scholarly journals Study on awareness regarding snake bite hazards among people working in agriculture sector and health education about preventive and first aid measures

2019 ◽  
Vol 6 (6) ◽  
pp. 2615
Author(s):  
Visweswara Rao Guthi ◽  
Sreedevi Arepalli ◽  
Sivakala Toka ◽  
Lohitha Bala Kakamanu ◽  
Lakshmi Sindhura Kakamanu
Keyword(s):  
Health Education ◽  
First Aid ◽  
Snake Bite ◽  
Medical Emergency ◽  
Age Group ◽  
Community Based ◽  
Agriculture Sector ◽  
Snake Bites ◽  
Post Test ◽  
Study Population

Background: Snake bite is a common medical emergency and an occupational hazard, more so in tropical India, where farming is a major source of employment. In India alone, it has been estimated that as many as 2.8 million people are bitten by snakes, and 46 900 people die from snakebite every year. The objective of the present study is to study the awareness about hazards of snake bite and to educate about preventive and first aid measures for snake bite.Methods: This study was a community based longitudinal study conducted in 7 villages near Kurnool town. The sample size was 230. From each agriculture workers after obtaining consent pre-test was done to know their awareness regarding hazards of snake bites in agriculture fields and preventive and first aid measures in each village followed by post-test after health education.Results: In this study 230 agriculture workers were participated. Among them 108 (46.95%) were males and 122 (53.1%) were females. Most of the study population were in the age group of 31-40 years (36.9%). Using torch during nights was 68.7% it was increased significantly to 83% after health education, using foot wear was only in 30.4% and increased significantly to 100%, using stick was in 76% and increased to 100% significantly.Conclusions: The practice of using torch, wearing footwear, using stick while on field, avoid sleeping on ground in the field were significantly improved after health education. The first aid measure measures after snake bite like immobilization of bitten limb, reassure the person bitten by snake, avoid suctioning, avoiding tourniquet were also improved significantly after health education.

scholarly journals Epidemiological and clinical profile of paediatric snake bite patients at a tertiary care centre of Himachal Pradesh, India

2020 ◽  
Vol 7 (6) ◽  
pp. 1331
Author(s):  
Arvind Sood ◽  
Aman Rana ◽  
Pancham Kumar
Keyword(s):  
Tertiary Care ◽  
Epidemiologic Study ◽  
Case Fatality ◽  
First Aid ◽  
Himachal Pradesh ◽  
Snake Bite ◽  
Clinical Profile ◽  
Medical Emergency ◽  
Peak Time ◽  
Snake Bites

Background: Pediatric snake bite cases are frequently encountered at health care centers of Himachal Pradesh. It is a medical emergency which require early hospitalisation and immediate medical intervention. This study determines the epidemiological and envenomation details along with clinical profile and management of pediatric snake bite patients in Himachal Pradesh, India.Methods: This prospective clinico-epidemiologic study included 30 paediatric snake bite cases reported at Department of Paediatrics, IGMC, Shimla. Demography, envenomation details, first aid and treatment, antivenom administration and outcome were recorded for all patients.Results: Of the total 30 cases, 56.6% were males and 43.3% were females. All patients were resident of rural areas and most of them belonged to middle socioeconomic status. Most (56.7%) snake bites occurred between 6pm to 12am and peak time was during rainy season. More cases of hemotoxic envenomation were observed as compared to neuroparalytic envenomation. Most common hematologic abnormalities were hematuria (4.8%) and epistaxis (4.8%). Respiratory paralysis, ptosis and opthalmoplegia were the most common presentation in patients with neuroparalytic envenomation. Clinical profile of patients showed thrombocytopenia (26.7%), prolonged PT/INR (76.6%) and 36.7% had prolonged activated partial thromboplastin time. All symptomatic patients were given ASV as primary treatment out of which 79.2% patients required more than 10 vials of ASV. Most common complication observed in neuroparalytic envenomation was respiratory failure (33.3%) and in hemotoxic envenomation was coagulation failure (66.7%). Only 3.3% case fatality was observed in this study.Conclusions: Snake bite in children is a medical emergency in hilly state of Himachal Pradesh where people still follow traditional first aid methods and treatment protocol. A widespread awareness programme is needed to propagate the newly advised first aid methods to prevent mortality by early hospitalization and administration of ASV.

