Management of snake-bite in rural Maharashtra: a 10-year experience.

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dc.contributor.authorPunde, D Pen_US
dc.date.accessioned2005-03-29en_US
dc.date.accessioned2009-06-03T05:21:31Z
dc.date.available2005-03-29en_US
dc.date.available2009-06-03T05:21:31Z
dc.date.issued2005-03-29en_US
dc.description.abstractBACKGROUND: A high incidence of snake-bite envenomation has been reported from Marathwada, Maharashtra. This study analysed the pattern of snake-bites and their management in a rural area of India over a 10-year period. METHODS: A total of 633 patients with snake-bite admitted to the Rural Community Centre and Punde Hospital in Mukhed taluka, Nanded district (Marathwada) of Maharashtra, between 1992 and 2001, were analysed retrospectively. The local and systemic manifestations of snake-bite, response to antisnake venom, atropine and neostigmine, the treatment of complications and the outcome were analysed. RESULTS: Of the 633 patients, 427 (67.5%) had been bitten by poisonous snakes and 206 (32.5%) by non-poisonous snakes. The majority of snake-bites (68.9%) occurred between May and November. Those affected were mainly farmers (228 [36%]), students (191 [30.2%]) and housewives (175 [27.6%]). Of the 427 envenomed by poisonous snakes, 274 (64.2%) were by Echis carinatus (saw-scaled viper), 71 (16.6%) by cobra, 42 (9.8%) by krait and 40 (9.4%) by Russell viper. The requirement of antisnake venom for treating neurotoxic envenomation was 40-320 ml and for Echiscarinatus and Russell viper bites it was 20-250 ml. Among those envenomed by poisonous snakes, the mortality was 4.7% (n=20). CONCLUSION: Snake-bite is a common life-threatening emergency in the study area. We observed an occupational risk and a seasonal incidence of snake-bite. Knowledge of the varied clinical manifestations of snake-bite are important for effective management. Ready availability and appropriate use of antisnake venom, close monitoring of patients, institution of ventilatory support and early referral to a larger hospital when required help in reducing the mortality. Most patients with snake-bites can be successfully managed even in small rural hospitals with limited facilities.en_US
dc.description.affiliationPunde Hospital, Mukhed, Nanded, Marathwada, Maharashtra 431715, India. drpunde22@yahoo.co.inen_US
dc.identifier.citationPunde DP. Management of snake-bite in rural Maharashtra: a 10-year experience. National Medical Journal of India. 2005 Mar-Apr; 18(2): 71-5en_US
dc.identifier.urihttps://imsear.searo.who.int/handle/123456789/118314
dc.language.isoengen_US
dc.source.urihttps://www.nmji.inen_US
dc.subject.meshAdulten_US
dc.subject.meshAnimalsen_US
dc.subject.meshBungarusen_US
dc.subject.meshCobraen_US
dc.subject.meshFemaleen_US
dc.subject.meshHumansen_US
dc.subject.meshIndiaen_US
dc.subject.meshMaleen_US
dc.subject.meshRetrospective Studiesen_US
dc.subject.meshRural Populationen_US
dc.subject.meshSnake Bites --complicationsen_US
dc.subject.meshViperidaeen_US
dc.titleManagement of snake-bite in rural Maharashtra: a 10-year experience.en_US
dc.typeJournal Articleen_US
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