Satyanarayan Bhagyalakshmi, Panda Suman Kumar, Sunder Ashok, Kumari Sarita
Medicine, Consultant, Tata Main Hospital, and Assistant Professor, Manipal Tata Medical College, Jamshedpur, Jharkhand, India.
Medicine, Senior Consultant, Tata Main Hospital, and Associate Professor, Manipal Tata Medical College, Jamshedpur, Jharkhand, India.
J Family Med Prim Care. 2022 Dec;11(12):7652-7656. doi: 10.4103/jfmpc.jfmpc_890_22. Epub 2023 Jan 17.
India accounts for approximately half of the worldwide snakebite deaths. It is often a neglected public health problem and particularly in Jharkhand region where medical facilities are limited. Epidemiological and clinical profile-related studies are scarce. The present study aims to assess the epidemiological profile and clinical features of snakebites encountered in a tertiary-care teaching hospital at Jamshedpur, Jharkhand, India.
The aim of this study was to assess the clinical profile, outcome and epidemiological factors of snakebite cases, admitted to a tertiary care hospital in Jamshedpur.
This was a retrospective study from 2014 to 2021 wherein a total of 427 snakebite patients were admitted and had received treatment for snakebite at a tertiary-care teaching hospital at Jamshedpur, Jharkhand. All patients who reported with a history of snakebite were included in this study. The demographic and clinical details of each case were obtained and analysed.
A total of 427 snakebite cases were admitted to the hospital during the study period. The victims were predominantly males. Majority of the bite cases encountered were from rural areas and were in the second quarter of the year. The site of the bite was largely on the lower limb and the upper limb had fewer bites. The Glasgow Coma Scale was normal in those who presented early. Acute kidney injury, neutrophilic leucocytosis and deranged liver enzymes were associated with bad prognosis. Timely intervention with anti-snake venom offered good result.
We had more male patients (69.55%), belonging to rural areas (67.91%), more bites in lower limbs and more cases in the second quarter of the year. Mortality rate was 0.7%.
印度的蛇咬伤致死人数约占全球的一半。这往往是一个被忽视的公共卫生问题，在医疗设施有限的贾坎德邦地区尤为如此。与流行病学和临床特征相关的研究很少。本研究旨在评估印度贾坎德邦詹谢普尔一家三级护理教学医院收治的蛇咬伤病例的流行病学特征和临床特征。
本研究的目的是评估收治到詹谢普尔一家三级护理医院的蛇咬伤病例的临床特征、治疗结果和流行病学因素。
这是一项2014年至2021年的回顾性研究，共有427例蛇咬伤患者在印度贾坎德邦詹谢普尔的一家三级护理教学医院入院并接受了蛇咬伤治疗。所有有蛇咬伤病史的患者均纳入本研究。获取并分析了每个病例的人口统计学和临床细节。
在研究期间，共有427例蛇咬伤病例入院。受害者以男性为主。大多数咬伤病例来自农村地区，且发生在一年中的第二季度。咬伤部位主要在下肢，上肢咬伤较少。早期就诊者的格拉斯哥昏迷量表评分正常。急性肾损伤、中性粒细胞增多和肝功能酶紊乱与预后不良有关。及时使用抗蛇毒血清进行干预取得了良好效果。
我们的男性患者较多（69.55%），来自农村地区（67.91%），下肢咬伤较多，且一年中的第二季度病例较多。死亡率为0.7%。
