A profile of fatal snake bite cases in the Bankura district of West Bengal

Chattopadhyay, Saurabh; Sukul, Biswajit

doi:10.1016/j.jflm.2010.11.007

Cited by 23 publications

(14 citation statements)

References 8 publications

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“…Our findings were concurrent with those of earlier studies [11][12][13][14]. In our study, predominantly, the younger population was involved (20-40 years of age), probably due to their more ambulant nature [15,[16][17][18][19]. A study which was done by Bhat et al, had also noted that 80% of the cases occurred in this age group.…”

Section: Resultssupporting

confidence: 91%

A Study on the Acute Kidney Injury in Snake Bite Victims in A Tertiary Care Centre

Harshavardhan

Lokesh²,

Tejeshwari³

et al. 2013

JCDR

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Section: Resultssupporting

confidence: 91%

A Study on the Acute Kidney Injury in Snake Bite Victims in A Tertiary Care Centre

Harshavardhan

Lokesh²,

Tejeshwari³

et al. 2013

JCDR

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“…A majority of the victims were from the rural areas (81.1%) and our findings concurred with those of earlier studies [6,[9][10][11][12].…”

Section: Discussionsupporting

confidence: 93%

A Study on the Clinico-Epidemiological Profile and the Outcome of Snake Bite Victims in a Tertiary Care Centre in Southern India

B.R.¹

2013

JCDR

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Background: Snake bite is a common medical emergency and an occupational hazard, more so in tropical India, where farming is a major source of employment. The available data on the epidemiology of snake bite from the Indian subcontinent are sparse. Snake bite is a neglected disease that afflicts the most impoverished inhabitants of the rural areas in the tropical developing countries.Aims: This study was carried out to describe the epidemiology, arrival delays, clinical features, complications, and the outcome of snakebites which were seen in a tertiary care hospital of southern India.Setting: Sri Chamarajendra District Hospital which is attached to the Hassan Institute of Medical Sciences, Hassan, Karnataka, India.Study Design: A record-based, retrospective, descriptive study. Materials and Methods:One hundred eighty patients of snake bite were studied from January 2010 to December 2011. The data on the demographic factors, clinical features and complications, details of the treatment which was received and the outcome of the snake bite victims were recorded and analyzed.Results: Among a total 180 cases of snake bite, there were 108 cases of viper bite which presented with haematotoxic manifestations and 74 elapid bites had neuroparalytic manifestations. The victims were predominantly males (60.5%) and they were aged 20-40 years. A majority of the victims are from the rural areas (81.1%) and most of the bites occurred during the day time (70.5%), mainly on the lower limbs (67.2%). The highest number of cases occurred during July-September. Most of the victims were farmers (54.4%) and plantation workers (30.5%), which suggested that snake bite was an occupational hazard. A reaction to the ASV was noted in 12.7% of the patients and the mortality rate in our study was 3.8%. Conclusion:In the tropics, snake bite is a rural and an occupational hazard among farmers, plantation workers, herders and hunters. Regular public health programmes regarding the prevention, pre -hospital management (first aid) and the importance of the early transfer to the hospital should be emphasized.HalesHa B.R., HaRsHavaRdHan l., loKesH a J., CHannaveeRappa p.K., venKatesH K.B InTRODuCTIOnSnake bite is a common medical emergency and an occupational hazard, more so in tropical India, where farming is a major source of employment.Over 2,000 species of snakes are known worldwide, of which around 400 are poisonous. These snakes belong to the families Elapidae, Viperidae, Hydrophiidae and Colubridae [1]. Viper bites are more common than other poisonous snakebites in human beings [2,3]. Of the different varieties of vipers, the Russell's viper (Vipera russelli) commonly inhabits the Southern Asian countries, and the Russell's viper's bite is regarded as an occupational hazard for the farming community.Every year, 50,000 Indians die in 2, 50,000 incidents of snake bite, despite the fact that India is not home for the largest number of venomous snakes in the world, nor is there a shortage of anti -snake venom in the country [4].The main c...

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“…Male preponderance seen in our study is in close agreement with earlier studies[12–14] and may be attributed to their life styles involving outdoor activities and occupational exposure as farmers or herdsmen. Young male agricultural workers were the most common affected group in our study, making snakebite an occupational hazard.…”

Section: Discussionsupporting

confidence: 93%

Clinical profile, species-specific severity grading, and outcome determinants of snake envenomation: An Indian tertiary care hospital-based prospective study

Saravu

Somavarapu

Shastry

et al. 2012

Indian Journal of Critical Care Medicine

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Objective:We undertook this study to assess the clinical profile and outcome determinants of different snake envenomation as well as to assign species-specific severity grade to different cases based on clinico – laboratory evidence scale.Materials and Methods:A prospective clinico – epidemiologic evaluation for outcome determinants of snakebite envenomation was carried out based on a clinico – laboratory severity grading scale, among 76 patients over a period of 2 years, in a tertiary care hospital in southern India.Results:Majority of patients were male agricultural workers (53.9%) followed by housewives (19.7%), and students (9.2%). Occurrence of viper snake envenomation with hemotoxic syndrome (73.68%) was highest followed by cobra and krait envenomation with neurotoxic (19.73%) and hemo – neurotoxic (5.3%) syndrome, respectively. On the contrary, maximum mortality and severity was seen in krait (60%) followed by cobra (13.33%) and viper (8.9%) envenomation. The average dose of anti-snake venom (ASV) administered varied from 9.83 (±7.22) to 20.25 (±4.92) vials throughout grade I to IV in all snake species envenomation. An increase in severity grade, ASV dose, and mortality were observed with the corresponding delay in ‘bite to needle time.’ Also, initial traditional treatments and krait species envenomation were significantly associated with higher grades of severity and mortality.Conclusion:There is an urgent need to spread awareness among the community for avoidance of traditional treatment and any delay in medical intervention in snakebite incidents.

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A profile of fatal snake bite cases in the Bankura district of West Bengal

Cited by 23 publications

References 8 publications

A Study on the Acute Kidney Injury in Snake Bite Victims in A Tertiary Care Centre

A Study on the Acute Kidney Injury in Snake Bite Victims in A Tertiary Care Centre

A Study on the Clinico-Epidemiological Profile and the Outcome of Snake Bite Victims in a Tertiary Care Centre in Southern India

Clinical profile, species-specific severity grading, and outcome determinants of snake envenomation: An Indian tertiary care hospital-based prospective study

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