scholarly journals Epidemiology and Clinical Outcome of Snakebite in Western Nepal: A Retrospective Study

2019 ◽  
Vol 12 (1) ◽  
pp. 53-57
Author(s):  
D Karki ◽  
B Sharma ◽  
R Koirala ◽  
A Nagila
Keyword(s):  
Retrospective Study ◽  
Clinical Outcome ◽  
Teaching Hospital ◽  
Hospital Admissions ◽  
Tertiary Care ◽  
Snake Bite ◽  
Medical Emergency ◽  
Care Hospital ◽  
Age Group ◽  
Snake Bites

Introduction: Snakebite is an environmental hazard associated with significant morbidity and mortality. It is an important medical emergency and cause of significant numbers of hospital admissions in many parts of the Asian region. In this study, we assess the epidemiology and clinical outcome of snake bite. Methods: This was a retrospective study of all patients with snake bites admitted to the Department of Internal Medicine, Manipal Teaching Hospital, Pokhara, kaski, Nepal. A total numbers of 265 snake bite cases in the period of 2013 to 2016 were enrolled in this study. Snake bite cases by person, place and time along with month of snake bite and time of bite, were analyzed. We also identified the types of snake and site of the bite. Sign and symptoms were clinically observed and the management of the snake bite cases was clinically done. Prothrombin time (PT) test along with INR value was performed by Medical Technologist at the Department of Laboratory, Manipal Teaching Hospital. Data was entered in to the Microsoft excel and analyzed by SPPS version 21.0. Percentages were applied to find the results. Results: Total numbers of snake bite cases were 265. More than half, 60.4% of the snake bite cases were females. Regarding the age group, nearly half, 47.9% were in the age group of 20 - 40 years and 9.8% cases were in the age group of 60 years and above. In this study, 50.6% bite cases were held at the day time and most of the bites were reported/ observed in the limb, 53.6% in lower limb, and 43.4% in the upper limb. Very few bites were in the head, neck and trunk. Our result shows 49.1% were green snake and 30.9% snake were unidentified. When we observed the sign and symptoms, 153 (57.7%) cases showed local swelling, 83 (31.3%) showed fang mark. Hematological manifestation were 144 (54.3%) cases and complication observed in 145 (54.7%) cases. Snake bite cases were managed after PT/INR test, INR. Antibiotic were prescribed in 154 cases and in 135 (50.9%) cases blood was transfused. There were no fetal cases noticed among hospital admitted snake bite cases. Conclusion: There is gross disparity in the management and outcomes of snake bite in different hospitals. Snake bite cases should manage in tertiary care hospital as early as possible.

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 Snake bite, a neglected menace: a prospective observational study in a tertiary care pediatric intensive care unit

2020 ◽  
Vol 7 (5) ◽  
pp. 1096
Author(s):  
Shatabdi Giri ◽  
Swarup Kumar Bisoi ◽  
Dillip Kumar Dash ◽  
M. D. Mohanty ◽  
S. K. Parida
Keyword(s):  
Intensive Care Unit ◽  
Intensive Care ◽  
Prospective Observational Study ◽  
Tertiary Care ◽  
First Aid ◽  
Snake Bite ◽  
Morbidity And Mortality ◽  
Snake Envenomation ◽  
Snake Bites ◽  
Atypical Presentations

