Clinical, laboratory profile and outcomes in children with snakebite from Eastern India
Background: Snakebite remains a significant public health problem worldwide, particularly in rural areas with unexpected morbidity and mortality. This study evaluated the clinical, laboratory profile and outcomes in children with snake bites from Eastern India. Methods: This was a retrospective case...
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| Format: | Article |
| Language: | English |
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Wolters Kluwer Medknow Publications
2023-01-01
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| Series: | Journal of Family Medicine and Primary Care |
| Subjects: | |
| Online Access: | http://www.jfmpc.com/article.asp?issn=2249-4863;year=2023;volume=12;issue=8;spage=1588;epage=1592;aulast=Pattanaik |
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| author | Biswajit Pattanaik Chinmaya Mahapatra I K Karthika Amit K Satapathy Joseph John Rashmi R Das Bhagirathi Dwibedi Samarendra Mahapatro Krishna M Gulla |
| author_facet | Biswajit Pattanaik Chinmaya Mahapatra I K Karthika Amit K Satapathy Joseph John Rashmi R Das Bhagirathi Dwibedi Samarendra Mahapatro Krishna M Gulla |
| author_sort | Biswajit Pattanaik |
| collection | DOAJ |
| description | Background: Snakebite remains a significant public health problem worldwide, particularly in rural areas with unexpected morbidity and mortality. This study evaluated the clinical, laboratory profile and outcomes in children with snake bites from Eastern India. Methods: This was a retrospective case record-based study between January 2017 and December 2021. The clinical features, complications, laboratory profiles and outcomes were analysed. Results: Thirty children with snake bites were admitted during this study period. There was a male predominance with a ratio of 2.3:1. The mean age of presentation was 10.4 years. About 60% of bites occurred during the rainy season between July and September. Most bites (96%) were on lower limbs, predominantly showing vasculotoxic features followed by neurotoxic and a combined presentation. In this study, around 53% received anti-snake venom (ASV) before reaching our centre; the median time to reach our centre was 13 h. Complications such as acute kidney injury (AKI), cellulitis, shock and coagulation abnormalities were common in those who arrived early (before 6 h) than in those who reached late (after 6 h). Similarly, the mean duration of hospital stay was less for those seeking medical attention early as compared to those reaching late for treatment (4.7 days vs. 7.2 days). Twenty-six out of 30 (86.7%) were discharged without any sequelae, 3 (10%) children were left against medical advice and one died. Conclusions: Snakebite remains a major health problem in children causing significant morbidity and mortality. Children, in general, especially males, are particularly vulnerable because of their playful and explorative nature and considerable time spent in outdoor activities. Preventive measures, education about avoiding traditional first aid methods and early administration of ASV reduce complications, duration of hospital stay and avoid the use of antibiotics. |
| first_indexed | 2024-03-11T14:50:42Z |
| format | Article |
| id | doaj.art-5e6554d75bc54eeea312f5d343772c92 |
| institution | Directory Open Access Journal |
| issn | 2249-4863 |
| language | English |
| last_indexed | 2024-03-11T14:50:42Z |
| publishDate | 2023-01-01 |
| publisher | Wolters Kluwer Medknow Publications |
| record_format | Article |
| series | Journal of Family Medicine and Primary Care |
| spelling | doaj.art-5e6554d75bc54eeea312f5d343772c922023-10-30T09:44:17ZengWolters Kluwer Medknow PublicationsJournal of Family Medicine and Primary Care2249-48632023-01-011281588159210.4103/jfmpc.jfmpc_1965_22Clinical, laboratory profile and outcomes in children with snakebite from Eastern IndiaBiswajit PattanaikChinmaya MahapatraI K KarthikaAmit K SatapathyJoseph JohnRashmi R DasBhagirathi DwibediSamarendra MahapatroKrishna M GullaBackground: Snakebite remains a significant public health problem worldwide, particularly in rural areas with unexpected morbidity and mortality. This study evaluated the clinical, laboratory profile and outcomes in children with snake bites from Eastern India. Methods: This was a retrospective case record-based study between January 2017 and December 2021. The clinical features, complications, laboratory profiles and outcomes were analysed. Results: Thirty children with snake bites were admitted during this study period. There was a male predominance with a ratio of 2.3:1. The mean age of presentation was 10.4 years. About 60% of bites occurred during the rainy season between July and September. Most bites (96%) were on lower limbs, predominantly showing vasculotoxic features followed by neurotoxic and a combined presentation. In this study, around 53% received anti-snake venom (ASV) before reaching our centre; the median time to reach our centre was 13 h. Complications such as acute kidney injury (AKI), cellulitis, shock and coagulation abnormalities were common in those who arrived early (before 6 h) than in those who reached late (after 6 h). Similarly, the mean duration of hospital stay was less for those seeking medical attention early as compared to those reaching late for treatment (4.7 days vs. 7.2 days). Twenty-six out of 30 (86.7%) were discharged without any sequelae, 3 (10%) children were left against medical advice and one died. Conclusions: Snakebite remains a major health problem in children causing significant morbidity and mortality. Children, in general, especially males, are particularly vulnerable because of their playful and explorative nature and considerable time spent in outdoor activities. Preventive measures, education about avoiding traditional first aid methods and early administration of ASV reduce complications, duration of hospital stay and avoid the use of antibiotics.http://www.jfmpc.com/article.asp?issn=2249-4863;year=2023;volume=12;issue=8;spage=1588;epage=1592;aulast=Pattanaikanti-snake venomchildrenoutcomesnake bite |
| spellingShingle | Biswajit Pattanaik Chinmaya Mahapatra I K Karthika Amit K Satapathy Joseph John Rashmi R Das Bhagirathi Dwibedi Samarendra Mahapatro Krishna M Gulla Clinical, laboratory profile and outcomes in children with snakebite from Eastern India Journal of Family Medicine and Primary Care anti-snake venom children outcome snake bite |
| title | Clinical, laboratory profile and outcomes in children with snakebite from Eastern India |
| title_full | Clinical, laboratory profile and outcomes in children with snakebite from Eastern India |
| title_fullStr | Clinical, laboratory profile and outcomes in children with snakebite from Eastern India |
| title_full_unstemmed | Clinical, laboratory profile and outcomes in children with snakebite from Eastern India |
| title_short | Clinical, laboratory profile and outcomes in children with snakebite from Eastern India |
| title_sort | clinical laboratory profile and outcomes in children with snakebite from eastern india |
| topic | anti-snake venom children outcome snake bite |
| url | http://www.jfmpc.com/article.asp?issn=2249-4863;year=2023;volume=12;issue=8;spage=1588;epage=1592;aulast=Pattanaik |
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