An Epidemiological Study of Snake Envenomation in a Tertiary Care Hospital of North India

Authors

  • Amit Kumar
  • Shweta Tanwar
  • Rajesh Chetiwal
  • Rajesh Patnaik Thonangi

DOI:

https://doi.org/10.37506/ijfmt.v15i3.15268

Keywords:

: Snake bite; envenomation; anti-snake venom (ASV); venomous snakes; neurotoxic; hemotoxic

Abstract

Purpose: To study the epidemiological profile, clinical features, complications, and outcome of snake bite
cases in a tertiary care teaching hospital in north India.
Materials and Methods: A prospective cohort study of snake bites was carried out from June 2012 to
October 2013. Data was collected regarding the socio-demographic profile, clinical features, complications,
management and the outcome. The ICU LOS and the associated mortality were taken as the measures of
outcome.
Results: Out of the total 88, majority of the victims were rural men in the age group of 21-30 years. More
than 90% of incidents were reported during the monsoon season. Neuroparalysis was present in 92% of
patients. The mean bite to hospital time was 5.66 ± 1.78 hours. All patients had received polyvalent ASV
with a mean dose of 20.85 ± 5.73 vials. 61.36% patients required ventilatory support with mean duration of
5.22 ± 7.69 days. The ICU LOS was observed to be 4.83 ± 6.96 days and associated mortality rate was 6.8%.
Conclusion: There is urgent need to create awareness amongst the vulnerable population. To get a real
picture of the burden, information need to be collected from community based surveys along with the
peripheral primary healthcare centers

Author Biographies

Amit Kumar


Department of Medicine, Pt B.D.Sharma Postgraduate Institute of Medical Sciences, Rohtak, Haryana, Indias

Shweta Tanwar

Scientist, Indian Council of Medical Research, New Delhi, India,

Rajesh Chetiwal

Professor, Department of Medicine, ESIC
Postgraduate Institute of Medical Sciences and Research, Basaidarapur, New Delhi, India, 

Rajesh Patnaik Thonangi

Senior Resident,
Department of Medicine, ESIC Postgraduate Institute of Medical Sciences and Research, Basaidarapur, New

Published

2021-05-17

How to Cite

Amit Kumar, Shweta Tanwar, Rajesh Chetiwal, & Rajesh Patnaik Thonangi. (2021). An Epidemiological Study of Snake Envenomation in a Tertiary Care Hospital of North India. Indian Journal of Forensic Medicine & Toxicology, 15(3), 60-65. https://doi.org/10.37506/ijfmt.v15i3.15268