Background: Snake bite is a neglected and underestimated public health problem in tropical and subtropical region. Snake envenomation is a well-known cause of morbidity and mortality in India. In 2009, WHO declared snake bite a neglected disease. Ophitoxaemia is an exotic term characterising the clinical spectrum of snake bite. Objective of this study was to know the outcome in paediatric snake bite cases in a tertiary care PICU (Paediatric Intensive Care Unit) with special reference to envenomation time and also to evaluate and analyse few atypical presentations of snake envenomation by proper history taking, physical examination and help start early intervention to prevent morbidity and mortality.Methods: A prospective observational study was done in Paediatric Intensive care unit of the hospital from June 2017 to June 2019.Results: Around 56.8% of 109 cases were non-poisonous snake-bites. Out of 47 cases admitted to PICU, 68.08% developed cellulitis at the site of bite with Staphylococcus aureus being the commonest organism isolated (56.25%). Anaerobes (bacteroides and clostridium) were also isolated in few cases. Edema at site of bite (hematotoxic) and ptosis(neurotoxic) were most common initial presentation. 36.17% of patients received ASV (Anti- Snake Venom) and first aid within 6 hours of snake bite. The morbidity and mortality were significantly less (p<0.05) as compared to those who didn't receive ASV. 12.76% of cases with normal CRT (Clot Retraction Time) presented with features of coagulopathy. DIC (58.33% of hematotoxic bites) and respiratory paralysis 68 (75% of neurotoxic bites) were the commonest complications. Renal replacement therapy was required in 6.38%, transfusion in 10.63% cases and case-fatality-rate was 12.7%. There were a few atypical presentations of snake bite mimicking Gullain-Barre syndrome, acute onset encephalitis with absent brainstem and pupillary reflexes, intracerebral hemorrhage and cortical blindness.Conclusions: Most snake bites are non-poisonous. Early first aid and ASV administration has better outcome. Fibrinogen levels are more reliable than CRT to diagnose coagulopathy. Acute presentations i.e, altered sensorium, paralysis, blindness and stroke like features should always be evaluated for snake envenomation in suspected cases to prevent morbidity and mortality.

scholarly journals Snake-Bite with Disseminated Intravascular Coagulation (DIC) and Stage II Hypertension

2017 ◽  
Vol 1 (5) ◽  
Author(s):  
Hendra Subroto ◽  
Leni Lismayanti
Keyword(s):  
Snake Bite ◽  
Sub Saharan Africa ◽  
Medical Emergency ◽  
Coagulation System ◽  
South East Asia ◽  
Emergency Case ◽  
Snake Bites ◽  
Laboratory Results ◽  
Sub Saharan ◽  
D Dimer

Snake-bite is an important medical emergency case and caused of many hospitaladmission especially in the rural area, forests, plantations and swamps. Despite its importance,there have been fewer proper data of snake-bite incidence in Indonesia. World HealthOrganization estimate that at least 421,000 envenomings and 20,000 deaths from snakebitesoccur each year, especially in South and South East Asia and sub-Saharan Africa. The authorsreport a case of a 76-year-old man came to Hasan Sadikin Hospital with chief complaint woundin his right hand and right forearm from snake-bite. Snake-bites can cause DIC because thevenom activates the coagulation system and cause fibrinolysis which occurs in less than 24hours. Laboratory results, we found abnormalities such as anemia, thrombocytopenia,hypofibrinogenemia, and increased levels of D-dimer. Patients were treated for 8 days and thenallowed to go home. Snake-bite is an occupational disease of farmers, plantation workers,herdsmen, fishermen, other. Snake bite cases require prompt and comprehensive managementso as to minimize the possibility of disability and death.Keywords: snake bite, DIC, hypertension

scholarly journals THE MANAGEMENT OF SNAKE BITE AND THEIR OUTCOME WITH DIFFERENT VARIABLES

2021 ◽  
Vol 5 (9) ◽  
Author(s):  
Ramesh Kumar Jakhar ◽  
Arvind Jain
Keyword(s):  
Public Health ◽  
Rural Areas ◽  
Health Workers ◽  
Public Health Problem ◽  
First Aid ◽  
Snake Bite ◽  
Medical Emergency ◽  
Public Health Issue ◽  
Common Component ◽  
Medical College

