{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,7,16]],"date-time":"2026-07-16T09:36:27Z","timestamp":1784194587989,"version":"3.55.0"},"reference-count":11,"publisher":"SAGE Publications","issue":"3","license":[{"start":{"date-parts":[[2012,4,19]],"date-time":"2012-04-19T00:00:00Z","timestamp":1334793600000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/journals.sagepub.com\/page\/policies\/text-and-data-mining-license"}],"content-domain":{"domain":["journals.sagepub.com"],"crossmark-restriction":true},"short-container-title":["Trop Doct"],"published-print":{"date-parts":[[2012,7]]},"abstract":"<jats:p> Tetanus remains endemic in India. A retrospective hospital-based study was conducted to review the profile of all children admitted with diagnosis of tetanus between January 2009 and December 2010. A total of 140 cases of tetanus were admitted; 45 cases of neonatal tetanus (NT) and 77 cases of post-neonatal tetanus (PNT) were studied. Age of presentation of NT was 9.4 \u00b1 1.2 days. Home-delivered children accounted for 86.7% of cases, with 77.8% being attended by untrained birth attendants. Unimmunized mothers accounted for 93.4%. In PNT, otogenic route of infection and trauma were present in 58.4% and 23.3% of cases, respectively. The rate of hospital admission of tetanus remains high. Unlike previously published reports, otogenic route is the most common mode of PNT infection in this study. Improving immunization, increasing deliveries by skilled birth attendants and prompt treatment of suppurative otitis media are the main areas in which public health initiatives need to be focused. <\/jats:p>","DOI":"10.1258\/td.2012.110445","type":"journal-article","created":{"date-parts":[[2012,4,21]],"date-time":"2012-04-21T00:13:14Z","timestamp":1334967194000},"page":"157-159","update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":11,"title":["Tetanus \u2013 still a scourge in the 21st century: a paediatric hospital-based study in India"],"prefix":"10.1177","volume":"42","author":[{"given":"Kirtisudha","family":"Mishra","sequence":"first","affiliation":[{"name":"Department of Pediatrics, Kalawati Saran Children's Hospital, Lady Hardinge Medical College, New Delhi, India"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Srikanta","family":"Basu","sequence":"additional","affiliation":[{"name":"Department of Pediatrics, Kalawati Saran Children's Hospital, Lady Hardinge Medical College, New Delhi, India"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Dipti","family":"Kumar","sequence":"additional","affiliation":[{"name":"Department of Pediatrics, Kalawati Saran Children's Hospital, Lady Hardinge Medical College, New Delhi, India"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Ashok Kumar","family":"Dutta","sequence":"additional","affiliation":[{"name":"Department of Pediatrics, Kalawati Saran Children's Hospital, Lady Hardinge Medical College, New Delhi, India"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Praveen","family":"Kumar","sequence":"additional","affiliation":[{"name":"Department of Pediatrics, Kalawati Saran Children's Hospital, Lady Hardinge Medical College, New Delhi, India"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Bimbadhar","family":"Rath","sequence":"additional","affiliation":[{"name":"Department of Pediatrics, Kalawati Saran Children's Hospital, Lady Hardinge Medical College, New Delhi, India"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"179","published-online":{"date-parts":[[2012,4,19]]},"reference":[{"key":"bibr-TD-11-0445C1","first-page":"170","volume":"10","author":"Poudel P","year":"2008","journal-title":"Nepal Med Coll J"},{"key":"bibr-TD-11-0445C2","first-page":"233","volume":"43","author":"Amsalu S","year":"2005","journal-title":"Ethiop Med J"},{"key":"bibr-TD-11-0445C3","doi-asserted-by":"publisher","DOI":"10.1007\/s12519-010-0010-9"},{"key":"bibr-TD-11-0445C4","doi-asserted-by":"publisher","DOI":"10.1258\/004947507781524791"},{"key":"bibr-TD-11-0445C5","first-page":"834","volume":"13","author":"Patel JC","year":"1959","journal-title":"Indian J Med Sci"},{"key":"bibr-TD-11-0445C6","unstructured":"Tetanus Surveillance \u2013 United States \u2013 2001\u20132008. See http:\/\/www.cdc.gov\/mmwr\/preview\/mmwrhtml\/mm6012a1.htm?s_cid=mm6012a1_w (last checked 9 September 2011)"},{"key":"bibr-TD-11-0445C7","unstructured":"Junejo AA, Abbasi KA, Bouk GR. Medical Channel \u2013 Profile of Tetanus at Children Hospital, Chandka Medical College, Larklana. Medical Channel. See http:\/\/www.medicalchannel.pk\/past-issues\/volume-16\/number-2\/159-profile-of-tetanus-in-children-at-children-hospital-chandka-medical-college-larkana.html (last checked 10 September 2011)"},{"key":"bibr-TD-11-0445C8","first-page":"1369","volume":"31","author":"Mondol T","year":"1994","journal-title":"Indian Pediatr"},{"key":"bibr-TD-11-0445C9","first-page":"765","volume":"37","author":"Tullu MS","year":"2000","journal-title":"Indian Pediatr"},{"key":"bibr-TD-11-0445C10","unstructured":"WHO\/immunization coverage. See http:\/\/www.who.int\/immunization_monitoring\/data\/ind.pdf (last checked 12 December 2011)"},{"key":"bibr-TD-11-0445C11","unstructured":"National Family Health Survey AA. National Family Health Survey. Available from: Government of India, Ministry of Health and Family Welfare. See http:\/\/www.nfhsindia.org\/factsheet.html (last checked 19 September 2011)"}],"container-title":["Tropical Doctor"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/journals.sagepub.com\/doi\/pdf\/10.1258\/td.2012.110445","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/journals.sagepub.com\/doi\/full-xml\/10.1258\/td.2012.110445","content-type":"application\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/journals.sagepub.com\/doi\/pdf\/10.1258\/td.2012.110445","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2025,3,3]],"date-time":"2025-03-03T19:02:42Z","timestamp":1741028562000},"score":1,"resource":{"primary":{"URL":"https:\/\/journals.sagepub.com\/doi\/10.1258\/td.2012.110445"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2012,4,19]]},"references-count":11,"journal-issue":{"issue":"3","published-print":{"date-parts":[[2012,7]]}},"alternative-id":["10.1258\/td.2012.110445"],"URL":"https:\/\/doi.org\/10.1258\/td.2012.110445","relation":{},"ISSN":["0049-4755","1758-1133"],"issn-type":[{"value":"0049-4755","type":"print"},{"value":"1758-1133","type":"electronic"}],"subject":[],"published":{"date-parts":[[2012,4,19]]}}}