title: [Risks in the diagnosis and treatment of tetanus in the exercise of medical practice].
abstract: The difficulty of an exclusively clinical diagnosis of tetanus sometimes makes early recognition of the illness doubtful with the inevitable risk of a delay in the specific therapy that is prejudical to prognosis. The diversity of therapeutic orientations, finally, often contributes to the ineffectiveness of treatment. The basic criteria for diagnosis (precise anamnesis to highlight even minor previous traumatisms, or true antitoxic protective state, trismus and the contractural state of various muscle groups, etc) and treatment of tetanus (immunotherapy, cholinesterase restoratives, back-up therapy) are outlined. If the incidence of tetanus is fortunately rare in this country, this also means there is a danger, due to inexperience especially among young doctors working in first aid centres, of delayed clinical recognition of the disease.
mesh_terms: D000293:Adolescent; D006386:Hemagglutination Tests; D006801:Humans; D008297:Male; D008887:Military Medicine; D010400:Penicillin G / Q000627:therapeutic use; D011379:Prognosis; D012306:Risk; D013742:Tetanus / Q000175:diagnosis / Q000188:drug therapy / Q000517:prevention & control; D013745:Tetanus Toxoid / Q000627:therapeutic use; D013997:Time Factors
chemical_list: D013745:Tetanus Toxoid; D010400:Penicillin G
vernacular_title: Rischi nella diagnosi e cura del tetano nell'esercizio della pratica medica.