Background: Snake Bite is a life-threatening medical emergency & major public health issue throughout the world and especially in tropical countries like India. Snake bite which is a substantial cause of death in rural areas of developing countries, is a neglected public health problem. Methods: The study include the patient of snake bite who is admitted in department of medicine of M.D.M. Hospital attached to Dr S. N. Medical College Jodhpur during the period of one year January 01 2018 to December 31, 2018. Patients were enrolled after obtaining an informed consent and meeting inclusion criteria. Results: Maximum number of the cases did not receive any first aid and ASV& Pain killer was the most common component of the first aid. Two third of the cases were bitten by Viper snakes while one third by Cobra and Krait collectively. ASV dose was given as per the case response and in ASV dose of 30-50 VIAL was injected in majority of the victims (38.56). 30-50 VIAL was injected in majority of the victims. At time of hospital admission WBCT is normal in 52 patients (33.09%) while 101 patients had WBCT more than 20 min. Conclusion: Snakebite, an important occupational hazard, though preventable in principle remains to be one of the common medical emergencies. Primary prevention by imparting information regarding quick transport, correct first aid measures and training of primary level health workers can drastically bring down the mortality of this neglected tropical disease. Keywords: Snake bite, ASV, Viper.

scholarly journals Prevalence of hearing impairment in Aligarh: a community based study

2018 ◽  
Vol 5 (7) ◽  
pp. 2926
Author(s):  
Mohammad Asif Khan ◽  
Najam Khalique ◽  
Zulfia Khan ◽  
Abrar Hasan
Keyword(s):  
Hearing Impairment ◽  
Rural Areas ◽  
Urban Areas ◽  
Uttar Pradesh ◽  
Cross Sectional Study ◽  
Age Group ◽  
Community Based ◽  
Cross Sectional ◽  
Medical College ◽  
Study Population

Background: Hearing impairment is avery complex phenomenon, which has many and serious consequencesfor people and involves many factors and issues that should becarefully examined. The objective of the study were to estimate the prevalence of hearing impairment in the study population.Methods: Study design was a community based cross sectional study. Setting was on field practice areas of the urban and rural health training centers, Department of Community Medicine, Jawaharlal Nehru Medical College, Aligarh Muslim University, Aligarh, Uttar Pradesh. No. of Participants was 422 study subjects age 18 and above 18 years; Systematic random sampling and proportionate to population size method (PPS). Statistical analysis was carried out using SPSS version 13; Chi-square.Results: Overall prevalence in present study population was found to be 23.1%. The prevalence in the rural areas (24.8%) was found to be higher than that of the urban areas (20.5%). The age specific prevalence showed that the maximum prevalence was in the age group of more than 70 years (66.6%). In the rural areas the prevalence was highest in the >70 year age group(75%) while in the urban areas it was maximum in the 61-70 year age group(61.5%). The prevalence was least in the 31-40 year age group in both urban (5.4%) as well as rural areas (14.5%). The association of hearing loss with age was found to be highly significant.Conclusions:A high prevalence of hearing impairment was found in the study. Increasing prevalence of hearing impairment was observed with advancing age.  

scholarly journals PERTOLONGAN PERTAMA DAN PENILAIAN KEPARAHAN ENVENOMASI PADA PASIEN GIGITAN ULAR

2020 ◽  
pp. 91-98
Author(s):  
Anissa Cindy Nurul Afni ◽  
Fakhrudin Nasrul Sani
Keyword(s):  
Data Collection ◽  
Clinical Signs ◽  
Sampling Technique ◽  
Signs And Symptoms ◽  
First Aid ◽  
Snake Bite ◽  
Bite Wound ◽  
Cross Sectional ◽  
Snake Bites ◽  
Pressure Immobilization

