Case study
Ama, a small,
tree-year-old child, was playing with her siblings outside her home in a smal,
semi-urban, slum area. While chasing her older brothers she trod on a nail. Her
mother washed the wound and bandaged it. The wound remained red and ‘angry’.
Over a week the wound did not heal, the area remained red and ‘angry’, with
flaring up the leg. Ama began to complain that she had pain in her groin, she
became weak and febrile. Ama was taken to hospital when her mother could not
control her fever and she died within a few days of a few days of admission.
Dari studi kasus diatas maka proximalnya adalah
:
1. Adanya Bakteri penyebab Tetanus yaitu clostridium
tetani di kaki anak akibat tertusuk.
2. Luka akibat tertusuk paku
Semantara distalnya adalah :
1. Pengetahuan ibu terhadap Tetanus yang rendah
2. Status imunisasi anak
3. Kondisi ekonomi yang rendah
4. Sanitasi lingkungan yang jelek
5. PHBS yang kurang diperhatikan
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