A study of management of the patients of snake bite at tertiary health care centre
Journal Title: Medpulse International Journal of Medicine - Year 2018, Vol 6, Issue 2
Abstract
Background: More than 2,00,000 cases of snake bite are reported in India each year. Reports from Maharashtra account for 2000 deaths. Aims and Objectives: To study management of the patients of snake bite at tertiary health care centre. After approval from institutional ethical committee a cross-sectional study was carried out in the department of Medicine of a tertiary health care centre in the patients of snake bite showing signs of envenomenation were admitted to Medicine ward during the one year period i.e. January 2016 to January 2017 . In the one year duration there were 105 patients were admitted for snake bite.The statistical analysis was done by Chi square test calculated by SPSS 19 version. Result : In our study we have seen that The majority of the patients were in the age group of 30-40 were 30.48%, followed by 20- 3025.71%, 40-50 were 18.10%, 50-60 were 14.29%, <20 -11.43%. The majority of the patients were Male i.e. 71.43% and 28.57% were female. The most common type of Snake was Cobra i.e. 60.00 % , Viper bite were 27.62% and Krait bite were 12.38%. The majority of the patients were Rural i.e. 80.95%, Urban slum were 14.29%, and Urban were 4.76%. The majority of the patients with presence of ASV at primary treatment centre recovered i.e. 97.70 % as compared to only 44.44 in whom ASV at primary treatment centre was absent , this difference was statistically significant (X2=36.69,df=1,p<0.0001) . The majority of the patients with recovered i.e. 100 % i.e. in whom Delay ASV was < 4hours. and 80% in whom the delay was 4-24 hours. and only 10% in who the delay was >24 hours. This difference was statistically significant (X2=72.40,df=2,p<0.0001) Conclusion: It can be concluded from our study that still the mortality of snake bite is very high and important factors implicated were absence ASV at primary treatment centre and delay in ASV for more than 4 hours. so, the Adequate ASV and treatment guide line should circulated at every primary treatment centre for decreasing mortality related to snake bite.
Authors and Affiliations
Manish Pendse
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