CLINICAL PROFILE AND OUTCOME OF SCORPION STING IN CHILDREN BETWEEN 1–12 YEARS OF AGE ADMITTED IN A TERTIARY CARE HOSPITAL
Journal Title: Journal of Evolution of Medical and Dental Sciences - Year 2015, Vol 4, Issue 44
Abstract
[b] AIM OF STUDY[/b]: To study the clinical presentation, course, complications and outcome of scorpion sting envenomation. To establish the usefulness of prazosin therapy and to emphasize that shorter the sting-prazosin interval, better the outcome. [b]DESIGN[/b]: Observational. [b]SETTING[/b]: Tertiary Care Hospital in Trichy, Tamilnadu. [b]PARTICIPANTS[/b]: 60 children aged 1 to 12 yrs., with Scorpion envenomnation. [b]MATERIALS AND METHODS: [/b]Prospective study of 60 children with Scorpion sting admitted at Mahatma Gandhi Memorial Government Hospital, Trichy from July 2013 to August 2014. The severity of Scorpion sting was graded on admission into three (3) categories and the outcome evaluated. [b]RESULTS[/b]: 66.66% of children were admitted with autonomic storm. Majority of children 43.33% had Grade II severity. 48.33% received 1st dose prazosin within 4 hours of sting, 45% received prazosin between 4-8 hrs. 6.66% of children received 1st dose of prazosin after 10 hours of sting due to delayed referral. The mean time of reversal of autonomic storm was between 6- 24 hrs. [b]CONCLUSION[/b]: The present study emphasizes the beneficial effects of Prazosin therapy in scorpion envenomnation. The time lapse between sting and administration of prazosin greatly influences the outcome of these children.
Authors and Affiliations
Saminathan D. , Thangavel A. , Balaji K. , Harshitha Mouli
Keywords
Related Articles
- EP ID EP127941
- DOI 10.14260/jemds/2015/1103
- Views 88
- Downloads 0
A STUDY ON TUBAL PATENCY FOLLOWING MANAGEMENT OF TUBAL PREGNANCY
BACKGROUND A tubal ectopic pregnancy is one in which blastocyst implants in fallopian tube. Ectopic pregnancy accounts for 1-2% of total pregnancies and 95% of them are tubal ectopic. It is an important cause of morbidit...
ANATOMICAL AND FUNCTIONAL OUTCOME OF COMMINUTED INTRA-ARTICULAR DISTAL RADIAL FRACTURES TREATED WITH VOLAR BUTTRESS PLATING AND ANTI-IMPACTION KIRSCHNER WIRE THROUGH THE RADIAL STYLOID
BACKGROUND Comminuted Colles’ fracture is common after accident and fall from height. Residual deformity after treatment adversely affect wrist motion and hand function.(1) Collapse on metaphysis and radial styloid with...
CLINICAL EVALUATION OF CLONIDINE AS AN ADJUNCT TO CAUDAL ROPIVACAINE IN PEDIATRIC INFRAUMBILICAL SURGERIES
[b]BACKGROUND[/b]: The addition of clonidine as an adjuvant has allowed the use of lower concentration of the local anaesthetic for achieving the same level of anaesthesia but with the prolonged duration of an...
COMPARISON OF I-GEL AND PROSEAL LARYNGEAL MASK AIRWAY FOR AIRWAY MANAGEMENT IN ADULT PATIENTS UNDERGOING ELECTIVE SURGERIES IN GENERAL ANAESTHESIA
BACKGROUND Supraglottic airway devices have emerged for effective airway management requiring minimal skill as an alternative to tracheal intubation during general anaesthesia. Of these devices, ProSeal LMA has been used...
A COMPARATIVE STUDY OF LOW DOSE INTRAVAGINAL MISOPROSTOL (PGE1) WITH INTRACERVICAL DINOPROSTONE (PGE2) GEL FOR CERVICAL RIPENING AND LABOUR INDUCTION
[b]OBJECTIVES[/b]: (1) To compare the efficacy of low dose PGE1 with PGE2 for induction of labour at term. (2) To compare the safety of PGE1 with PGE2 in terms of labour and neonatal outcome.[b] METHODOLOGY[/b]...