Snakebite envenoming in Kerala, South India: clinical profile and factors involved in adverse outcomes

Abstract

Early administration of SAV reduces the risk of complications. The presence of leucocytosis and severe coagulopathy can predict adverse outcomes.

A Study on the Acute Kidney Injury in Snake Bite Victims in A Tertiary Care Centre

“…Our findings were concurrent with those of earlier studies [11][12][13][14]. In our study, predominantly, the younger population was involved (20-40 years of age), probably due to their more ambulant nature [15,[16][17][18][19]. A study which was done by Bhat et al, had also noted that 80% of the cases occurred in this age group.…”

Epidemiological Profile of Snake Bite at Tertiary Care Hospital, North India

“…This ratio is completely in alignment of facts deducted in similar studies done elsewhere [4,[14][15][16].…”

“…This is mostly because of poor visibility and accidental stepping on the snake. Similar studies conducted in other parts of country showed relatively higher incidence of snake bitten cases between 6:00 PM and midnight [9,16,21] as found in our series.…”

“…The mortality rate was 7.7% and the leading cause of death was respiratory failure (53.8%) followed by renal failure (23%). Mortality rates in similar other studies varied from 3-6% [4,9,14,16]. Our apparently high mortality rate may be due to the delay in arriving at the hospital after the snakebite, since most patients came from 80 to 100 km away and perhaps due to patients initially seeking treatment from traditional healers and local practitioners.…”

‘A life threatening scratch on little toe’ – at most clinical suspicion the essential key in management of snake bite

“…Ariaratnam [14] proposed a syndromic approach to snake bite envenomations and our patient falls to syndrome-2 as had features of coagulopathy. Suchitra et al [15] from South India, studied the clinical characteristics, factors for complications and the outcomes of snake bite in relation to timing of polyvalent ASV administration in patients with snakebite envenomation. Among the 586 cases studied, 34% had sustained outdoor bites and snake species was identified in 34.5% of bites.…”