Snake bites in children at the Fez University Hospital in Morocco

Berdaï, Mohamed Adnane; Labib, Smael; Harandou, Mustapha

doi:10.1684/mst.2013.0258

Cited by 3 publications

(1 citation statement)

References 16 publications

(20 reference statements)

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“…Consequently, antivenom is not available in peripheral health centers. Additionally, FAV-Afrique®, the only antivenom available at the time of the study, does not cover all species of Morocco [ 15 , 16 ]. Especially two snake species whose venom is particularly toxic and provokes highly severe envenomation: Daboia mauritanica and Ceraste cerastes .…”

Section: Discussionmentioning

confidence: 99%

Snakebites notified to the poison control center of Morocco between 2009 and 2013

Chafiq¹,

Hattimy²,

Rhalem³

et al. 2016

J Venom Anim Toxins Incl Trop Dis

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BackgroundSnakebites cause considerable death and injury throughout the globe, particularly in tropical regions, and pose an important yet neglected threat to public health. In 2008, the Centre Anti Poison et de Parmacovigilance du Maroc (CAPM) started to set up a specific strategy for the control of snakebites that was formalized in 2012. The aim of the present study is to describe and update the epidemiological characteristics of snakebites notified to CAPM between 2009 and 2013.MethodsThis retrospective five-year study included all cases of snakebites notified to CAPM by mail or phone.ResultsDuring the study period, 873 snakebite cases were reported to CAPM, an average incidence of 2.65 cases per 100,000 inhabitants with 218 cases each year. The highest incidence was found in Tangier-Tetouan region with 357 cases (40.9 %) followed by Souss Massa Draa region with 128 cases (14.6 %). The average age of patients was 26.8 ± 17.2 years. The male to female sex ratio was 1.67:1 and 77 % of cases occurred in rural areas. The bites occurred mainly in spring (44 %) followed by summer (42 %). Snake species was identified in 54 cases (6.2 %): colubrids represented 31 % (n = 18) and vipers 67 % (n = 36), mainly Daboia mauritanica, Bitis arietans and Cerastes cerastes. In 311 cases (35.6 %), the patients showed viper syndrome. Thrombocytopenia was observed in 23.5 % of viper syndrome cases, whereas, compartment syndrome was observed in 7.6 % patients. FAV-Afrique® was administered in 41 patients (5 %). In patients treated with antivenom, 38 patients recovered and three died. Twenty-seven deaths were reported (3.9 %).ConclusionDespite specific efforts to better understand the epidemiology of snakebites in Morocco (incidence, severity, snake species involved), it remains underestimated. Therefore, further work is still necessary to ensure accessibility of appropriate antivenom against venomous species and to improve the management of envenomation in Morocco.

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Section: Discussionmentioning

confidence: 99%

Snakebites notified to the poison control center of Morocco between 2009 and 2013

Chafiq¹,

Hattimy²,

Rhalem³

et al. 2016

J Venom Anim Toxins Incl Trop Dis

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Envenimations ophidiennes au Maroc : revue de la littérature

Moutaouakkil

Jaoudi

Tadlaoui³

et al. 2018

Toxicologie Analytique et Clinique

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Ophidian envenomation in Morocco: Analysis of specific hospitalization records (2012-2015)

et al. 2021

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Snakebites are a real public health problem in Morocco, from the point of view of incidence and mortality. Inorder to contribute to the reduction of the resulting morbidity and mortality, the present work aims to describe the epidemiological profile of cases of Snakebites and to follow the spatio-temporal trends of the health indicators studied (incidence, fatality and mortality). The methodology adopted consists of a retrospective analysis of the cases collected from the Anti Poison and Pharmacovigilance Center of Morocco from specific hospitalization records. Between 2012 and 2015, the MPCC gathered 224 cases. The mean age was 26.9 ± 18.9 years with a sex ratio (M / F) of 1.4. Most of the bites occurred during hot seasons (84%) and in rural areas (95%). The time to hospitalization exceeded 24 hours in 7% of cases. Clinically, compartment syndrome was observed in 17 patients, renal failure in 13 patients and shock in 13 patients. The distribution according to clinical gradation was almost uniform. From a therapeutic standpoint, in addition to the antivenom, two types of treatment were the most recommended: symptomatic treatment based on the administration of analgesics (n = 168) and on the administration of an antitetanus serum (n = 99), and treatment involving transfusion (n = 58). Analysis of all of these files enabled us to detect parameters having a direct impact on morbidity and mortality following a bite and ophidian envenomation, on which the competent authorities should focus in order to thwart this scourge and its complications.

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Snake bites in children at the Fez University Hospital in Morocco

Cited by 3 publications

References 16 publications

Snakebites notified to the poison control center of Morocco between 2009 and 2013

Snakebites notified to the poison control center of Morocco between 2009 and 2013

Envenimations ophidiennes au Maroc : revue de la littérature

Ophidian envenomation in Morocco: Analysis of specific hospitalization records (2012-2015)

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