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

B.R., Halesha

doi:10.7860/jcdr/2012/4842.2685

Cited by 25 publications

(23 citation statements)

References 12 publications

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“…Snake venom is a complex heterogeneous poison that can result in multisystem toxicity. The majority of the cases in our study were males, which is in accordance with other epidemiological studies from India as reported by Halesha et al [ 3 ] and Jarwani et al [ 4 ]. Males are the most common victims of snake bite probably due to their outdoor occupation.…”

Section: Discussionsupporting

confidence: 93%

Ocular Manifestations of Venomous Snake Bite over a One-year Period in a Tertiary Care Hospital

Kumar

Kasturi

et al. 2015

Korean J Ophthalmol

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PurposeOcular manifestations in snake-bite injuries are quite rare. However, the unusual presentations, diagnosis and their management can pose challenges when they present to the ophthalmologist. Early detection of these treatable conditions can prevent visual loss in these patients who are systemically unstable and are unaware of their ocular condition. To address this, a study was conducted with the aim of identifying the various ocular manifestations of snake bite in a tertiary care center.MethodsThis is a one-year institute-based prospective study report of 12 snake bite victims admitted to a tertiary hospital with ocular manifestations between June 2013 to June 2014, which provides data about the demographic characteristics, clinical profiles, ocular manifestations, and their outcomes.ResultsTwelve cases of snake bite with ocular manifestations were included of which six were viper bites, three were cobra bites and three were unknown bites. Six patients presented with bilateral acute angle closure glaucoma (50%), two patients had anterior uveitis (16.6%) of which one patient had concomitant optic neuritis. One patient had exudative retinal detachment (8.3%), one patient had thrombocytopenia with subconjunctival hemorrhage (8.3%) and two patients had external ophthalmoplegia (16.6%).ConclusionsBilateral angle closure glaucoma was the most common ocular manifestation followed by anterior uveitis and external ophthalmoplegia. Snake bite can result in significant ocular morbidity in a majority of patients but spontaneous recovery with anti-snake venom, steroids and conservative management results in good visual prognosis.

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Section: Discussionsupporting

confidence: 93%

Ocular Manifestations of Venomous Snake Bite over a One-year Period in a Tertiary Care Hospital

Kumar

Kasturi

et al. 2015

Korean J Ophthalmol

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“…In a study among 39 patients with signs of snake bite envenomation in central Nepal, none of them had adopted WHO recommended first aid measures; pressure immobilization bandaging or local compression pad immobilization rather many of them had practiced traditional measures before getting admitted to the hospital [8]. More than half among 180 patients of snake bite had presented with application of tourniquet in an Indian study [19]. …”

Section: Discussionmentioning

confidence: 99%

Knowledge of first aid methods and attitude about snake bite among medical students: a cross sectional observational study

Subedi

Paudel

Khadka

et al. 2018

J Occup Med Toxicol

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BackgroundSnake bite is a neglected public health problem in tropical and subtropical region. The study was conducted with objectives to determine the knowledge of first aid methods in snake bite and the perception of snake bite among the medical students of Gandaki Medical College, Pokhara, Nepal.MethodsWe conducted a cross sectional survey among 302 (231 preclinical and 71 clinical) Bachelor of Medicine and Bachelor of Surgery (MBBS) students of Gandaki Medical College using a pretested questionnaire to assess the knowledge of first aid of snake bite based on WHO protocol and perception of snakebite. The study duration was from January to May 2018. The total score of the knowledge was obtained and compared among variables using Mann-Whitney U test. Chi square test was used for comparing the responses with the level of students. P value of < 0.05 was considered as significant.ResultsAmong 302 respondents, 193(63.9%) were from Mountain districts. The families of 25 (8.3%) respondents were bitten by snakes. The correct responses were significantly higher from the 71 (23.5%) clinical students for most of the questions and the knowledge score of clinical students was significantly higher than the 231 (76.5%) preclinical students. Twenty eight (9.27%) students believed that the snake should be killed after it bites the victim and 25 (8.28%) believed that the snake will capture the image of the offender who teases it and takes revenge later. School books were the commonest source of such knowledge among the preclinical students.ConclusionMost of the preclinical students had inadequate knowledge of first aid of snake bite. The common source of the knowledge was school books which often provide faulty knowledge. Only a few students had negative perception about snakes. Incorporation of proper first aid measures in the textbooks of various levels is essential.

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“…[24] The death rate in our study was 5% and compares well with the death rate from other studies across India. [20]…”

Section: Discussionmentioning

confidence: 99%

Snakebite profile from a medical college in rural setting in the hills of Himachal Pradesh, India

Raina¹,

Raina²,

Kaul³

et al. 2014

Indian Journal of Critical Care Medicine

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Objective:The objective of the following study is to assess the clinical profiles and manifestations of snakebite patients in the rural hilly setting of Shivalik and the Lesser Himalayan region of Himachal Pradesh.Materials and Methods:A hospital record-based retrospective descriptive study was carried out that included details on demography, clinical profile, treatment and outcome among 200 patients over a period of 2 years. The data was analyzed using Chi-square test for comparison.Results:142 (71%) patients were young (age group of 16-45 years) and the number of male patients was 118 (59%) and female patients were 82 (41%). All the cases recorded presented in the months of April to November. Not a single case was recorded from December to March. The most frequently bitten sites were the lower limbs particularly the feet. 86 (43%) of the patients presented without any features of envenomation. Neuroparalysis was the commonest presentation in 53 (46%) patients followed by hemotoxicity in 36 (31%) among symptomatic patients. Early morning neuroparalysis syndrome was the presentation in 26.4% patients. Allergic reactions in the form of early anaphylaxis were noted in 7% patients.Conclusion:Snake bite is a neglected tropical disease affecting poor villagers in rural areas. Future research focusing on understanding epidemiological determinants of snake bite is desired.

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

Cited by 25 publications

References 12 publications

Ocular Manifestations of Venomous Snake Bite over a One-year Period in a Tertiary Care Hospital

Ocular Manifestations of Venomous Snake Bite over a One-year Period in a Tertiary Care Hospital

Knowledge of first aid methods and attitude about snake bite among medical students: a cross sectional observational study

Snakebite profile from a medical college in rural setting in the hills of Himachal Pradesh, India

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