{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,20]],"date-time":"2026-08-20T14:19:47Z","timestamp":1787235587238,"version":"build-2736575974"},"reference-count":8,"publisher":"Ovid Technologies (Wolters Kluwer Health)","issue":"2","license":[{"start":{"date-parts":[[2017,6,1]],"date-time":"2017-06-01T00:00:00Z","timestamp":1496275200000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/www.elsevier.com\/tdm\/userlicense\/1.0\/"},{"start":{"date-parts":[[2016,11,15]],"date-time":"2016-11-15T00:00:00Z","timestamp":1479168000000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by-nc-nd\/4.0\/"}],"content-domain":{"domain":["elsevier.com","sciencedirect.com"],"crossmark-restriction":true},"short-container-title":[],"published-print":{"date-parts":[[2017,6]]},"abstract":"\n Background and objectives:<\/jats:title>\n To study the epidemiology, clinical presentation and outcome of all patients diagnosed with neonatal tetanus and to provide a recommendation for maternal and neonatal tetanus elimination.<\/jats:p>\n <\/jats:sec>\n \n Design and setting:<\/jats:title>\n Retrospective study of all cases of neonatal tetanus admitted from 1991 to 2013. Neonatal intensive care unit, King Fahad Central Hospital, Jazan, Saudi Arabia.<\/jats:p>\n <\/jats:sec>\n \n Results:<\/jats:title>\n Thirty patients were diagnosed with neonatal tetanus over 22 years. Eighteen (60%) of the patients were born to Saudi mothers, and 12 (40%) were born to non-Saudi mothers. Twenty-seven (90%) deliveries occurred at home. Most of the mothers lived in the mountainous zone of the region. Two (10%) of the mothers had only a single dose of the tetanus toxoid; the status of the remaining pregnant women was unknown or unimmunized before or during conception. In 18 of the 30 patients (60%), the umbilical cord was severed using household knife, razor blade or plain scissors. Most of the patients presented with muscle spasms (96.7%), refusal to eat and abnormal posture. All of the patients were intubated and receiving mechanical ventilation. Six (20%) of the patients died.<\/jats:p>\n <\/jats:sec>\n \n Conclusion:<\/jats:title>\n It is essential to begin campaigns or integrate complete maternal tetanus toxoid immunization at primary health centers (PHC) during antenatal care. Immunization needs to be arranged so pregnant women can be educated regarding the importance of ANC and the risks of unhygienic home delivery, and immunization should be addressed with adequate information. Pregnant women and those of childbearing age in mountainous areas should be the first targets for these activities.<\/jats:p>\n <\/jats:sec>","DOI":"10.1016\/j.ijpam.2016.10.001","type":"journal-article","created":{"date-parts":[[2017,1,10]],"date-time":"2017-01-10T22:31:14Z","timestamp":1484087474000},"page":"71-74","update-policy":"https:\/\/doi.org\/10.1016\/elsevier_cm_policy","source":"Crossref","is-referenced-by-count":6,"title":["Epidemiological and clinical aspects of neonatal tetanus from a tertiary care hospital"],"prefix":"10.4103","volume":"4","author":[{"given":"Ali Y.","family":"Aqeel","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Haider M.","family":"Arishi","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Hussain I.","family":"Ageel","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Nouriyah H.","family":"Arishi","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"276","reference":[{"key":"R2-5-20240319","first-page":"171","article-title":"Maternal and neonatal tetanus elimination: from protecting women and newborns to protecting all","volume":"7","author":"Khan","year":"2015","journal-title":"Int J Womens Health"},{"key":"R3-5-20240319","doi-asserted-by":"crossref","first-page":"362","DOI":"10.1016\/S0140-6736(14)60236-1","article-title":"Maternal and neonatal tetanus","volume":"385","author":"Thwaites","year":"2015","journal-title":"Lancet"},{"key":"R6-5-20240319","first-page":"98","article-title":"Tetanus experience in a public hospital in western Saudi Arabia","volume":"2","author":"Lubbad","year":"2004","journal-title":"Neurosci (Riyadh"},{"key":"R7-5-20240319","doi-asserted-by":"crossref","first-page":"587","DOI":"10.1136\/adc.52.7.587","article-title":"Cause of death in tetanus neonatorum, study of 233 cases with 54 necropsies","volume":"52","author":"Salimpour","year":"1977","journal-title":"Arch Dis Child"},{"key":"R9-5-20240319","doi-asserted-by":"crossref","first-page":"31","DOI":"10.4103\/2230-8229.97870","article-title":"Health education needs for pregnancy: a study among women attending primary health centers. Health education needs for pregnancy: a study among women attending primary health centers","volume":"10","author":"Rasheed","year":"2003","journal-title":"J Fam Community Med"},{"key":"R11-5-20240319","doi-asserted-by":"crossref","first-page":"398","DOI":"10.4103\/0300-1652.126294","article-title":"A review of neonatal tetanus in University of Maiduguri teaching hospital, North-eastern Nigeria","volume":"54","author":"Al Haji","year":"2013","journal-title":"Niger Med J"},{"key":"R12-5-20240319","doi-asserted-by":"crossref","first-page":"226","DOI":"10.1136\/bmj.1.5901.223","article-title":"Treatment of tetanus neonatorum with intermittent positive pressure ventilation","volume":"1","author":"Smythe","year":"1974","journal-title":"BMJ"},{"key":"R13-5-20240319","doi-asserted-by":"crossref","first-page":"332","DOI":"10.1111\/j.1365-2044.1995.tb04610.x","article-title":"Intermittent positive ventilation in tetanus","volume":"5","author":"Sykes","year":"1995","journal-title":"Anaesthesia"}],"container-title":["International Journal of Pediatrics and Adolescent Medicine"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/api.elsevier.com\/content\/article\/PII:S2352646716300710?httpAccept=text\/xml","content-type":"text\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/api.elsevier.com\/content\/article\/PII:S2352646716300710?httpAccept=text\/plain","content-type":"text\/plain","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/www.ovid.com\/01863514-201704020-00005","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,8,14]],"date-time":"2026-08-14T16:27:53Z","timestamp":1786724873000},"score":1,"resource":{"primary":{"URL":"https:\/\/www.ovid.com\/01863514-201704020-00005"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2017,6]]},"references-count":8,"journal-issue":{"issue":"2","published-print":{"date-parts":[[2017]]}},"URL":"https:\/\/doi.org\/10.1016\/j.ijpam.2016.10.001","relation":{},"ISSN":["2352-6467"],"issn-type":[{"value":"2352-6467","type":"print"}],"subject":[],"published":{"date-parts":[[2017,6]]},"assertion":[{"value":"Elsevier","name":"publisher","label":"This article is maintained by"},{"value":"Epidemiological and clinical aspects of neonatal tetanus from a tertiary care hospital","name":"articletitle","label":"Article Title"},{"value":"International Journal of Pediatrics and Adolescent Medicine","name":"journaltitle","label":"Journal Title"},{"value":"https:\/\/doi.org\/10.1016\/j.ijpam.2016.10.001","name":"articlelink","label":"CrossRef DOI link to publisher maintained version"},{"value":"article","name":"content_type","label":"Content Type"},{"value":"\u00a9 2016 Publishing services provided by Elsevier B.V. on behalf of King Faisal Specialist Hospital & Research Centre (General Organization), Saudi Arabia.","name":"copyright","label":"Copyright"}]}}