Snakebite envenomation in children: a 10-year retrospective review.

作者信息

LoVecchio F, DeBus D M

机构信息

Good Samaritan Regional Poison and Medical Center, Phoenix Children's Hospital, Department of Medical Toxicology, Glendale, AZ, USA.

出版信息

Wilderness Environ Med. 2001 Fall;12(3):184-9. doi: 10.1580/1080-6032(2001)012[0184:seicay]2.0.co;2.

DOI:10.1580/1080-6032(2001)012[0184:seicay]2.0.co;2

PMID:11562017

Abstract

OBJECTIVE

To describe the epidemiology, short-term outcomes, and clinical characteristics of rattlesnake bites (RSB) in children.

METHODS

This was a 10-year retrospective chart review of all patients who were <13 years old admitted to a medical toxicology referral service in a major metropolitan area of the southwestern United States with a diagnosis of RSB.

RESULTS

Sixty-six children (mean age, 6.33 years) presented to or were transferred to our center with a diagnosis of RSB. Sixty-three percent were male, and the majority of bites (71.93%) occurred on the lower extremities. Forty-nine children (85.96%) developed coagulopathies, and 50 children (87.72%) received Antivenin (Crotalidae) Polyvalent (ACP) administration. Of the 50 children receiving ACP, 19 developed an immediate hypersensitivity reaction. Five cases of morbidity resulted, but no deaths were recorded.