Hyperglycaemic Hyperosmolar Coma
摘要
Prevention of Tetanus SIR,-You report (7 November, p. 376) five fatal cases of tetanus which occurred this year.The first patient reported was given anti- biotics and the wound stitched, but no antitoxin was given.The third patient, injured in a car accident, was given antibi- otics but no tetanus antitoxin.Finally, the fifth case, a two-year-old boy who had not been immunized against tetanus, was given tetanus toxoid, but no tetanus antitoxin.So he received no protection against tetanus developing from his lacerated scalp.These people might not have died if they had received tetanus antitoxin.I think the danger of anaphylactic shock developing as a result of A.T.S. has been exaggerated.The present fashion of using only antibiotics and tetanus toxoid in tetanus-prone wounds, -even when the patient is not known to have been previously immunized actively, is not logi- cal, and is unsafe in my opinion.-Iam, etc., J. D. WHITTALL.Rye, Sussex.Uritary Tract Infection SIR,-Dr. A. J. Wing (26 September, p. 753 and 3 October, p. 35) has given an excellent account of the natural history of urinary tract infection and of the poten- tialities of antibacterial therapy.However, in relation to the common and troublesome recurring ascending infections in women, he does less than justice to the value of simple prophylactic measures, mentioning only the