In addition to the therapy aimed specifically at tetanus, the patient also needs standard intensive care. Fluids, electrolytes, and nutrition should be provided, and steps should be taken to prevent problems of prolonged immobilization. Tracheostomy is recommended in patients requiring prolonged intubation. The patient (and, in the case of a neonate, the mother also) must be actively immunized. Where possible, supportive psychotherapy should be offered to both the patient and his or her family.
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