A Survey of Snakebite Management Knowledge Amongst Select Physicians in Hong Kong and the Implications for Snakebite Training

Fung, Hin Tat; Lam, Shing Kit Tommy; Lam, Ka Keung; Simpson, Ian D.

doi:10.1580/1080-6032-020.004.0364

Cited by 26 publications

(29 citation statements)

References 18 publications

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“…During 1988-89, a small survey was conducted in 50 Upazillas (sub-districts) of Bangladesh recorded 764 occurrences of snake bite, of which 168 (22%) died and a postal survey conducted in 21 of the 65 administrative districts in 1995-1996 estimated an annual incidence of 4.3 per 100,000 populations and a case fatality of 20% 3 . In this study, Chittagong Division and Barisal Division had the highest annual incidence of snake bites 6 . These estimates were based on data from small studies and due to methodological limitations; the estimates were unlikely to be representative of the whole country population.…”

Section: Introductionmentioning

confidence: 54%

Knowledge of Snake Bite Management among Health Service Providers at a Rural Community of Bangladesh

et al. 2018

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Background: Snake bile is a very common incidence among the rural people. Objective: This study was aimed to assess the pattern of snakebite in rural community through community engagement. Methodology: It uses the methodological triangulation qualitative and quantitative approach as well as a case study design in analyzing data, whereby the exploratory-descriptive design is followed. The findings from survey study on snake bite have been elicited from face to face interview with 243 number of medical professionals/health service providers consisting of 113 number of MBBS doctors, 86 number of nurses and 46 number of other health practitioners. The study area consisted of 5 zilla sadar hospitals and 15 upazilla health complexes. We purposively select the 243 sample(Doctors, Nurses, Paramedics ,Others) from the selected districts and its consisting random upazillas from the govt. sector hospitals keeping in mind gender balance (Male -Female) as a primary total target population. So in total, 5division and itsconsisting random upazilas hospital including union health complex hospital personnel will be interviewed throughout mention areas of Bangladesh. Result: Most of the health professionals (93.8%) stated that the existence of facilities in their respective hospitals is not adequate to manage the treatment of snake bite victims. Of the total number of medical personnel -around 30.0% of the health professionals had the opportunity to manage snake bite in their respective span of service (50.4% of MBBS docs + 11.6% of nurses + 11.4% of other practitioners).The findings show that majority of 87.6% of doctors, 85.0% of nurses and 95.5% of other practitioners mentioned rainy season as the most prevalent time for occurrence of snake bite in rural areas of Bangladesh. As for whether all snake bites are poisonous-around 17.0% of doctors followed by 18.6% of nurses and 16.0% of other practitioners are found to have wrong notion about mentioning that all snake bites are poisonous but in reality this is not true. Conclusion: There is insufficient knowledge, skill and experience of how to treat snake bite victims.

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Section: Introductionmentioning

confidence: 54%

Knowledge of Snake Bite Management among Health Service Providers at a Rural Community of Bangladesh

et al. 2018

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“…This theory could be further supported by the presence of a moderate but significant positive correlation between first aid score and attitude score (p < 0.05, r = 0.534) among the participants. The results on first aid knowledge in this study also compared to results of other studies done in Nepal [16] and Cameron [21]. In order to improve knowledge of medical students regarding the diagnosis and management of snakebites, many courses, including internal medicine, general surgery and emergency medicine, can be supplemented by materials that focus on how to investigate, diagnose, and manage snakebites.…”

Section: (48)mentioning

confidence: 82%

“…We used a questionnaire that tested knowledge on proper first aid methods to deal with snakebites among the participants. It was designed around the World Health Organization (WHO) protocol for managing snakebites and benefited from previous related studies [8,9,12,13,[16][17][18][19][20][21][22][23][24][25][26][27][28].…”

Section: Data Collection Formmentioning

confidence: 99%

An assessment of medical students’ proficiency in the diagnosis and management of snakebites: a cross-sectional study from Palestine

