Indian Journal of Forensic Medicine & Toxicology

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A Study of Snake Bite Poisoning in Gulbarga Region (A Five Year Study)


Affiliations
1 Professor Shri BM Patil Medical College & Research Centre Bijapur, Karnataka, India
2 DY Patil Medical College, Karad
3 M R Medical College Gulbarga, India
     

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Totally 329 cases of snakebite poisoning were studied between September 2000 to August 2005. Males 197 (59.88%) were affected more than females 132 (40.12%) in the ratio of 1.5:1. The most common age group is 20-29 years of age 89 (27.05%). Snakebite is the common health problem in rural areas 277 (84.19%) in rural areas, the most vulnerable occupation group being the people involved in agricultural work i.e., agriculturist 92 (27.96%) and field labourers 97 (29.48%). The male population was mostly bitten outdoor 134 (68.02%) whereas females were bitten mostly in indoor 79 (58.85%). Poisonous snakebites were 70.20% and nonpoisonous (17.33%), the rest were unidentified. The lower limb was the most preferred site of bite 233 (70.82%) with peak incidence of snake bite recorded between 6 PM to 12 midnight 108 (32.83%). Almost all the cases were given first aid 323 (98.18%), and post cases were rushed to the hospital within 6 hours of the time of bite i.e., 196 (59.57%). The commonest local manifestation was pain at the local site 283 (86.02%) and the common systemic manifestation was giddiness 163 (49.54%), followed by vomiting 131 (39.82%). More than half of the patients i.e., 188 (57.14%) were discharged or succumbed to snakebite poisoning within 3 days. Majority of the victims were given ASV (96.35%) and amongst those not treated 66.66%, people died. Out of 329 cases of snakebite poisoning, only 63 (19.14%) were proved to be fatal and the major cause of death in these was respiratory failure, which claimed 37 lives (11.25%).

Keywords

Snakebite, Incidence, Gulbarga
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  • Indramani Jena and Akualananda Sarangi. Snakes of Medical Importance and Snakebite Treatment. FRCP, 1993: 7-8.

  • Viramani SK, Dutt OP. A profile of snakebite poisoning in Jammu Region. J. Indian Medical Association 1987; 185: 132-134.

  • Lal, Panna, DUTTA, SHRIHARI et al., Jan-March 2001. “Epidemiological profile of snake bite cases admitted in Jipmer Hospital”. Indian Journal Community Med., Vol. 26, No. 1, Page 36-38.

  • Banerjee RN. Poisonous snakes in India, their venom, symptomatology and treatment of envenomation. In progress in Clinical Medicine in India, 1st Edition, M.M.S. Ahuja Ed. (Arnold Heinman Publishers, New Delhi), 1978: 86-179.

  • Sawai, Yoshi, Manabu, Honma. Snakebites in India. The Snake, 1975; 7(1): 1-16.

  • Bhat RN. Viperine snakebite poisoning in Jammu. Journal of Indian Medical Association, 1974; 63: 383-392.

  • Kularatne SAM. Common kriat (Bungurus Caeralenes) bite in Anuradhapura, Sri Lanka – A prospective clinical study. Postgraduate Medical Journal 2002; Vol. 78: 276-286.

  • Tarianga DD, Philip PJ, Alexander G, Maladens, Jeyaseelan L, Peter JV. Randomized controlled trial on the effective doses of anti-snake venom in cases of snakebite with systemic envenomation. JAPI 1999 April; 147: 369-371.

  • Hati AK, Mandal M, Mukherjee DEM, Hati RN. Epidemiology of snakebite in the district of Burdwan, West Bengal. J. Indian Medical Association 1992; 90: 145-147.

  • Rodney E, Philips David R, Theakston, David A Warrell, Yamuna Galigedara et al. Paralysis, rhabdomyolysis and haemolysis caused by bite of Russell’s viper in Sri Lanka – Failure of Indian Anti-venom. Quarterly Journal of Medicine 1988; 68: 691-716.

  • Saini RK, Sharma S, Singh S, Pathania NS. Snakebite – poisoning A Preliminary Report. JAPI 1984; 32: 195-197.

  • Russell PE, Carlson RW, Wainchal Osborne AU. Snake venom poisoning in United States. J. of American med. Assoc. 1975; 233(4): 341-344.

  • Cherian AM, Tariang D et al. A randomized controlled trial to compare the effectiveness of a lower dose versus conventional dose of snake antivenom, In cases of snakebite with systemic envenomation. J. Assoc. Physician India, 1999 Jan; 147(1): 63.

  • Vijeth SR, Dutta TK, Jyotsna Shahapurkar Sahai A. Dose and frequency of antisnake venom injection in treatment of Echies Carinatus bite. JAPI 2000 Feb.; 48 (2): 187-191

  • Manjunatha B, Manjappa M. Snake venom poisoning – Death due to lack of awareness. Journal Karnataka Medicolegal Society, 2000 June; 9(1): 18-20.


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  • A Study of Snake Bite Poisoning in Gulbarga Region (A Five Year Study)

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Authors

Udaykumar C. Nuchhi
Professor Shri BM Patil Medical College & Research Centre Bijapur, Karnataka, India
Rajan K. Shah
DY Patil Medical College, Karad
K. S. Narayan Reddy
M R Medical College Gulbarga, India

Abstract


Totally 329 cases of snakebite poisoning were studied between September 2000 to August 2005. Males 197 (59.88%) were affected more than females 132 (40.12%) in the ratio of 1.5:1. The most common age group is 20-29 years of age 89 (27.05%). Snakebite is the common health problem in rural areas 277 (84.19%) in rural areas, the most vulnerable occupation group being the people involved in agricultural work i.e., agriculturist 92 (27.96%) and field labourers 97 (29.48%). The male population was mostly bitten outdoor 134 (68.02%) whereas females were bitten mostly in indoor 79 (58.85%). Poisonous snakebites were 70.20% and nonpoisonous (17.33%), the rest were unidentified. The lower limb was the most preferred site of bite 233 (70.82%) with peak incidence of snake bite recorded between 6 PM to 12 midnight 108 (32.83%). Almost all the cases were given first aid 323 (98.18%), and post cases were rushed to the hospital within 6 hours of the time of bite i.e., 196 (59.57%). The commonest local manifestation was pain at the local site 283 (86.02%) and the common systemic manifestation was giddiness 163 (49.54%), followed by vomiting 131 (39.82%). More than half of the patients i.e., 188 (57.14%) were discharged or succumbed to snakebite poisoning within 3 days. Majority of the victims were given ASV (96.35%) and amongst those not treated 66.66%, people died. Out of 329 cases of snakebite poisoning, only 63 (19.14%) were proved to be fatal and the major cause of death in these was respiratory failure, which claimed 37 lives (11.25%).

Keywords


Snakebite, Incidence, Gulbarga

References