A STUDY OF COMPLICATIONS IN SUBJECTS WITH SNAKE BITE IN RELATION TO TIMING OF ASV ADMINISTRATION IN A TERTIARY CARE HOSPITAL
Journal Title: Journal of Evolution of Medical and Dental Sciences - Year 2017, Vol 6, Issue 92
Abstract
BACKGROUND India is a tropical country, where snake bite is a major public health problem. It is a common occupational hazard mainly in farmers and rural population are affected mainly. India is reported to have highest number of snake bites. Apart from the mortality, the morbidity caused by snake bite is also high in India. Administration of ASV as early as possible can prevent many of the complications and even death if given in time. The aim of this study is to study the various complications of snake bite in relation to the timing of ASV administration. MATERIALS AND METHODS The study was carried out over a period of 8 months by including 50 cases of snake bite. A detailed clinical history regarding bite time since bite, symptoms of envenomation and complications were taken at the time of presentation. Thorough clinical examination was then carried out and also relevant laboratory investigations were sought. RESULTS Among these 50 patients, 66% were males and 34% were females. Male preponderance may be attributed to their lifestyles involving outdoor activities and occupational exposures. Majority of the patients were < 30 years of age, 34%. Among the 50 patients 30 had complications, out of these 50% of them had haematological complication, 4% had neurological complications, 28% had renal complication, 4% had cardiovascular complications and 26% had local complications. Those who presented within 6 hours complications were 50% and those who presented late i.e. after 24 hours complication rate was high 100% as we noted in our study. CONCLUSION The complication rate was less in those who presented within 6 hours since bite, whereas complication rate was high in those who presented late, though ASV was administered immediately wherever indicated. This implies the importance of early presentation to hospital and initiation of treatment with ASV will prevent the complications in snake bite.
Authors and Affiliations
Ramesh S. S, Shivakumar H. R
Keywords
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- EP ID EP279328
- DOI 10.14260/jemds/2017/1440
- Views 74
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