Distribusi keracunan dan kematian akibat  gigitan  ular  di  dunia  bevariasi. Dalam  kasus  berat,  akan  luka  gigitan  akan  berkembang menjadi bula dan jaringan nekrotik, serta muncul gejala sistemik berupa mual, muntah dan kelemahan otot atau kejang. Tingginya angka kejadian snake bite di Indonesia belum diimbangi dengan penanganan yang optimal di prehospital. Fenomena yang muncul, Masyarakat cenderung melakukan pertolongan pertama menggunakan cara-cara tradisional, sedangkan WHO sejak tahun 2016 tidak lagi merekomendasikan bentuk pertolongan tersebut.Metode  penelitian ini yaitu deskriptif kuantitatif. Penelitian ini menggunakan teknik total sampling dengan jumlah 35 responden, waktu pengambilan data Januari – September 2019 (9 bulan) dengan kriteria eksklusi: Pasien dengan gigitan ular yang meninggal saat datang ke IGD RSUD Gemolong. Teknik pengumpulan data dengan kuesioner meliputi pertolongan pertama prehospital dan tanda dan gejala klinis yang muncul pada pasien saat tiba di rumah sakit utnuk menentukan derajat keparahan envenomasi. Analisa data univariat digunakan untuk menggambarkan deskriptif masing-masing variabel.Gambaran Pertolongan pertama prehospital yang dilakukan yaitu: 40,3% mengikat luka gigitan ular dengan tali, 31% responden menghisap ara luka, 14,3% responden merobek luka dengan pisau, 8,5% responden mencuci luka dengan sabun, 2,9% responden membakar luka dan memberikan jahe bakar pada area luka. Gambaran tingkat keparahan envenomasi responden yaitu: 57,2% responden menglami envenomasi derajat 2, sejumlah 22,8% responden mengalami envenomasi derajat 3, dan 20% responden mengalami envenomasi derajat 1. Tidak ada responden yang mengalami envenomasi derajat 4.Tindakan tradisional yang dilakukan dapat meningkatkan keparahan luka dan juga mempercepat penyebaran bisa. Prinsipn utama yang direkomendasikan untuk penanganan pertama gigitan ular adalah mecegah kecemasan yang berlebihan, melakukan imobilisasi area dengan balut tekan (pressure immobilitation tehnik) dan segera rujuk ke rumah sakit.   The distribution of poisoning and mortality caused by snake bites in the world is increasing. In severe cases, the bite wound will develop into bullae and necrotic tissue, as well as systemic symptoms such as nausea, vomiting and muscle weakness or spasms. The high incidence of snake bite in Indonesia has not been matched by optimal handling at prehospital. The phenomenon that arises, the community tends to do first aid using traditional methods, WHO since 2016 no longer recommends this form of help. Design of this study is quantitative descriptive with cross sectional approach. This study used a total sampling technique with a total of 35 respondents, data collection time was January - September 2019 (9 months) with exclusion criteria: Patients with snake bites who died when they came to the Emergency Room. Data collection techniques using questionnaires included prehospital first aid and clinical signs and symptoms that appeared in patients when they arrived at the hospital to determine the severity of envenomation. Univariate data analysis is used to describe the descriptive of each variable. Result of this study showed the Prehospital First Aid overview: 40.3% respondent used a tourniquet technique, 31% of respondents sucking wound, 14.3% of respondents give an incission of the bite wound, 8.5% of respondents washed wounds with soap, 2.9% of respondents burn wounds and give burnt ginger to the injured area. The description of the severity of envenomation is: 57.2% of respondents in grade 2, 22.8% of respondents in grade 3, and 20% of respondents in grade 1. No one respondents experienced grade 4 envenomation.The traditional actions taken by the lay persone can increase the severity of the wound and also accelerate the spread of bacteria. The main principles recommended for the first treatment of snake bites are preventing excessive anxiety, immobilizing the area with pressure immobilization technique and immediately referring to the hospital.

