Incidence of fatal snake bite in Loni, Maharashtra: An autopsy based retrospective study (2004–2014)

Farooqui, Jamebaseer; Mukherjee, Bimbisar; Manjhi, Shiv Narayan; Farooqui, Anjum Ara J.; Datir, Sandesh B.

doi:10.1016/j.jflm.2016.01.013

Cited by 7 publications

(2 citation statements)

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“…Most common symptom complex of patients was neurological in 38 (70.4%) patients followed by haematological in 7 (13%) patients. Similar results were seen in studies[ 20 ] conducted in India particularly northern India. One ambispective study conducted in Paediatric department in Himachal Pradesh (India) revealed neuroparalytic features in 32 (53.3%) children while 21 (35.0%) showed hematotoxic manifestations.…”

Section: Discussionsupporting

confidence: 90%

“…This was similar to one study in which bites are more common in upper limbs (76%) than lower limbs (24%). [ 17 ] However, this was differing with many other studies[ 5 18 19 20 21 22 23 ] in which lower limb bite was the most common site of bite. This difference may be because majority of bites in our study occurred when patients were sleeping which allow equal opportunity to all parts of body to be bitten.…”

Section: Discussionmentioning

confidence: 76%

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Ambispective study of clinical picture, management practices and outcome of snake bite patients at tertiary care centre in Northern India

Jadon

Sood

Bauddh

et al. 2021

Journal of Family Medicine and Primary Care

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Background: Snakebite is a common but neglected public health problem of tropical & subtropical regions worldwide. This study was conducted to look into profile, first aid measures, management strategy and outcomes of snake bite patients. Methods: This was an ambispective study conducted in the Department of Medicine & Emergency Medicine at AIIMS, New Delhi from June 2011 to May 2017 and enrolled 54 patients. In retrospective part 33 case records of snake bite patients were retrieved and in prospective part 21 patients were recruited. All relevant information including demographic parameters, first aid measures, clinical and laboratory profile and outcomes were recorded in pre made proformas. All data were analysed using IBM Stata version 13 and Microsoft Excel 2011. Results: Majority of patients were male, and the mean age was 27.6 years. Maximum numbers of bites 34 (63%) happened in the rainy season and Krait was the most common culprit species. Neurological manifestations were most common (70.4%) followed by haematological. Most common complication was ventilatory failure (78.6%), and median dose of ASV was 20 vials. Forty-nine (90.7%) patients were discharged successfully. There was significant association of sepsis and shock with non survivors of snake bite with respective P values of 0.02 and 0.007. Conclusion: Neurotoxic snake bite (70.4%) was the most common type of envenomation. Most common complication was ventilatory failure and majority of patient (90.7%) successfully discharged. Sepsis and shock were significantly associated with non survivors of snake bite.

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Section: Discussionsupporting

confidence: 90%