Clinical profile of snake bite envenomation in children
Background: Snake bite is a common medical emergency seen mainly in rural areas in tropical and subtropical countries. This descriptive observational study aimed to examine the epidemiological and clinical features of snake bite envenomation in a state of southern India. Methods: We studied 41 cases...
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Format: | Article |
Language: | English |
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Wolters Kluwer Medknow Publications
2013-01-01
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Series: | Current Medicine Research and Practice |
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Online Access: | http://www.cmrpjournal.org/article.asp?issn=2352-0817;year=2013;volume=3;issue=3;spage=124;epage=127;aulast=Gupta |
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author | Vishal Gupta Nalini Bhaskaranand |
author_facet | Vishal Gupta Nalini Bhaskaranand |
author_sort | Vishal Gupta |
collection | DOAJ |
description | Background: Snake bite is a common medical emergency seen mainly in rural areas in tropical and subtropical countries. This descriptive observational study aimed to examine the epidemiological and clinical features of snake bite envenomation in a state of southern India. Methods: We studied 41 cases of snake bite among children admitted to a tertiary care hospital from January 2005 to June 2010. Results: The majority (46.3%) of snake bite victims were in the age group of 5–10 years. The incidence was 2.4 times more in boys than in girls. Thirty-two (78%) children were bitten on the lower extremities during the evening time by poisonous snakes. Common presenting features were swelling (95.1 %) and pain (87.8%) at the site of bite, altered sensorium (41.4%), ptosis (39%) and vomiting (36.5%). A few children had tissue necrosis (26.8%) and bleeding (29.2%) at the site of bite. Seven (17.1%) children reached the healthcare unit within 2 hours of being bitten and 22 reached within 2–6 hours. Most of the snake bites occurred during the months of March–June (58.4%). The most common poisonous snake was the viper. The coagulation time was prolonged in 35 (85.3%) cases. Polyvalent antisnake venom (ASV) was administered in 39 cases. Hypersensitivity to ASV was noted in 19 cases. The overall mortality rate was 1. Conclusion: Morbidity and mortality following snake bite can be reduced by ensuring good medical care and providing health education. |
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language | English |
last_indexed | 2024-04-11T06:44:28Z |
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spelling | doaj.art-35f657f461d14d40b5ce10f8c58758842022-12-22T04:39:23ZengWolters Kluwer Medknow PublicationsCurrent Medicine Research and Practice2352-08172352-08252013-01-0133124127Clinical profile of snake bite envenomation in childrenVishal GuptaNalini BhaskaranandBackground: Snake bite is a common medical emergency seen mainly in rural areas in tropical and subtropical countries. This descriptive observational study aimed to examine the epidemiological and clinical features of snake bite envenomation in a state of southern India. Methods: We studied 41 cases of snake bite among children admitted to a tertiary care hospital from January 2005 to June 2010. Results: The majority (46.3%) of snake bite victims were in the age group of 5–10 years. The incidence was 2.4 times more in boys than in girls. Thirty-two (78%) children were bitten on the lower extremities during the evening time by poisonous snakes. Common presenting features were swelling (95.1 %) and pain (87.8%) at the site of bite, altered sensorium (41.4%), ptosis (39%) and vomiting (36.5%). A few children had tissue necrosis (26.8%) and bleeding (29.2%) at the site of bite. Seven (17.1%) children reached the healthcare unit within 2 hours of being bitten and 22 reached within 2–6 hours. Most of the snake bites occurred during the months of March–June (58.4%). The most common poisonous snake was the viper. The coagulation time was prolonged in 35 (85.3%) cases. Polyvalent antisnake venom (ASV) was administered in 39 cases. Hypersensitivity to ASV was noted in 19 cases. The overall mortality rate was 1. Conclusion: Morbidity and mortality following snake bite can be reduced by ensuring good medical care and providing health education.http://www.cmrpjournal.org/article.asp?issn=2352-0817;year=2013;volume=3;issue=3;spage=124;epage=127;aulast=Guptasnake bitechildrenclinical profileantisnake venom (asv) |
spellingShingle | Vishal Gupta Nalini Bhaskaranand Clinical profile of snake bite envenomation in children Current Medicine Research and Practice snake bite children clinical profile antisnake venom (asv) |
title | Clinical profile of snake bite envenomation in children |
title_full | Clinical profile of snake bite envenomation in children |
title_fullStr | Clinical profile of snake bite envenomation in children |
title_full_unstemmed | Clinical profile of snake bite envenomation in children |
title_short | Clinical profile of snake bite envenomation in children |
title_sort | clinical profile of snake bite envenomation in children |
topic | snake bite children clinical profile antisnake venom (asv) |
url | http://www.cmrpjournal.org/article.asp?issn=2352-0817;year=2013;volume=3;issue=3;spage=124;epage=127;aulast=Gupta |
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