**9. Conclusion**

Tetanus is a vaccine preventable disease but it has remained a public health problem in developing countries mostly due to poor vaccine coverage, poverty and low levels of education. All wounds other than clean minor ones should be considered tetanus prone therefore, HTIG should be considered. The diagnosis of tetanus is clinical and it can be fatal if missed. The mortality rate of tetanus is high and prolonged ICU care may be required. The outcome depends on early diagnosis, identification and management of complications and a good supportive care which the patient receives.
