%0 Journal Article
%T Tetanus in a Rural Setting of South-Western Nigeria: a Ten-Year Retrospective Study
%A O Adekanle
%A OO Ayodeji
%A LO Olatunde
%J Libyan Journal of Medicine
%D 2009
%I 
%X 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 ¡À16.76). 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.
%U http://www.ajol.info/index.php/ljm/article/view/43425