EVALUATION OF THE TREATMENT OF PATIENT WITH TETANUS
Main researcher
: LISIĈ, MIROSLAV (94971) Assistants
Type of research: applied Duration from: 01/01/91. to 12/31/94. Papers on project (total): 4
Institution name: Medicinski fakultet, Zagreb (108) Department/Institute: Intensive care iunit for infectious diseases Hospital for infetious diseases "Dr. Fran Mihaljeviĉ" Address: Mirogojska 8 City: 10000 - Zagreb, Croatia
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Summary: A prospective study with a view to establish if the rate of
Human Tetanus Immunoglobulin (HTIG) applicated intratecally changes the
mortality from this disease was done. We also wanted to find out to which
degree of the wasteness of the illness the rate has the influence and also
the financial influence of the treatment when the higher dose of HTIG is
applicated. The total of 114 patients with tetanus, treated at the
University Hospital of Infectious Diseases "Dr. Fran Mihaljeviĉ", in the
period from 1991 to 1994 were included into the study. They were divided
in two groups. The first group (73 patients) were treated with "classical"
therapy - HTIG applied intramuscularly, and also with 4000 IU of HTIG
intratecally (Tetavenin, IMMUNO). The second, control group (55 patients)
were treated with 2000 IU of HTIG intratecally as an addition to
"classical" therapy. There were 24 patients (32.9%) in the first group who
died, and in control group there were 10 patients (18.2%) who died. As
conclusion of this study we can maintain that: 1. there is no statistical
significance at the mortality of the patients with tetanus (Chi Squared
Test = 2.76; P = 0.10) treated with 4000 IU of HTIG applied intratecally
and 2000 IU of HTIG. 2. the application of 2000 IU of HTIG applied
intratecally is more cheaper and more simplier than the first one.
Keywords: Tetanus, Treatment, Human Antitetanus Gamaglobulin (HTIG) - Intratecally
Research goals: The aim of this project is to determine through a
prospective study:1. is there any statistically significant difference in
themortality of the patients suffering from tetanus when 4000 IU or 2000
IU of HTIG are intratecally applied. 2. if thedifference exists, to find
out on which level of the illness it appears. 3.If the difference exists,
to find out which way of the treatmentto choose.
COOPERATION - INSTITUTIONS
Name of institution
: Klinika za infektivne bolesti
"Dr. Fran Mihaljeviĉ" Type of institution: International organization City: 10000 - Zagreb, Croatia Other information about the project.