A retrospective study of clinical profile of viper bite cases in selected hospitals in central kerala
Abstract
Viper bite is a commonly occurring occupational health hazard to people involved mainly in agricultural sector in tropical and sub-tropical areas. The aim of the study was to assess the clinical pattern of poisonous snakebites from four selected hospitals in central Kerala. Study site: Carithas Hospital (Kottayam), Little Flower Hospital and Research Centre (Angamaly), Paalana Institute of Medical Sciences (Palakkad) and Charis Medical Mission (Muvattupuzha). Percentage of cases collected from Carithas hospital, Little Flower hospital, Paalana hospital and Charis hospital were 51. The various clinical profile was assessed such as Hb level , symptoms, total leukocyte count, platelet count prothrombin time etc. Conclusion: Practice of locally developed treatment protocol for optimised treatment of viper bite is required.
Downloads
References
2. Bawaskar SH and Pramodini HB.Envenoming by the Common Krait and Asian Cobra (Naja naja):Clinical Manifetations and Their Management in a Rural Setting.Wilderness and Environmental Medicine.2004;15:257-266
3. Surjit Singh and Gagandip Singh.Snake Bite:Indian Guidelines and Protocol.Toxicology.12.424-426.
4. Menon JC, Joseph JK, Jose MP, Dhananjaya BL, Oommen OV.Cloinical Profile and Laboratory Prameters in 1051 Victims of Snakebite from a Single Centre in Kerala, South India.Journal of Association of Physicians of India.2016;64:22- 29
5. Rogalski A, Soerensen C, Brouw B, Lister C, Dashvesky D, Arbuckle K et al. Differential procoagulant effects of saw-scaled viper (Serpentes: Viperidae:Echis) snake venoms on human plasma and the narrow taxonomic ranges of antivenom efficacies.ToxicologyLetters.2017;280:159-170.
6. Saravu K, Somavarapu V, Anathkrishna B, Kumar R.Clinical profile, speciesspecies severity grading, and outcome determinants of snake envenomation:An Indian tertiary care hospital-based prospective study.Indian Journal of Critical Care Medicine.2012;16(4):187-192.
7. Sheeja Rajan TM.Surgical Management of Snake Envenomation in India Current Perspective.International Journal of Public health Research.2017;4(1):2349-4158.
8. Meenatchisundaram S and Michael A.Snake bite and therapeutic measures:Indain scenario.Indian Journal of Science and Technology.2009;2(10):0974-6846.
9. Ian D Simpson.Snakebite Management in India, the First Few Hours: A Guide for Primary Care Physicians.Indian Journal of Medical Association.2007; 105:324-335.
10. Hijaz PT, Kumar CR, John MB.A Study on Clinical and laboratory features of pit viper envenomation from Central Kerala, India.International Journal of Advances in Medicine.2018;5(3):644-651.
11. Sharma M, Gogoi N, Dhananjaya BL, Menon CJ, Doley R.Geographical variation of Indian Russell’s viper venom and neutralization of its coagulopathy by polyvalent antivenom.Toxin Reviews.2014;33(1-2):7-15.
12. Dhanya SP,Lattha BR, Hema CG,Dhanya TH.Antisnake venom:A retrospective analysis in a tertiary care centre.Calicut Medical Journal.2009;7(3):e2.
13. Mahadevan S and Jacobson I. National Snakebite Management Protocol (India).Indian Journal of EmergencyPaediatrics.2008;1(2):63-84.
14. Guidelines for Management of Snake bite.QRG snake bite.2015;4.
15. Kumar KMP, Basheer MP.Snake bite:Biochemical changes in blood after envenomation by viper and cobra.Journal of Medical Allied sciences.2011;1(1):36-41.
16. Guidelines for the Management of snake-bites in South-East Asia.
17. Guidelines for the management of snake bites (Antivenom treatment)
18. Sellahewa HK.Can Fresh Frozen Plasma Prevent Acute Kidney Injury after Hump-Nosed Viper Bite?.Open Journal of Nephrology.2013; 3:70-74.
19. Williams FH, Hayter P, Ravishankar D, Baines A, Layfield JH, Croucher L et al. Impact of Naja nigricollis Venom on the Production of Methamoglobin.toxins.2018;10:539.
20. Brunda G and Sashidar RB.Epidemiological profile of snake-bite cases from Andhra Pradesh using immunoanalytical approach.Indian Journal of Medical Research.2007;125:661-668

This work is licensed under a Creative Commons Attribution-NonCommercial 4.0 International License.
Copyright © Author(s) retain the copyright of this article.