May 14, 1904


Author Affiliations

Adjunct Professor of Surgery, CoHege of Physicians and Surgeons; Attending Surgeon to Cook County Hospital. CHICAGO.

JAMA. 1904;XLII(20):1276-1278. doi:10.1001/jama.1904.92490650010002b

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Much has been written during the past ten years concerning the symptoms and treatment of tetanus, and especially the frequency with which it followed all varieties of punctured wounds. Little, however, has been written as to definite methods for the prevention of this dread disease, and it has always seemed to me that this aspect has not been sufficiently dwelt on. We usually associate tetanus with Fourth of July wounds, but it is almost as frequent after punctured wounds received by rusty nails or pitchfork injuries as after blank cartridges. Why these three classes of injuries should be followed by tetanus can not be explained on any other ground than that in the case of blank cartridges the latter itself is free from tetanus, but that the hand or foot or face, which are the most frequent sites of infection, are more or less covered with street dirt containing

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