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

2017 ◽  
Vol 4 (5) ◽  
pp. 1422
Author(s):  
Anubha Srivastava ◽  
Animesh Gupta ◽  
Sanjay K. Singh
Keyword(s):  
Rural Areas ◽  
Tertiary Care ◽  
Epidemiological Data ◽  
Snake Bite ◽  
Medical Emergency ◽  
Care Hospital ◽  
Occupational Hazard ◽  
Medical Emergencies ◽  
Study Population ◽  
Epidemiological Profile

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.

scholarly journals A study to assess the clinical profile of patients with snake bites in a tertiary care hospital

2019 ◽  
Vol 6 (6) ◽  
pp. 1727
Author(s):  
Keshava Murthy M. R. ◽  
Aruna C. Ramesh
Keyword(s):  
Rural Areas ◽  
Primary Care Physicians ◽  
Tertiary Care ◽  
Snake Bite ◽  
Clinical Profile ◽  
Medical Emergency ◽  
High Morbidity ◽  
Care Hospital ◽  
Correct Treatment ◽  
Snake Bites

Background: Snakebite is a life-threatening medical emergency. It occurs frequently among rural people, especially those working in the fields. Most houses in rural areas of India are made of mud and have many crevices where rodents flourish. Delay in seeking medical aid or ignorance among primary care physicians about the correct treatment of snakebite is responsible for the high morbidity and mortality. Authors objective was to study the clinical profile of snake bite at a rural tertiary care centre.Methods: A hospital based cross sectional study was conducted at M S Rammaih Medical College Bangalore from   June 2017 to June 2018.  The incidence of Snake bite in Karnataka is 0.5% and at 95% confidence interval with Margin of error at 1% the estimated sample size was 197, but in this study author were able to collect data of 237 cases, hence all the cases were included in the study and analyzed.Results: Majority of the respondents were middle aged between 21-50 years. Around 63.3% of the respondents were male and nearly 56.2% were farmers. The incidence of snake bite of Cobra was seen in 8.9%, Krait 5.1% and viper 4.2%. Around 70% patients had no significant complications following hospitalization in our study. Around 20% had hematotoxic like ARF, DIC and local gangrene.Conclusions: Snakebite is one of the common hazards especially in rural setup as agriculture being the main occupation. Snake bite can present with various manifestations at bite sites, neurotoxicity, hematotoxicity.

scholarly journals Clinico-epidemiological evaluation of patients with sinonasal masses attending a tertiary care hospital in Jharkhand: a three year retrospective study

2016 ◽  
Vol 3 (1) ◽  
pp. 132
Author(s):  
Ranbir Kumar Pandey ◽  
Dheeraj Kumar ◽  
Nisha Shrivastava ◽  
Nishant Kumar
Keyword(s):  
Retrospective Study ◽  
Nasal Obstruction ◽  
Rural Areas ◽  
Tertiary Care Hospital ◽  
Tertiary Care ◽  
Epidemiological Data ◽  
The Body ◽  
Nasal Discharge ◽  
Care Hospital ◽  
Epidemiological Profile

<p class="abstract"><strong>Background:</strong> Nasal cavity may contain wide variety of masses within by which this organ differs from the rest of the body. Benign nasal and paranasal sinus masses are commonly encountered in clinical practice. The purpose of this study was to classify various types of sinonasal masses and characterize their clinico-epidemiological profile in a tertiary care hospital of Jharkhand. The objectives of the study was<strong> </strong> to evaluate the clinico-epidemiological profile of nasal masses in patients attending ear, nose, throat and head and neck surgery (ENT &amp; HNS) OPD of Rajendra Institute of Medical Sciences (RIMS), Ranchi from January 2013 to December 2015)  and to classify the nasal masses according to their percentage of occurrence<span lang="EN-IN">. </span></p><p class="abstract"><strong>Methods:</strong> This retrospective study was designed for evaluation of clinico-epidemiological data collected from admission register of ENT Dept. RIMS, Ranchi during the period of 2013 to 2015. Total sample size for this period was 240. Templates were generated in MS Excel sheets and analysis was done using SSPS software<span lang="EN-IN">.  </span></p><p class="abstract"><strong>Results:</strong> With the three year data analysis of 240 patients, we came up with the result that nasal masses were more common in age group of &lt;20 years (52%), occurred more in males (68.4%), most of the patients were tribals (72.9%), mostly from rural areas (60%), and maximum of them were diagnosed as antrochoanal polyps (37.9%). The most common presenting complain was nasal obstruction (85.8%), followed by nasal discharge (52.9%)<span lang="EN-IN">. </span></p><p class="abstract"><strong>Conclusions:</strong> Antrochoanal polyp is the most common type of nasal masses presenting mostly in tribal males from rural areas of Jharkhand, presenting with nasal obstruction<span lang="EN-IN">.</span></p>

