A clinical review

World Health Organization (WHO) Expanded Program on Immunization (EPI). The overall annual incidence worldwide is 0.5-1 million cases. It is estimated that there are 140,000 fatal neonatal cases per annum. The disease is more common in tropical and developing countries, where immunization is deficient and opportunities for penetrating contaminated wounds is higher.3 In Oman, tetanus Objectives: Although tetanus is now uncommon in Oman (The Expanded Program on Immunization was introduced in 1981), patients continue to present from time to time at an average rate of 6 cases per year. Worldwide, the mortality rate for tetanus remains high (ranging from 15-20% in developed countries). At the Sultan Qaboos University Hospital, Muscat, Oman, prolonged Intensive Care Unit treatment and multi-disciplinary management is invariably required for tetanus patients. This study was carried out to evaluate our results over the past decade.