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印度蛇咬伤的流行病学危险因素与治疗方式的范围综述

A Scoping Review on Epidemiological Risk Factors and Treatment Modalities for Snakebites in India.

作者信息

Saha Soumyajit, Behera Swati, Kotekar Srajana U, Hameed Shafeeq, Vyas Navya

机构信息

Post Graduate Student, Department of Global Public Health Policy and Governance, Prasanna School of Public Health, Manipal Academy of Higher Education, Manipal, Karnataka, India.

Senior Epidemiologist, Health Emergency Department, Ministry of Public Health, Doha, Qatar.

出版信息

Indian J Public Health. 2025 Apr 1;69(2):203-210. doi: 10.4103/ijph.ijph_824_24. Epub 2025 Jun 30.

Abstract

BACKGROUND

Snakebite is a major public health concern in India and is associated with high rates of morbidity and mortality. Death and significant health repercussions caused by snakebites can be effectively mitigated with easy access to safe and effective antivenoms and enhanced awareness among healthcare professionals and the general public.

OBJECTIVES

This review investigates the factors influencing snakebite outcomes and the current treatment options in India.

MATERIALS AND METHODS

The literature search was conducted using PubMed, Scopus, Google Scholar, Web of Science, and grey literature from World Health Organization and Government of India databases, focusing on studies published between 2012 and 2022. Inclusion criteria encompassed cross-sectional, intervention, descriptive, qualitative studies, case reports, and case series published in English, concentrating on snakebite envenoming.

RESULTS

Key findings included a lack of community awareness regarding early identification and management of snakebites, insufficient information on updated treatment protocols among healthcare providers, poor health-seeking behavior of victims, high reliance on untrained folk healers for initial treatment, and inadequate availability of anti-snake venom. These factors significantly impact snakebite-related outcomes.

CONCLUSION

This scoping review provides valuable insights on the formulation of evidence-based policies that focus on reducing the impact of snakebite and improving patient outcomes in India, with the ultimate goal of achieving a 50% reduction in the number of deaths and cases of disability due to snakebite by 2030.

摘要

背景

蛇咬伤是印度主要的公共卫生问题,与高发病率和死亡率相关。通过方便获取安全有效的抗蛇毒血清以及提高医疗专业人员和公众的意识,可以有效减轻蛇咬伤导致的死亡和严重健康影响。

目的

本综述调查了影响印度蛇咬伤结果的因素以及当前的治疗选择。

材料与方法

使用PubMed、Scopus、谷歌学术、科学网以及世界卫生组织和印度政府数据库中的灰色文献进行文献检索,重点关注2012年至2022年期间发表的研究。纳入标准包括以英文发表的横断面研究、干预性研究、描述性研究、定性研究、病例报告和病例系列,主要涉及蛇咬伤中毒。

结果

主要发现包括社区对蛇咬伤的早期识别和管理缺乏认识,医疗服务提供者对最新治疗方案的信息不足,受害者就医行为不佳,在初始治疗时高度依赖未经培训的民间治疗师,以及抗蛇毒血清供应不足。这些因素对与蛇咬伤相关的结果有重大影响。

结论

本范围综述为制定基于证据的政策提供了有价值的见解,这些政策侧重于减少印度蛇咬伤的影响并改善患者结局,最终目标是到2030年将蛇咬伤导致的死亡人数和残疾病例数减少50%。

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