A Study of Clinical profile and Outcome of Snake bite at Tertiary Care Centre in Mahbubnagar, Telangana
European Journal of Molecular & Clinical Medicine,
2022, Volume 9, Issue 7, Pages 654-659
AbstractIntroduction: Snakebite is a major public health problem throughout the world, more so in tropical and subtropical countries. In India, there are 216 species of snakes, of which only four are venomous snakes (Cobra, Krait, Russell’s Viper and Saw Scaled Viper). Poorly informed rural populations often apply inappropriate first-aid measures and vital time is lost before the victim is transported to a treatment center, where cost of treatment can constitute an additional hurdle.
Materials & Methods: This retrospective, observational study was carried out from January 2021 to June 2021, at Department of Medicine in Government General Hospital, Government Medical College, Mahbubnagar, a tertiary care hospital serving population of Rural areas of Telangana.
Result: A total of 150 patients with a history of snake bite and signs of envenomation were included in this study., (67.33%) were identified. Maximum incidences were in farmers (49.3%) and in rural areas (50.67%). Commonest vasculotoxic manifestation was Gangrene (6.67%). Commonest neurotoxic manifestation was Respiratory paralysis, failure (3%) The mean dose of ASV vials required for vasculotoxic snakebites was more (vials) and for neuroparalytic snakebite was less
Conclusion: Snake bites are common in rural areas affecting mainly agricultural workers, in rainy season and the most common site is lower limbs. Most poisonous snake bites are due to hematotoxic bites in this region. From this study, it is inferred that delay in presentation following snake bite has an overall negative effect on the outcome and there is no substitute for early and effective treatment with ASV. Population awareness programs regarding prevention, first-aid, and the importance of the early transfers to be emphasized.
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