Wednesday, April 27, 2011

TETANUS




2. ANAEROBIC INFECTIONS

The anaerobic infections are of importance for they are the
dreaded complication that occur in surgical practice whenever the
system of asepsis and sterilisation of a hospital breaks down.

* These infections can also occur as a result of TRAUMA in
domestic, traffic, industrial accidents and DISASTERS
(earthquakes, train and air accidents etc.)
* WAR injuries also lead to an increased incidence of
anaerobic infections.
* They can occur in clean contaminated surgical wounds when
the GI tract is ENTERED in a surgical procedure.

2.1 Tetanus
Tetanus is caused by Clostrodium Tetani

- A gram positive bacillus, which forms spores and appears as a drumstick under the microscope.
- It is highly resistant to physical agents, and cannot be
destroyed by drying or heat.
- Soil in the street is contaminated with animal excreta
containing this organism.
- In hospitals, infection may be traced to inadequately treated
catgut, or inadequately sterilized instruments, linen and
supplies.
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