A STUDY ON POISONOUS SNAKEBITES FROM NORTHERN KERALA
Journal Title: Journal of Evolution of Medical and Dental Sciences - Year 2018, Vol 7, Issue 2
Abstract
BACKGROUND Poisonous snake bites are an important public health hazard in tropical and subtropical countries, mainly in the rural areas. The types of snake bites have a wide variety depending on the geographical regions. MATERIALS AND METHODS A retrospective observational study on 206 cases of poisonous snake bites, reported from a tertiary care centre in northern Kerala in the year of 2016- January 1st to December 31st . RESULTS Majority of the cases were males -126, females accounted for only 80 cases. Most bites reported were of viper, followed by krait, and cobra bites were very rare. The viper bites were the ones seen to develop renal failure as a complication with two cases of mortality. All patients received anti-snake venom within 6 hours of bite. Hypersensitivity reactions were seen with the ASV but were treated with intravenous hydrocortisone and antihistamine without any life-threatening complications. CONCLUSION Early treatment with ASV and recognition of impending complications is vital for better recovery in poisonous snake bites. Premeditation with intravenous hydrocortisone and antihistamine can prevent serious hypersensitivity reaction to ASV and should be routinely practised.
Authors and Affiliations
Prabhakaran K, Mukandan P. K, Surag M. K
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