Toxicology International (Formerly Indian Journal of Toxicology)

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Clinico-Epidemiological Study of Snake Bite Presenting to the Emergency Department of a Tertiary Care Hospital


Affiliations
1 Department of Emergency Medicine, Dr DY Patil Medical College and Hospital, Dr. D. Y. Patil Vidyapeeth, Pimpri, Pune - 411018, Maharashtra, India
2 Department of Accident and Emergency, Norfolk and Norwich University Hospital, Norwich - NR47UY, India
     

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Snakebite is an acute, life-threatening condition which is most commonly faced by the rural population of tropical countries. About 1.2 million deaths related to snake bites are reported from the Indian subcontinent adding a major part to the global burden towards snake bite mortality. Maharashtra reported the highest number of snake bite cases in the year 2019. A retrospective study was carried out at the emergency department from April 1st, 2020 to June 30th, 2021. Data regarding demographic factors, clinical features, complications, details of treatment received and outcomes of the snake bite victims were recorded. A total of 103 patients with snake bites were admitted, 71.84% were males, and the mean age group was 31.68 years. 26% of the cases were reported during the month of June, and 68% of the bites were reported between 12:00 pm to 12:00 am. 62.14% had bites over their lower limbs, and 31.07% of them were farmers. 47.57% had local pain. 59.22% were dry bites out of which 17.47% received an incomplete dose of Antisnakevenom (ASV) from referring hospitals. 17.47% manifested with neurological symptoms. Our study suggested that farmers, children, women and labourers are the most vulnerable groups affected. There is still a lack of knowledge among healthcare workers regarding the use of ASV.

Keywords

ASV, Dry Bite, Neurotoxicity, Vasculotoxic.
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  • Clinico-Epidemiological Study of Snake Bite Presenting to the Emergency Department of a Tertiary Care Hospital

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Authors

Arjun H M
Department of Emergency Medicine, Dr DY Patil Medical College and Hospital, Dr. D. Y. Patil Vidyapeeth, Pimpri, Pune - 411018, Maharashtra, India
Varsha Shinde
Department of Emergency Medicine, Dr DY Patil Medical College and Hospital, Dr. D. Y. Patil Vidyapeeth, Pimpri, Pune - 411018, Maharashtra, India
Suhrith Bhattaram
Department of Emergency Medicine, Dr DY Patil Medical College and Hospital, Dr. D. Y. Patil Vidyapeeth, Pimpri, Pune - 411018, Maharashtra, India
Zahid Shaikh
Department of Accident and Emergency, Norfolk and Norwich University Hospital, Norwich - NR47UY, India

Abstract


Snakebite is an acute, life-threatening condition which is most commonly faced by the rural population of tropical countries. About 1.2 million deaths related to snake bites are reported from the Indian subcontinent adding a major part to the global burden towards snake bite mortality. Maharashtra reported the highest number of snake bite cases in the year 2019. A retrospective study was carried out at the emergency department from April 1st, 2020 to June 30th, 2021. Data regarding demographic factors, clinical features, complications, details of treatment received and outcomes of the snake bite victims were recorded. A total of 103 patients with snake bites were admitted, 71.84% were males, and the mean age group was 31.68 years. 26% of the cases were reported during the month of June, and 68% of the bites were reported between 12:00 pm to 12:00 am. 62.14% had bites over their lower limbs, and 31.07% of them were farmers. 47.57% had local pain. 59.22% were dry bites out of which 17.47% received an incomplete dose of Antisnakevenom (ASV) from referring hospitals. 17.47% manifested with neurological symptoms. Our study suggested that farmers, children, women and labourers are the most vulnerable groups affected. There is still a lack of knowledge among healthcare workers regarding the use of ASV.

Keywords


ASV, Dry Bite, Neurotoxicity, Vasculotoxic.

References





DOI: https://doi.org/10.18311/ti%2F2023%2Fv30i2%2F32375