Kasturiratne Anuradhani, Lalloo David G, Janaka de Silva H
Faculty of Medicine, University of Kelaniya, Ragama, Sri Lanka.
Liverpool School of Tropical Medicine, UK.
Toxicon X. 2021 Jul 17;9-10:100074. doi: 10.1016/j.toxcx.2021.100074. eCollection 2021 Jul.
The burden of disability among survivors and the socio-economic impact of snakebite have not been adequately researched. We reviewed original research articles, case reports and small case series relating to chronic physical, mental and psycho-social disability and economic burden of snakebite. Both physical and psychological health problems seem common in snakebite survivors and can lead to disability and loss of productivity. Chronic physical health effects, musculoskeletal disability being the commonest, can be largely attributed to limited and delayed access to optimal treatment of acute envenoming. The economic burden is considerable, and includes health system costs, out-of-pocket expenditure and opportunity costs, with regional variations. Health systems should be more responsive to needs and circumstances of bite victims, and a more holistic approach should be developed in the treatment of snakebite which incorporates the management of chronic health effects.
蛇咬伤幸存者的残疾负担以及蛇咬伤对社会经济的影响尚未得到充分研究。我们回顾了与蛇咬伤导致的慢性身体、心理和社会心理残疾以及经济负担相关的原创研究文章、病例报告和小型病例系列。身体和心理健康问题在蛇咬伤幸存者中似乎都很常见，并且可能导致残疾和生产力丧失。慢性身体健康影响，其中肌肉骨骼残疾最为常见，很大程度上可归因于急性中毒时获得最佳治疗的机会有限且延迟。经济负担相当大，包括卫生系统成本、自付费用和机会成本，且存在地区差异。卫生系统应更积极地响应咬伤受害者的需求和情况，并且应制定一种更全面的蛇咬伤治疗方法，其中纳入对慢性健康影响的管理。
