Characteristics of snake envenomation in eastern India, a study of epidemiology, complications and interventions

Authors

  • Sudeb Mukherjee R.G.Kar Medical College & Hospital Kolkata

DOI:

https://doi.org/10.18203/issn.2454-2156.IntJSciRep20150669

Keywords:

Snake bite, AVS (Anti venom serum), ARF (Acute renal failure), RP (Respiratory paralysis)

Abstract

Background: Snake bite is an important public health problem in the tropics. The annual mortality rate in India is 15000-20000 due to snake envenomation. This study intended to analyze the characteristics of snake envenomation in detail in current time.

Methods: Total 122 cases of snake bite with features of envenomation who were admitted in our hospital in last 2 years were evaluated with detailed analysis.

Results: Significant association (p<0.05) (p=0.0029 at the degree of freedom 1) was found between time of AVS administration and development of ARF and/or RP. Patients receiving AVS at or after 6 hours were more likely to develop acute renal failure (ARF) and respiratory paralysis (RP) compared to patients receiving AVS before 6 hours.  

Conclusions: Timely detection and early intervention by AVS can prevent dangerous complications and mortality of snake bites.

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Author Biography

Sudeb Mukherjee, R.G.Kar Medical College & Hospital Kolkata

MD (Medicine) Resident, Department Of General Medicine,

References

Warrell DA. Guidelines for clinical management of snake bite in the Southeast Asia region. Southeast Asian Journal of Tropical Medicine & Public Health, 1999;30 Suppl 1.

Sahare P, Chaturvedi P. Snake poisoning in children. Indian Practitioner. 1997;50:979-85.

Grover JK, Gindhar Adiga U, Rathi SS. Snake bites. J Forensic Med Toxicol. 1996;XIII:20-4.

Virmani SK, Dutt OP. A profile of snake bite poisoning in Jammu region. J Indian Med Assoc. 1987;85:132-4.

Parikh CK. Textbook of medical Jurisprudence, forensic medicine and toxicology. In: Parikh CK, eds. A Book. 6th ed. New Delhi: CBS Publishers; 2000.

Reid HA, Theakston ROG. The management of snake bite. Bull World Health Organ 1986;61:885-95.

Kulkarni ML, Anees S. Snake venom poisoning - experience with 633 cases. Indian Pediatr. 1994;31:1239-44.

Longo DL, Fauci AS, Kasper DL, Hauser SL. Venomous snakes. In: Longo DL, Fauci AS, Kasper DL, Hauser SL, eds. Harrison’s Principle of Internal Medicine. 19th ed. New York: McGraw Hill Publication; 2015: 2733.

Tun-Pe, Tin-Nu-Swe, Myint-Lwin, Warrell DA, Than-Win. The efficacy of tourniquets as a first-aid measure for Russell’s viper bites in Burma. Transact Royal Soc Trop Med Hyg. 1987;81(3):403-5.

Warrel DA. First-aid treatment of snake bite - Harveian oration. Lancet. 2001;358:1986.

Warrel DA. The clinical management of snake bites in the South East Asian region. Southeast Asian J Trop Med Public Health. 1999;30(Suppl):S1-67.

Punde DP. Management of snake-bite in rural Maharashtra: a 10-year experience. Nat Med J India. 2005;18(2):71-5.

Bawaskar HS, Bawaskar PH. Management of snake bite and scorpion sting. Quart Med Rev. 2009;60(4):4.

Kularatne SAM. Common krait (Bungaruscoerulus) bite in Anuradhapura, Sri Lanka: a prospective clinical study 1996-98. Postgrad Med J. 2002;78:276-80.

Ariratnam CA, Reziv Sheriff MH, Theakston RDG, Warrel DA. Distinctive epidemiologic and clinical features of common krait bite in Sri Lanka. Am J Trop Med Hyg. 2008;19(3):458-62.

Rodney E, Phillips, David R, Theakston, Warrell DA, Galigedara Y, et al. Paralysis, Rhabdomyolysis and haemolysis cause by bites of Russells viper in Sri Lanka: Failure of Indian Antivenom. Quarterly journal of medicine.1988;68:691-716.

Saini RK, Sharma S, Singh S, Pathania NS. Snake bite poisoning: a preliminary report. JAPI. 1984;32:195-7.

Virmani SK, Dutt OP. A profile of snake bite poisoning in Jammu region. J Indian Med Assoc. 1987;85:132-4.

Pal J, Dasgupta S. Early prediction of kidney injury by clinical features of snakebite patients at the time of hospital admission. North Am J Med Sci. 2012;4(5):216-20.

Anthappan G, Balaji MV, Navaneethan U, Thirumalikolundsubr AP. Acute renal failure after snake envenomation: a large prospective study. Saudi J Kidney Dis Transplant. 2008;19(3):404-10.

Vijeth SR, Dutta TK, Shahapurkar J. Correlation of renal status with haematological profile in viperine bite. Am J Trop Med Hyg. 1997;56:168-70.

Ash T, Pandhiary KN, Mahapatra MK, Mehar LK, Padhy PK, Mukherjee S. Acute renal failure in snake bite. J Assoc Physician India. 2000;48:31.

Thomas L, Tyburn B, Ketterlé J, Biao T, Mehdaoui H, Moravie V, et al. Prognostic significance of clinical grading of patients envenomed by Bothrops lanceolatus in Martinique. Members of the Research Group on Snake Bite in Martinique. Trans R Soc of Trop Med Hyg. 1998;92(5):542-5.

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Published

2015-08-31

How to Cite

Mukherjee, S. (2015). Characteristics of snake envenomation in eastern India, a study of epidemiology, complications and interventions. International Journal of Scientific Reports, 1(4), 190–195. https://doi.org/10.18203/issn.2454-2156.IntJSciRep20150669

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Original Research Articles