Patient's question:
The relative lives in a remote rural area. The child was born 15 days ago, and on the 6th day after birth, they noticed the child having spasms and clenched jaws. They quickly called for a doctor. The doctor diagnosed it as infantile omphalitis. We felt the condition was very serious. What should be done about infantile omphalitis?Doctor's answer:
Neonatal tetanus, also known as "tetanus of the umbilical cord," occurs when the umbilical cord is invaded by tetanus bacteria, typically during the time of cord separation. This often happens because the hands of the midwife or the scissors and gauze are not disinfected. Most cases occur between 4 to 7 days after birth. Tetanus bacteria invade the umbilical cord and produce spores that release tetanospasmin, causing an acute infectious disease characterized by lockjaw and generalized muscle spasms. Treatment involves intramuscular or intravenous administration of tetanus antitoxin to control spasms, manage infection, ensure adequate nutrition, and provide symptomatic treatment.