Current scenario of snakebite in Gwalior Chambal Region: A prospective study
Journal Title: International Journal of Medical and Health Research - Year 2018, Vol 4, Issue 12
Abstract
Background: Management of snakebite victims includes an appropriate first aid and treatment in hospital. Recognizing early symptoms of envenomation and arranging for early transport to a health care facility will avert deaths. Aims and Objective: To study clinic epidemiological factors of snakebite victims. Materials and Methods: Hundred snakebite victims were studied at Gajra Raja Medical College Gwalior from April 2014 to November 2015. A questionnaire was prepared and information regarding demography, time and site of the bite, type of snake, visit to traditional healer, tourniquets, fang marks, local and systemic examination, relevant laboratory investigations, complications and outcome of the case was recorded in a preapproved proforma. Results: Majority of the snakebite victims were male (69%), belong to young age group of 21-30 years (26%). The most common site of bite was in lower extremity (70%).Majority of the victims (48%) reached hospital after six hours. Thirty nine percent of the snakebite victims presented with tourniquet. Majority of the victims still used to visit (30%) traditional healer before reaching hospital. Majority of the patients (81%) had fang marks present. Majority developed neurotoxicity (92%) and mortality was recorded in 4%. Conclusion: Neuroparalytic envenomation was most common. People still visit traditional healers. Prehospital management of snakebite remains suboptimal.
Authors and Affiliations
Dr. Pradeep Prajapati, Dr. Neelima Singh, Dr. Amit Katare, Dr. Rajkishori Prajapati
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