two hospitals. CFR for men was 32.10% and for women 35.29%. The main factor indicative of bad prognosis was a short hospitalization period. It was observed that 30.38% of our patients were discharged against medical advice (DAMA), that financial constraint was the underlying problem in 50% of cases, and that the trend of DAMA occurred at the two study sites. This DAMA phenomenon could pose a great danger to the eradication of this vaccine preventable disease in rural areas
Keywords: Tetanus, Rural hospital, Discharge against medical advice, Nigeria.
Link/DOI: http://2657.indexcopernicus.com/fulltxt.php?ICID=881033