Chapter 133. Tetanus (Part 4)
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Tetanus: Treatment General Measures The goals of therapy are to eliminate the source of toxin, neutralize unbound toxin, and prevent muscle spasms while monitoring the patient's condition and providing support—especially respiratory support—until recovery. Patients should be admitted to a quiet room in an intensive care unit, where observation and cardiopulmonary monitoring can be maintained continuously but stimulation can be minimized. Protection of the airway is vital. Wounds should be explored, carefully cleansed, and thoroughly debrided. Antibiotic Therapy Although of unproven value, antibiotic therapy is administered to eradicate vegetative cells—the source of toxin. ...
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