Question
What is the treatment for neonatal tetanus, which primarily manifests as lockjaw and generalized convulsions?
Answer
Neonatal tetanus, also known as “Four-Six Wind” or “Seven-Day Wind,” mainly presents with symptoms such as convulsions. During treatment, the child should be placed in a quiet, light-proof environment to reduce stimulation and minimize convulsive episodes. Once symptoms subside, feeding through a nasogastric tube can be attempted. The umbilical cord can be cleaned with 3% hydrogen peroxide and then treated with iodine alcohol or alcohol. Tetanus antitoxin (TAT) of 10,000 to 20,000 IU can be administered via intramuscular injection or intravenous infusion, with a dose of 3,000 IU injected around the umbilicus. A skin sensitivity test must be conducted prior to use. Tetanus immunoglobulin (TIG) of 500 IU can be administered via intramuscular injection. Anticonvulsants are vital for controlling convulsions. It is recommended to seek hospital treatment for systematic and regular treatment as early as possible, as early treatment can lead to recovery.