Open AccessIncidence & management practices of snakebite: A retrospective study at Sub-District Hospital, Dahanu, Maharashtra, India
Author(s) -
Rahul Gajbhiye,
Shagufta Khan,
Pratibha Kokate,
Iranna Mashal,
Sunita Kharat,
Sanjay Bodade,
Arun Kumar Yadav,
Smita D. Mahale
Publication year - 2019
Publication title -
indian journal of medical research
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.578
H-Index - 87
ISSN - 0971-5916
DOI - 10.4103/ijmr.ijmr_1148_18
Subject(s) - medicine , envenomation , incidence (geometry) , case fatality rate , snake bites , retrospective cohort study , population , antivenom , veterinary medicine , toxicology , environmental health , surgery , biology , venom , ecology , physics , optics
This study was undertaken to know the incidence and management practices of snakebite envenomation at the First Referral Unit - Sub-District Hospital, Dahanu, Maharashtra, India. Retrospective analysis of snakebite case records (n=145) was carried out for one-year period (January to December 2014). The annual incidence of snakebite was 36 per 100,000 population with case fatality rate of 4.5 per cent. Venomous snakebites were 76 per cent and non-venomous snakebites were 24 per cent. Overall, snakebites were more common in males (52.4%) than females (47.6%). Majority of the snakebites (66%) were in the age group of 18-45 yr. Seasonal variation was observed with highest snakebites in monsoon (58%). Lower extremities were the most common site of bites (63%). Neurotoxic and vasculotoxic envenomation were reported in 19 and 27 per cent snakebite cases, respectively. Anti-snake venom (ASV) was administered at an average dose of 7.5±0.63 vials (range 2-40, median 6). There was no uniform protocol followed for ASV administration as per the National Snakebite Management Protocol of Government of India (2009).