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
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