Clinicoepidemiology, clinical profile and outcome of venomous snake bite in children in Konaseema region of Andhra Pradesh, India

Rao, K. V. S. Rama; Ramesh, G.; Acharya, Anand

doi:10.18203/2349-3291.ijcp20190700

Cited by 7 publications

(6 citation statements)

References 7 publications

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“…With respect to time of bite 38 (48.72%) participants reported evening time of bite. These results are similar to other studies which gives an idea about the behaviour of snakes and expected interaction with humans [13,14]. In our study we analysed the seasonality of snake bite.…”

Section: Resultssupporting

confidence: 91%

Clinico-Epidemiological Study Done at a Tertiary Care Centre in Western Ghats of South India and Outcome of Snakebite Cases

Karanth,

Maribashetti,

Karanth

2023

IJTDH

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Background & Objectives: Snakebite is a neglected public health problem in tropical and sub-tropical geographical zones. Management of snakebites require through examination, careful monitoring of vitals and assessment of envenomation. The epidemiological and clinical management data will provide an insight on the critical management issues and varied presentation. Methods: A retrospective observation study was conducted at Shripad Hegde Kadave Institute of Medical Sciences, Sirsi, Uttara Kannada district of Karnataka. Patients admitted to the hospital during the period from January 2019 to August 2022 were included for the study. Results: The data from a total of 78 participants was included for the analysis. The mean age was 38.56±17.28 years. Of the participants, 50 (64.10%) were male and 43 (52.12%) farmers by occupation. Majority of cases had haematotoxic symptoms (42.2%) followed by myotoxicity (33.3%). Predominant neurotoxicity was seen in only 2 (2.56%) of patients. 57 (73%) of participants had elevated INR ratio. Sixty-seven (85.9%) participants were medically managed and 10 (12.82%) required surgical intervention. Three (18.75%) participants had acute kidney injury. With respect to the final outcome, 71(91%) of participants were discharged after recovery. Interpretation and Conclusion: This study provided the vital insight on clinical presentation and management of snakebite in Western Ghats of South India. Snakebite majorly affected male and middle-aged people. Farmers were most affected and bites occurred more during monsoon season. Due to variation in local distribution of species of snakes’ predominantly higher variants of vipers (lower number of krait and cobra) haematotoxic symptoms and signs were the major clinical presentation.

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Section: Resultssupporting

confidence: 91%

Clinico-Epidemiological Study Done at a Tertiary Care Centre in Western Ghats of South India and Outcome of Snakebite Cases

Karanth,

Maribashetti,

Karanth

2023

IJTDH

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“…In our study, it was observed that lower limbs were the site of snake bite in 126 (78.8%) children. This finding is a consistent feature seen in all studies done in children [5][6][7][8][9] . We would suggest that use of protective footwear and clothes would help in reducing the risk of snake bite envenomation.…”

Section: Discussionsupporting

confidence: 89%

“…In our study, we found that children in the age group of 6-15 years were more prone for snake bite. Kumar AH, et al 6 , Rao KV, et al 9 found similar vulnerability of children of school going age.…”

Section: Discussionmentioning

confidence: 79%

Clinical profile and outcome of snake bite in children at a tertiary care centre in South India

Sanjay

Khan

Jaidev

et al. 2021

Sri Lanka J Child Health

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Introduction: Snake bite is an important public health problem in the rural tropics, resulting in envenomation and death. Objectives:To study the clinical profile of snake bite at a tertiary care centre in South India, estimate its case fatality rate and estimate the prevalence of complications in children with snake bite.Method: This was a retrospective, observational descriptive record based study conducted in a Medical College in South India between May 2011 and April 2020.Results: A total of 160 snake bite patient case records over the last 10 years were evaluated out of which signs of envenomation were seen in 65 cases. The male: female ratio was 1.8:1. Peak age group affected was 6 to 15 years. Lower limbs were the most common site of snake bite. Pain and swelling at the site of bite were the most common symptoms of envenomation. Cellulitis and coagulopathy were the most common complications seen in our study. Anti-snake venom (ASV) was used in 65 cases and the average ASV required in local and systemic envenomation was 5 and 20 vials respectively. There was one death during the study period.Conclusions: Lower limbs were the most common site of snake bite. Pain and swelling at the site of bite were the most common symptoms of envenomation. Cellulitis and coagulopathy were the most common complications. The case fatality rate was 0.6%.

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“…A similar type of distribution of envenomation was reported from other parts of the country. [ 2 , 12 ] Though cellulitis was the most common local manifestation (40% and 60%) found in other studies,[ 10 , 13 ] we had a lower incidence of the same.…”

Section: Discussionsupporting

confidence: 43%

Clinical, laboratory profile and outcomes in children with snakebite from Eastern India

Pattanaik,

Mahapatra,

Karthika

et al. 2023

Journal of Family Medicine and Primary Care

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Background: Snakebite remains a significant public health problem worldwide, particularly in rural areas with unexpected morbidity and mortality. This study evaluated the clinical, laboratory profile and outcomes in children with snake bites from Eastern India. Methods: This was a retrospective case record-based study between January 2017 and December 2021. The clinical features, complications, laboratory profiles and outcomes were analysed. Results: Thirty children with snake bites were admitted during this study period. There was a male predominance with a ratio of 2.3:1. The mean age of presentation was 10.4 years. About 60% of bites occurred during the rainy season between July and September. Most bites (96%) were on lower limbs, predominantly showing vasculotoxic features followed by neurotoxic and a combined presentation. In this study, around 53% received anti-snake venom (ASV) before reaching our centre; the median time to reach our centre was 13 h. Complications such as acute kidney injury (AKI), cellulitis, shock and coagulation abnormalities were common in those who arrived early (before 6 h) than in those who reached late (after 6 h). Similarly, the mean duration of hospital stay was less for those seeking medical attention early as compared to those reaching late for treatment (4.7 days vs. 7.2 days). Twenty-six out of 30 (86.7%) were discharged without any sequelae, 3 (10%) children were left against medical advice and one died. Conclusions: Snakebite remains a major health problem in children causing significant morbidity and mortality. Children, in general, especially males, are particularly vulnerable because of their playful and explorative nature and considerable time spent in outdoor activities. Preventive measures, education about avoiding traditional first aid methods and early administration of ASV reduce complications, duration of hospital stay and avoid the use of antibiotics.

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Clinicoepidemiology, clinical profile and outcome of venomous snake bite in children in Konaseema region of Andhra Pradesh, India

Cited by 7 publications

References 7 publications

Clinico-Epidemiological Study Done at a Tertiary Care Centre in Western Ghats of South India and Outcome of Snakebite Cases

Clinico-Epidemiological Study Done at a Tertiary Care Centre in Western Ghats of South India and Outcome of Snakebite Cases

Clinical profile and outcome of snake bite in children at a tertiary care centre in South India

Clinical, laboratory profile and outcomes in children with snakebite from Eastern India

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