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Risk factors for severe disease and economic burden of non-neonatal tetanus, Suzhou City
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Ying ZHANG1, Ben-feng ZHENG2, Jiang-tao YU3, Na LIU2, Zhi-yuan ZHU4, Zhuo-yu ZHANG2, Lin LUAN1, 2
Modern Preventive Medicine | 2026, 53(16) : 3034 - 3040
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Modern Preventive Medicine | 2026, 53(16): 3034-3040
• Disease Control and Prevention •
Risk factors for severe disease and economic burden of non-neonatal tetanus, Suzhou City
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Ying ZHANG1, Ben-feng ZHENG2, Jiang-tao YU3, Na LIU2, Zhi-yuan ZHU4, Zhuo-yu ZHANG2, Lin LUAN1, 2
Affiliations
  • School of Public Health, Nanjing Medical University, Nanjing, Jiangsu 211166, China
Published: 2026-08-25 doi: 10.20043/j.cnki.MPM.202511372
Outline
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Objective

To investigate the epidemiological characteristics, disease burden, and risk factors for severe tetanus in non-neonatal patients in Suzhou, Jiangsu Province.

Methods

A retrospective study was conducted on 72 tetanus inpatients admitted to medical institutions in Suzhou, 2013-2025. Patients were divided into severe and non-severe groups according to the Ablett classification. Intergroup comparisons and multivariate logistic regression analysis were performed.

Results

The median age of patients was 59.0 years, with males accounting for 65.3%. The peak incidence occurred in summer (June-August), accounting for 36.1% of cases. The proportion of severe cases in patients aged ≥65 years (72.4%) was higher than that in the 0-40 years group(22.2%) and the 41-64 years group (44.1%) (P=0.011). The median incubation period in the severe group was 8.0 days, shorter than 11.0 days in the non-severe group, and the median total hospitalization cost (¥125 641.5) was 5.42 times that of the non-severe group (P=0.007). Multivariate logistic regression showed that age ≥65 years (OR=3.10, 95%CI: 1.05-9.65) was an independent risk factor for severe tetanus.

Conclusion

Non-neonatal tetanus in Suzhou peaks in summer, predominantly affects the elderly, and severe cases have shorter incubation periods and higher treatment costs. Enhanced health education and immunization targeting the elderly are needed to reduce their risk of severe disease and death.

Tetanus  /  Severe  /  Hospitalization  /  Risk Factors
张颖, 郑本锋, 俞江涛, 刘娜, 朱志远, 张琢玉, 栾琳. 苏州市非新生儿破伤风重症危险因素及疾病负担分析. 现代预防医学, 2026 , 53 (16) : 3034 -3040 . DOI: 10.20043/j.cnki.MPM.202511372
Ying ZHANG, Ben-feng ZHENG, Jiang-tao YU, Na LIU, Zhi-yuan ZHU, Zhuo-yu ZHANG, Lin LUAN. Risk factors for severe disease and economic burden of non-neonatal tetanus, Suzhou City[J]. Modern Preventive Medicine, 2026 , 53 (16) : 3034 -3040 . DOI: 10.20043/j.cnki.MPM.202511372
Year 2026 volume 53 Issue 16
316
142
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Article Info
doi: 10.20043/j.cnki.MPM.202511372
  • Receive Date:2025-11-24
  • Online Date:2026-09-28
  • Published:2026-08-25
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  • Received:2025-11-24
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Affiliations
    School of Public Health, Nanjing Medical University, Nanjing, Jiangsu 211166, China
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表12种不同金属材料的力学参数
科
Family
属数
Number of
genus
种数
Number of
species
占总种数比例
Percentage of
total species (%)
属
Genus
种数
Number of
species
占总种数比例
Percentage of total
species (%)
鹅膏菌科Amanitaceae 2 11 5.26 鹅膏菌属 Amanita 10 4.78
小菇科 Mycenaceae 2 12 5.74 丝盖伞属 Inocybe 5 2.39
多孔菌科 Polyporaceae 8 14 6.70 蜡蘑属 Laccaria 5 2.39
红菇科 Russulaceae 3 23 11.00 小皮伞属 Marasmius 6 2.87
小菇属 Mycena 11 5.26
光柄菇属 Pluteus 5 2.39
红菇属 Russula 17 8.13
栓菌属 Trametes 5 2.39
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