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
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- EP ID EP132937
- DOI 10.14260/jemds/2014/1937
- Views 92
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