Retrospective Study of Snakebites in Nawalpur Snakebite Treatment Center, South-central Nepal
Journal Title: Advances in Clinical Toxicology - Year 2018, Vol 3, Issue 3
Abstract
Snakebite is a pronounced health problem in the rural tropics and the subtropics of Nepal. However, only fragmentary hospital-based epidemiological data are available. We aimed to determine the incidence of snakebites and describe demographic characteristics, circumstances, seasonal patterns, and outcomes of snakebite treatment in the south-central region of Nepal. We retrospectively studied snakebite records maintained for the seven-month interval between July 2013 and January 2014 in the Nawalpur Snakebite Treatment Center, Netragunj, Sarlahi District. Records were reviewed and data collected during the interval from 01 February through 31 July 2017. Data were analyzed using descriptive statistics. A total of 396 snakebite case records were identified during the seven-month interval. 386 (97%) were nonenvenomed cases, and 10 (3%) were envenomed cases, which included three deaths (30% case fatality rate). We estimated annual incidence of 26 snakebites, 1 envenomation, and 0.2 death per 100,000 people. An average of 16 vials (range = 6-29) of Indian polyvalent antivenom (VINS Bioproducts Limited, India) were administered in envenomed cases. None of the patients performed the WHO recommended first aid measures.
Authors and Affiliations
Shrestha BR, Thapa-Magar C and Pandey DP*
Keywords
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- EP ID EP751600
- DOI 10.23880/act-16000138
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