Sulaiman

Kharusha

Samara

et al. 2020

J Occup Med Toxicol

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Background: Snakebites are emergent and life-threatening injuries that may require intensive care. Physicians face difficulties in dealing with snakebite injuries due to the knowledge gaps in the diagnosis and management of snakebites. The study aimed to assess medical students' knowledge about the diagnosis and management of snakebite injuries, as well as their proficiency in first aid methods in case of snakebite and perception regarding snakes and snakebite injuries. Methods: A cross-sectional study conducted among 200 medical students in their clinical years at An-Najah National University. A questionnaire was developed and distributed among those students. The questionnaire assessed the students' knowledge regarding the diagnosis and management of snakebites and their attitude regarding snakes and snakebites. The total scores of knowledge were obtained and tested based on the participants' demographic characteristics using the Kruskal-Wallis test and the Mann-Whitney U test. P-values of < 0.05 were considered to be statistically significant. Results: The mean age of participating medical students was 22.2 ± 2.4 (year). Half of these medical students were in there final year of study (sixth year). After the analysis was done, we found a knowledge deficit in snakebite diagnosis and management among medical students. The mean knowledge scores regarding Vipera palaestinae, signs and symptoms, laboratory investigations, anti-venom, and first aid were 3.8/13, 8.2/16, 6.1/10, 3.6/11 and 8.3/ 15 respectively for medical students. It was found that medical students in higher years of study had a higher knowledge of laboratory investigation, and males were more knowledgeable in the correct way for first aid methods than females (p < 0.036). Conclusions: The level of knowledge regarding the diagnosis and management of snakebites was not good enough among most of the students. In order to improve their knowledge, snakebite diagnosis and management should be introduced and focused on in medical curriculum. Also, formal first aid training classes for medical students should be introduced in order to teach them the correct and updated methods of first aid as they will be the future health care providers and proper first aid will effectively decrease morbidity and mortality of snakebites.

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“…Even the medical practitioners of Nigeria [17, 21] did not have adequate knowledge of snake bite envenomation and only few doctors of Hong Kong were confident of snake bite treatment [22]. …”

Section: Discussionmentioning

confidence: 99%

Knowledge of first aid methods and attitude about snake bite among medical students: a cross sectional observational study

Subedi

Paudel

Khadka

et al. 2018

J Occup Med Toxicol

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BackgroundSnake bite is a neglected public health problem in tropical and subtropical region. The study was conducted with objectives to determine the knowledge of first aid methods in snake bite and the perception of snake bite among the medical students of Gandaki Medical College, Pokhara, Nepal.MethodsWe conducted a cross sectional survey among 302 (231 preclinical and 71 clinical) Bachelor of Medicine and Bachelor of Surgery (MBBS) students of Gandaki Medical College using a pretested questionnaire to assess the knowledge of first aid of snake bite based on WHO protocol and perception of snakebite. The study duration was from January to May 2018. The total score of the knowledge was obtained and compared among variables using Mann-Whitney U test. Chi square test was used for comparing the responses with the level of students. P value of < 0.05 was considered as significant.ResultsAmong 302 respondents, 193(63.9%) were from Mountain districts. The families of 25 (8.3%) respondents were bitten by snakes. The correct responses were significantly higher from the 71 (23.5%) clinical students for most of the questions and the knowledge score of clinical students was significantly higher than the 231 (76.5%) preclinical students. Twenty eight (9.27%) students believed that the snake should be killed after it bites the victim and 25 (8.28%) believed that the snake will capture the image of the offender who teases it and takes revenge later. School books were the commonest source of such knowledge among the preclinical students.ConclusionMost of the preclinical students had inadequate knowledge of first aid of snake bite. The common source of the knowledge was school books which often provide faulty knowledge. Only a few students had negative perception about snakes. Incorporation of proper first aid measures in the textbooks of various levels is essential.

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A Survey of Snakebite Management Knowledge Amongst Select Physicians in Hong Kong and the Implications for Snakebite Training

Cited by 26 publications

References 18 publications

Knowledge of Snake Bite Management among Health Service Providers at a Rural Community of Bangladesh

Knowledge of Snake Bite Management among Health Service Providers at a Rural Community of Bangladesh

An assessment of medical students’ proficiency in the diagnosis and management of snakebites: a cross-sectional study from Palestine

Knowledge of first aid methods and attitude about snake bite among medical students: a cross sectional observational study

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