Study of clinical profile and outcome of patients with snake envenomation at Bheri Hospital Nepal

Mandal, Rajesh Kumar; Shakya, Nirmal; Risal, Sanket Kumar; Goit, Kuldip

doi:10.3126/nmmj.v3i1.48524

Cited by 2 publications

(1 citation statement)

References 15 publications

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“…This center is also referral center for snake bites from Banke and neighbouring districts like Bardiya, Kailali and Dang. 13 This center has trained physicians and Anesthesiologists capable of handling snake bite envenomations. More over insecticide poisoning has also been a public health problem in this region.…”

Section: Discussionmentioning

confidence: 99%

Pattern of Patients in Intensive Care Unit in a Tertiary Care Hospital in Lumbini Province Nepal

Mandal,

Bhandari,

Gupta

et al. 2023

Nep. Mediciti Med. J.

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BACKGROUND Intensive care is a crucial component of hospital care, reserved for patients with potentially recoverable conditions who can benefit from invasive treatment. However, in developing countries like Nepal, resources and availability of intensive care become hurdles in delivering healthcare. This study presents the pattern of admission and outcome of patients' management in a general intensive care unit (ICU) of this tertiary care center in Lumbini Province, Nepal. METHODS A cross sectional study conducted in the Department of Internal Medicine, Bheri Hospital between July 2021 to June 2022. A total of 792 patient’s details were obtained from the record section. Demographic data, diagnosis, duration of stay in ICU, managing units, and outcome were collected and analyzed with Statistical Package for the Social Sciences 20. RESULTS A total of 729 patients were admitted in the study period; 57.82% were male and 42.18% were female. Majority 60% of admissions were from Department of Medicine followed by Cardiology 24% and Surgery 10%. Pneumonia and Chronic Obstructive Pulmonary Disease 18.30% followed by Myocardial Infraction 14.52%, Acute abdomen 10.22% and sepsis 9.84% were the most common morbidity. Mean duration of ICU stay was 3.5. days. Discharge rate was 69.82% and the mortality rate was 17.80 %. CONCLUSION The most common patients admitted in the ICU of Bheri hospital were mostly Medical cases. Surgical and obstetric cases were lesser in number. The outcomes were comparable with other multidisciplinary ICU of similar settings.

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Section: Discussionmentioning

confidence: 99%

Pattern of Patients in Intensive Care Unit in a Tertiary Care Hospital in Lumbini Province Nepal

Mandal,

Bhandari,

Gupta

et al. 2023

Nep. Mediciti Med. J.

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A prospective study of snakebite in a tertiary care hospital in south-western Nepal

Pandey

Shrestha

Acharya³

et al. 2023

Transactions of the Royal Society of Tropical Medicine and Hygiene

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Background Snakebite is a neglected public health issue in Nepal. We aimed to characterize patients with snake envenoming admitted to hospital in south-western Nepal. Methods This was a prospective cohort study of 476 snakebite patients admitted to Bheri Hospital from May to December 2017. Data were collected on patient demographics, bite circumstances, snake type, treatment-seeking behavior, clinical effects, complications and treatment. Results There were 139/476 (29%) patients with clinical features of envenomation and 10 deaths (8%), of which six were prehospital deaths; 325/476 (68%) patients used non-recommended prehospital first aid, including 278 (58%) who applied a tourniquet and 43 (9%) consulting traditional healers. Median time to hospital arrival was 1.5 (IQR: 0.8–4) h. Also, 127 envenomated patients (91%) developed neurotoxicity and 12 (9%) hemotoxicity, while 124 patients (89%) received antivenom, with a median dose of 10 (4–30) vials. Three patients developed anaphylaxis following antivenom administration; 111 of 139 (80%) cases were admitted to the ICU and 48 (35%) were intubated. Median length of hospital stay for all cases was 0.5 (IQR: 0.5–1.2) d, but it was 2.2 (IQR: 1.5–3.8) d for envenomated cases. Conclusions The majority of snakebite patients used non-recommended first aid or attended traditional healers. Almost one-third of patients developed systemic envenomation and required antivenom. The case fatality rate was high, but many died prior to arriving in hospital.

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Study of clinical profile and outcome of patients with snake envenomation at Bheri Hospital Nepal

Cited by 2 publications

References 15 publications

Pattern of Patients in Intensive Care Unit in a Tertiary Care Hospital in Lumbini Province Nepal

Pattern of Patients in Intensive Care Unit in a Tertiary Care Hospital in Lumbini Province Nepal

A prospective study of snakebite in a tertiary care hospital in south-western Nepal

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