SNAKE BITES IN NORTH KERALA, DEMOGRAPHIC PROFILE AND MEAURSES FOR PREVENTION
Journal Title: Journal of Evolution of Medical and Dental Sciences - Year 2014, Vol 3, Issue 4
Abstract
[b]AIM[/b]: The study was done to verify the clinical and demographic profile, the predictors of outcome and to assess the degree of awareness about preventive measures against snakebite among the victims. [b]METHODS AND OBSERVATIONS: [/b]It was a prospective observational study which included all patients above 12 years presenting to Calicut Medical College with history of snakebite from 1st March 2003 to 28th February 2004. There were 874 cases of which 213(24.4%) showed features of toxicity. 68.4% (598)were males. 52% belonged to 21-40 age group. 50%of nontoxic bites occurred during the months of March to June. Toxic bite did not have any seasonal variation. Viper was the commonest toxic snake and Eryx conicus the commonest nonpoisonous snake identified. Of the 213 toxic cases 111 cases showed hemotoxicity, 24 cases had local/regional toxicity; 40 cases with neurotoxicity and 38 cases showed mixed heamo and neurotoxicity.40 cases showed features of capillary leak and had high mortality rate. The median dose of polyvalent ASV used was 15.5 vials. Overall mortality among toxic cases was 14%(28cases). Capillary leak syndrome contributed to majority (23 of 28) of deaths. [b]CONCLUSIONS: [/b]Overall mortality among toxic cases was 14%(28cases). Capillary leak syndrome contributed to majority (23 of 28) of deaths. Bite by Viper, presence of vomiting, early onset of manifestations, polymorphonuclear leukocytosis and bite during September to March predicted poorer outcome. 45% of the victims were totally unaware of any kind of preventive measures, those who were aware of did not take any preventive measures. [b]KEYWORDS: [/b]snake bite prevention, antisnake venom, capillary leak.
Authors and Affiliations
Krishnadas T, Sasidharan P. K
Keywords
Related Articles
- EP ID EP132937
- DOI 10.14260/jemds/2014/1937
- Views 96
- Downloads 0
ROLE OF ULTRASONOGRAPHY & COLOR DOPPLER IN THE EVALUATION OF THYROID NODULES WITH HISTOPATHOLOGICAL CORRELATION
[b]PURPOSE OF THE STUDY[/b]: 1. To identify morphologic patterns on sonography, those are predictive of benign thyroid nodules and malignant thyroid nodules. 2. To evaluate the efficacy of sonography in dif...
‘BALL VALVE’ OBSTRUCTION OF ILEUM, CAUSED BY A CALCIFIED PRIMARY ENTEROLITH
Small bowel obstruction resulting from stone impaction is very rare, with most cases caused by a gallstone ileus or by an enterolith formed in a small bowel diverticulum. We report a rare case of distal small b...
COMPARISON OF MATERNAL AND PERINATAL OUTCOME IN ELECTIVE REPEAT CAESAREAN SECTION DONE BEFORE 39 WEEKS AND THOSE DONE AT OR AFTER 39 WEEKS OF GESTATION
[b] INTRODUCTION[/b]: Caesarean sections are one of the commonest surgeries performed in the world today. The timing of scheduling an elective repeat cesarean section has been an issue of debates Because of inc...
UNUSUAL PRESENTATION OF A GIANT EPIDERMOID CYST IN SCALP REGION- A CASE REPORT
PRESENTATION OF CASE An otherwise ordinarily occurring epidermoid cyst in most of the cases is considered as a benign and harmless one.(1) It is of an epidermal origin and it usually presents itself on body parts such as...
A CO-RELATIVE STUDY OF INTRA OPERATIVE FINDINGS AND POST OPERATIVE COMPLICATIONS OF LAPAROSCOPIC CHOLECYSTECTOMY
[b] INTRODUCTION[/b]: This study has been carried out with an objective to study the outcome of the intra operative findings in terms of post operative complications and patient recovery from laparoscopic cholec...