DOI: http://dx.doi.org/10.18203/2349-3933.ijam20174296

Epidemiological profile of snake bite at tertiary care hospital, East India

Anubha Srivastava, Animesh Gupta, Sanjay K. Singh

Abstract


Background: Snakebite is a common medical emergency and an occupational hazard for majority of Indian population especially farmers. Epidemiological data on snake bite from the East India is sparse.

Methods: This hospital based prospective study was conducted from March 2013 to February 2014. 200 cases of snakebite poisoning were admitted to the hospital during the study period.

Results: Majority of victims belonged to the age group of 15-45 (60%), resident of rural areas (92%) and were involved in agricultural activities (60%). The study population was predominately bitten outdoors (66%), in the lower extremity (86%), at night (82%). Respiratory muscle paralysis (66.7%), ptosis (66.7%), coagulopathy (60%), acute renal failure (55.6%), shock (55.6%) were the signs associated with poor prognosis.

Conclusions: Snakebite is an important occupational hazard, though preventable in principle remains to be one of the common medical emergencies.


Keywords


Epidemiology, Poisoning, Snake, Snake bite

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References


Jena I, Sarangi A. Snakes of medical importance and snakebite treatment. FRCP. 1993:7-8.

Scott Jackson and Peter Mirick. Massachusett Snakes a Guide. Available at http://www.umass.edu/nree/ snake-pit/pages/ begin.html 10th Dec. 2005.

Patrick R. An account of Indian Serpents collected on the Coastal of Coramendel containing description and drawings of each species, together with experiments and remarks on their several poisons, London, 1976;90:44.

Nayak KC, Sain AK, Sharadda DP, Mishra SN. Profile of cardiac complications of snakebite. Indian Heart J. 1990;142:185-8.

Viramani SK, Dutt OP. A profile of snakebite poisoning in Jammu Region. J Indian Med Associat. 1987;185:132-4.

Parikh CK. Textbook of Medical Jurisprudence, Forensic Medicine and Toxicology, 6th Edition, New Delhi, CBS Publishers; 2000.

Sawai, Yoshi, Manabu, Honma. Snakebites in India. The Snake. 1975;7(1):1-16.

Bhat RN. Viperine snakebite poisoning in Jammu. J Indian Med Associat. 1974;63:383-92.

Banerjee RN. Poisonous snakes in India, their venom, symptomatology and treatment of envenomation. In progress in Clinical Medicine in India, 1st Edition, M.M.S. Ahuja Ed. (Arnold Heinman Publishers, New Delhi); 1978:179-86.

Kularatne SAM. Common kriat (Bungurus Caeralenes) bite in Anuradhapura, Sri Lanka - A prospective clinical study. Postgraduate Med J. 2002;78:276-86.

Lal, Panna, Dutta, Shrihari. Epidemiological profile of snake bite cases admitted in Jipmer Hospital. Indian J Community Med. 2001;26(1):36-8.

Anjum, Epidemiological profile of snake bite at tertiary care hospital, North India. J Forensic Res. 2012:3-4

Alam MT, Wadud MA. A study of snake bite cases in Faridpur medical college Hospital, Faridpur. Faridpur Med Coll J. 2014;9(1):32-4.

Reddy PPK, Senthilvelan. A study of clinical profile of snake bite. Int J Modn Res Revs. 2015;3(10):964-8.

Pandey PC, Bajaj S, Srivastava A. A clinico-epidemiological profile of neuroparalytic snake bite: using low dose ASV in a tertiary care centre from North India. J Associat Physic India. 2016;64:16-9.