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Materials and Methods: Case files of severe tetanus patients referred to the intensive care unit (ICU) over a period of 23 years (1990-2012), were retrieved. Demographic and clinical data were extracted from these and analysed.
Results: Twenty-three (23) patients were admitted into the ICU over the 23-year study period. These comprised 16 males and 7 females, aged between 1 to 74 years. Admission rate was highest among the 11-20 years age group. A total of 12 (52.2%) patients died, and 11 (47.8%) survived, and were discharged from the ICU. There was higher mortality rate (5/7, 72.4%) among the females, compared to males (7/16, 43.8%).
Conclusion: The overall mortality rate of 52.2% is still high. This may necessitate a review of the management protocol in the centre, in line with evidence-based medical principles. Key words: Intensive care management, severe tetanus, outcome.