AIMS: To study the demographic and clinical features as well as outcomes of @entity116 @entity1 at the Sarawak General Hospital, Kuching from 1990 to 1999. METHODS: All cases of @entity116 from January 1990 to September 1999 were identified from the computer record at the hospital and these were then restrospectively reviewed. RESULTS: A total of 22 cases of @entity116 was seen at the Sarawak General Hospital in the ten-year period with a mean of 2.2 cases per year. There were 15 male (68.2%) and 7 female (31.8%) @entity1 . Most cases occurred in the age group 60-69. Eighteen @entity1 (81.8%) had a reasonably identifiable injury prior to the onset; all had their wounds debrided. Body stiffness, @entity7871 and @entity1282 were the three commonest presenting complaints. Twenty-one @entity1 (95.5%) were admitted to the intensive care unit (ICU), with an average length of ICU stay of 21.4 days. Nineteen @entity1 (86.4%) required mechanical ventilation for a varying period of time in the ICU. All @entity1 (100%) had tracheostomy performed and intravenous @entity3175 infusion as part of their management. Twenty @entity1 (90.9%) received intravenous crystalline @entity114 as the treatment antibiotics. Twenty-one @entity1 (95.5%) received intramuscular human antitetanus immunoglobulin. There were four deaths, accounting for a mortality of 18.2%. CONCLUSION: In general, @entity116 remains in Sarawak an important disease with substantial mortality and morbidity that primarily affects unvaccinated or inadequately vaccinated individuals. It is, however, highly preventable through both routine vaccination and appropriate wound management. Our case series show comparable pattern and outcome with other case series reported in the literatures.

A ten-year retrospective study of XXXX at a general hospital in Malaysia.

@entity1 :: ('9606', 'Species') :: ['patients'] @entity3175 :: ('MESH:D003975', 'Chemical') :: ['diazepam'] @entity114 :: ('MESH:D010406', 'Chemical') :: ['penicillin'] @entity7871 :: ('MESH:D014313', 'Disease') :: ['trismus'] @entity1282 :: ('MESH:D003680', 'Disease') :: ['dysphagia'] @entity116 :: ('MESH:D013746', 'Disease') :: ['tetanus']
@entity116 :: (MESH:D013746,Disease) :: ['tetanus']