scholarly journals Clinico-epidemiological profile of snake bite in children in a tertiary care centre: a hospital based study

2017 ◽  
Vol 5 (1) ◽  
pp. 124
Author(s):  
Anil Kumar H. ◽  
Mallesh Kariyappa ◽  
Vinutha G. N.
Keyword(s):  
Health Problem ◽  
Rural Areas ◽  
Tertiary Care ◽  
Snake Bite ◽  
Morbidity And Mortality ◽  
Major Public Health Problem ◽  
Case Record ◽  
Early Presentation ◽  
Major Health Problem ◽  
Epidemiological Profile

Background: Snake bite remains major public health problem worldwide, particularly in rural areas with unexpected morbidity and mortality. This study was conducted to evaluate the clinico-epidemiological profile and complications of snake bite in children at our institute.Methods: This was a retrospective case record based study with records between January 2011 and December 2016 studied. The clinico-epidemiological features and complications were recorded and analysed.Results: Total of 242 snake bite children were admitted during the study period out of 17512 admissions constituting to 1.38% of admissions. There was male predominance with ratio of 2:1. About 43% of children were in the age group of 7-12 years, followed by 13-18 years. About 43% of bites occurred between March and June months. About 2/3rd of cases were from rural areas, 50% of cases were bitten outdoor. About 3/4th of cases had bite in the lower extremity. In this study 3/4th of children presented to hospital within 6 hours of bite. The major symptoms were pain and swelling at the site of bite. 10% of children had neurotoxic symptoms. Major complications noted were compartment syndrome, DIC, AKI and respiratory paralysis. Four (1.7%) children died, 3 had DIC and 1 died due to uremic encephalopathy.Conclusions: Snake bite remains a major health problem in children causing significant morbidity and mortality. Children are particularly vulnerable because of their active and explorative nature and they also spend considerable time outdoors particularly male children. Simple preventive measures to be taken and people should be educated about avoiding traditional first aid methods and early presentation to hospital.

scholarly journals Pharmacotherapeutic study of efficacy, safety and prognostic analysis of anti snake venom serum in snake bite patients

2017 ◽  
Vol 6 (4) ◽  
pp. 906 ◽  
Author(s):  
Khalid Inamdar ◽  
Sudhakar M. Parhate ◽  
Rahul D. Randad
Keyword(s):  
Mechanical Ventilation ◽  
Snake Venom ◽  
Rural Areas ◽  
Tertiary Care ◽  
Optimal Dose ◽  
Snake Bite ◽  
Medical Emergency ◽  
Time Interval ◽  
Male Victims ◽  
Effective Measure

Background: Snakebite is a common medical emergency especially in the rural areas. The effective measure to treat most of the manifestations of venomous snake bite is timely administration of anti-snake venom serum (ASVS). Problems associated with ASVS use are lack of evidence for optimal dose schedule and occurrence of hypersensitivity reactions.Methods: A retrospective review of snakebite cases was carried out from record section of a tertiary care teaching hospital from January 2011 to December 2011.Results: Out of total 202 snakebite patients admitted during the study period, age group of 21-30 years (mainly male victims) accounted for highest no. of snakebite cases (25.7%). The mean (±SD) dose of ASVS used was 124 (±112) mL. 11.8% patients had suffered from adverse drug reactions due to ASVS. 7.4% patients required mechanical ventilation. Overall mortality in our study was 9.4%. Mortality was higher (50%) where the time interval between the snakebite and initiation of treatment was >6 hours. Out of total 15 patients who required mechanical ventilation, n=10 (66.6%) patient died.Conclusions: In our study, mean dose of ASVS used was as per WHO guidelines. Less incidence of adverse drug reaction due to ASVS may be because of co-administration of corticosteroids and anti-histaminics. Delay in getting treatment with ASVS, neurotoxic envenomation and respiratory failure, were the risk factors associated with adverse prognosis due to snake bite in our set up.

