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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Main Authors: Vishal Gupta, Nalini Bhaskaranand
Format: Article
Language:English
Published: Wolters Kluwer Medknow Publications 2013-01-01
Series:Current Medicine Research and Practice
Subjects:
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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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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