scholarly journals Clinical profile and outcome of snake bite in children admitted in a tertiary care institute in the metropolitan city of Karnataka, India

2020 ◽  
Vol 7 (12) ◽  
pp. 2295
Author(s):  
Shivaprakash Sosale Chandrashekaraswamy ◽  
Deepthy Verghese ◽  
Chikkanarasa Reddy
Keyword(s):  
Tertiary Care ◽  
Clinical Manifestations ◽  
Public Health Problem ◽  
Snake Bite ◽  
Clinical Profile ◽  
Lower Limbs ◽  
Healthcare Personnel ◽  
Age Group ◽  
Metropolitan City ◽  
Snake Bites

Background: Snake bite is a major medical and public health problem in tropical agricultural world. A high incidence of snake bite envenomation has been reported from rural India, many times the incidence is underestimated due to lack of epidemiological information. The present study analyses the age, mode of presentation, seasonal variation, clinical profile, management and outcome of patients with snake bite in below 18 years of age group of a metropolitan city, India.Methods: This study is a retrospective single centre study conducted in government referral hospital in Bangalore from January 2016 to January 2020 including 53 patients, who presented with a history of snake bite. Clinical data about age, sex, clinical manifestations, complications, management and outcome were analysed.Results: In our study including of 53 patients, maximum snake bites incidents were noted in age group of 6-10 years (47.16%) of the rural population with male predominance (83.01%). Most of the bites occurred during monsoon season (54.71%) in evening time. Bite marks were observed mainly on lower limbs in 71.69% of patients. Tourniquet was the commonly used first aid care (67.92%). Most of the bites were vasculotoxic in (75.47%) followed by neuroparalytic in 15 patients (9.43%) and maximum cases responded to 20 vials of ante venom. Mortality was nil.Conclusions: Snake bite is a life-threatening emergency. The key in minimizing mortality and severe morbidity is aggressive management of sick patient and timely as well as judicious administration of ante snake venom. There is a requirement to sensitize the general public and healthcare personnel on preventive measures, emergency care and treatment of snake bites. The serious clinical features of snake bite warrant early referral and management in tertiary care centers.

scholarly journals A descriptive epidemiological study of snake bite cases among children in Eastern Nepal

2017 ◽  
Vol 16 (2) ◽  
pp. 10-17 ◽  
Author(s):  
Nirjala Aryal ◽  
Moon Thapa ◽  
Umesh Singh ◽  
Manju Shrestha
Keyword(s):  
Secondary Data ◽  
Epidemiological Data ◽  
Snake Bite ◽  
Treatment Center ◽  
Age Group ◽  
Common Site ◽  
Treatment Services ◽  
Snake Bites ◽  
Recorded Data ◽  
Significant Health

Introduction: Snake bite is a significant health issue globally. In Nepal, WHO has estimated more than 20,000 snake bites occurring annually. The prevalence of snake bite in children in Nepal has not been specified yet due to relatively few researches.  This study explores the epidemiological data on snake bite among children below 18 years of age from a snake bite treatment center located at Itahari in the eastern part of Nepal.Methods: This is a descriptive study of the secondary data from treatment records of snake bites among children up to 18 years of age in Samudayek Sarpadansa Upachar Kendra, Itahari, Nepal. The center is located in Army Camp in the eastern plains of Nepal and provides treatment services to all snake bite victims. Recorded data of the patients brought in for treatment in the treatment center from October 2015 to October 2016 were segregated for age group 0 to 18 years and analyzed.Results: Among 395 cases of snake bite in children below 18 years of age, 57% were boys and most were between 11-15 years. The peak season of bite was during monsoon with clustering of 44% cases from 6 PM to 12 AM and lower limb was the most common site of bite. A total of 7.1% of snake bite cases needed treatment with anti-snake venom.Conclusion: Snake bite among children below 18 years of age is more common among boys, especially during monsoon and evenings. Only small portion of snake bites require treatment with anti-snake venom.

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