scholarly journals Maternal mortality in tertiary care hospital: a 2-year review

2018 ◽  
Vol 8 (1) ◽  
pp. 184
Author(s):  
Juhi Ankit Patel ◽  
Kanaklata D. Nakum ◽  
Aditi Vithal ◽  
Mayank R. Lunagariya
Keyword(s):  
Maternal Mortality ◽  
Low Socioeconomic Status ◽  
Rural Areas ◽  
Tertiary Care ◽  
Maternal Mortality Ratio ◽  
Epidemiological Data ◽  
Care Hospital ◽  
Maternal Deaths ◽  
Mortality Ratio ◽  
Set Up

Background: Epidemiological data pertaining to maternal mortality is valuable in each set up to design interventional programs to favourably reduce the ratio. This study was done to evaluate the maternal mortality rate in our hospital, to assess the epidemiological aspects and causes of maternal mortality, and to suggest recommendations for improvement.Methods: This was a 2-year retrospective study. Epidemiological data was collected from the Last 2 years of Facility Based Maternal Death Review Form. Maternal mortality ratio, epidemiological factors and causes affecting maternal mortality were assessed.Results: A total of 72 maternal deaths occurred. Most maternal deaths occurred in the age group of 20–24 years (40.27%), multiparous women (70.83%), women from rural areas (65.27%), illiterate women, unbooked patients (83.33%), and patients of low socioeconomic status. Direct causes accounted for 62.4% of maternal deaths where as 37.4% of maternal deaths were due to indirect causes.Conclusions: There is a wide scope for improvement as a large proportion of the observed deaths could be preventable.

scholarly journals Epidemiological profile of snake bite at a Tertiary Care Hospital Bengaluru, India

2015 ◽  
Vol 6 (3) ◽  
pp. 58 ◽  
Author(s):  
Abubakar Siddique ◽  
Githa Kishore ◽  
EjazMohammed Ahmed ◽  
HafeezAbdul Khader
Keyword(s):  
Tertiary Care Hospital ◽  
Tertiary Care ◽  
Snake Bite ◽  
Care Hospital ◽  
Epidemiological Profile

scholarly journals Analysis of Snake Bite Victims in a Tertiary Care Center

2015 ◽  
Vol 12 (1) ◽  
pp. 24-28
Author(s):  
V Dharma Rao ◽  
P Bickram ◽  
R P Ramyatha ◽  
N Sumalatha
Keyword(s):  
Mortality Rate ◽  
Care Center ◽  
Tertiary Care ◽  
Kidney Injury ◽  
Assisted Ventilation ◽  
Snake Bite ◽  
Care Hospital ◽  
Hospital Referral ◽  
Snake Bites ◽  
Epidemiological Profile

Background: Snake-bite is a common cause of morbidity and mortality in tropical countries. In India, there are 216 species of snakes, of which only four (cobra, krait, Russell’s viper and saw scaled viper) are venomous. Objective: The aim of the study was to evaluate the epidemiological profile, clinical features, complications and mortality rate of snake bite victims admitted in a tertiary care hospital in Andhra Pradesh, India. Methods: The study was conducted at Mamata General Hospital, khammam from June 2010 to May 2012. A total of 39 cases with history of snake bite were analysed. Results: Out of 39 cases, majority of the cases were observed in the age group 20-50 year (66%). High incidence of snake bite was observed in males 62%). The common victims were farmers and housewives. The bite was commonly encountered while walking bare foot (30%) followed by while sleeping (14%). Fifty Four percent of victim were bitten during outdoor and agriculture related activities. Maximum number of cases (54%) presented within 12 hour of snake bite and 66% cases had 1-5 days of hospital stay. Majority (82%) were bitten on the legs below knee. Localized oedema at the site of bite was present in 70% victim. Fang/teeth marks were noted in (41%) cases. There were 59% neurotoxic snake bites, 26% haemolytic, 5% mixed and 8% non-poisonous snake bites. Most of the cases developed cellulitis at the site of snake bite (21%), shock (12%), and acute kidney injury (8%). One tenth of the cases required assisted ventilation and overall mortality rate was 8%.Conclusion: Snakebites are still common in the rural population of India. There is need to educate the public about the preventive measures of snake bite, advantages of early hospital referral and treatment.DOI: http://dx.doi.org/10.3126/hren.v12i1.11981        Health Renaissance 2014;12(1):24-28

scholarly journals Clinical spectrum and out comes of snake bite patients admitted in a tertiary care hospital , A prospective observational hospital based study

JMS SKIMS ◽  
2020 ◽  
Vol 23 (3) ◽  
Author(s):  
Sameer Anand ◽  
Owais Ahmed ◽  
Vijay Kundal
Keyword(s):  
Clinical Features ◽  
Rural Areas ◽  
Tertiary Care ◽  
Public Health Problem ◽  
Snake Bite ◽  
World Health ◽  
Major Public Health Problem ◽  
Care Hospital ◽  
Female Ratio ◽  
Snake Bites

Background: Snakebite is a major public health problem and its prevalence is high in India. Insufficient epidemiological data and global neglect of this condition prompted the World Health organization to recognize it as a ‘‘neglected tropical disease’’ Objective: To study demographic characteristics of snakebite victims, to see clinical symptoms of bite and outcomes of snakebite. Methods: A prospective observational hospital-based study carried out from November 2016 to October 2017, in patients with a history of snakebite. Results:Total 300 patients were included in this study,170 (56.67%) were bitten by heamotoxic snakes and 130 (43.33%) were bitten by neurotoxic snakes. Majority of patients  were in the age group of 20-39 years  ( n=153; 51%). Men outnumbered women( n=190; 63.33%), with male to female ratio of 1.7: 1. Higher incidence of snake bite was found in July – September (n=135;45.00 %) followed by April to June( n=124; 41.33%).Majority of patients were farmers in rural areas ( n=242; 80.80%).Out of 300 patients,80required ICU care.In patients with neuroparalytic snake bites, clinical features were; ptosis (n=126; 96.92%),ophthalmoplegia  (n=98; 75.38%),respiratory paralysis (n=60; 46.15%),bulbar weakness ( n=74; 56.92%) andabdomen pain(n=25; 19.23%).Clinical features in patients of haemotoxic snake bites were ; bleeding from bite site(n=110; 65.29%) , cellulitis(n=100; 58.82%), gum bleed(n=53; 31.18%), ecchymosis(n=49; 28.82%),epistaxis(n=27; 15.82%),gastrointestinal bleeding(n=25; 14.71%) andhaemoptysis(n=19; 11.18%). Complications  observed  were  acute kidney injury ( n=62; 20.67%) , respiratory failure ( n=51; 17.00%) , DIC( n=7; 2.33%) and  ARDS( n=5; 1.67%) . Out of 170 hemotoxic snake bite patients, 157 (92.35%)  patients  recovered  and 13 (7.65%) patients  died and out of 130 neurotoxic snake bites, 124 (95.39%) patients  recovered and 6 (4.61%)  patients   died, overall mortality was 6.3%. In our study, bite to needle time  was less than 1 hour in 47 patients (15.66%), less than  6 hrs in 120 patients (40%) and more than 24 hours in 45 (15%). Conclusion: Snakebite is common in adult males between 20 to 50 years and the commonest site is the lower limb. The majority of the victims are farmers who work in fields. A maximum number of cases presented within 1-6 hours of bite using a tourniquet on the affected limb as first aid. The complications and mortality of snakebite are high.

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