Clinico-Epidemiological Profile of Snakebite Cases Admitted in a Tertiary Care Centre in South India: A 5 Years Study.

Clinico-Epidemiological Profile of Snakebite Cases Admitted in a Tertiary Care Centre in South India: A 5 Years Study.
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DOI:
10.4103/0971-6580.172260
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发表时间:
2015-01-01
影响因子:
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通讯作者:
Kanchan, Tanuj
Kanchan, Tanuj
中科院分区:
其他
文献类型:
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作者:
Thapar, Rekha;Darshan, B B;Kanchan, Tanuj

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目的:本研究旨在评估印度南部一家三级保健中心收治的蛇咬伤病例的临床流行病学概况。材料和方法:在芒格洛尔kasturha医学院附属医院进行了一项基于记录的回顾性研究。研究对象为2007年1月至2011年12月收治的所有蛇咬伤病例。采用预测的半结构化问卷收集数据,并使用SPSS 11.5版本的社会科学统计软件包进行分析。结果以百分比表示。结果:本研究纳入198例蛇咬伤患者。以男性居多(68.2%)。研究人群的平均年龄为34.8岁。9 - 12月报告蛇咬伤病例最多(47.9%)。蛇咬伤发生的高峰时间为18.01 ~ 24.00 h,占40.5%;下肢是最常见的咬伤部位,超过四分之三(80.9%)。最常见的症状是疼痛(45.9%)和肿胀(44.9%)。病死率为3.0%。结论:蛇咬伤在该地区仍然是一个主要的公共卫生问题。必须通过社区卫生项目传授预防蛇咬伤的知识。必须通过大众传播媒介和角色扮演在民众中传播关于及时报告此类病例和有效治疗重要性的信息。
OBJECTIVES: This study was conducted to assess the clinic-epidemiological profile of snakebite cases admitted at a Tertiary Care Centre in South India.MATERIALS AND METHODS: A record based retrospective study was carried out at Kasturbha Medical College affiliated hospitals in Mangalore. All the snakebite cases admitted to the hospitals from January 2007 to December 2011 were included in the study. Data were collected using a pretested semi-structured questionnaire and analyzed using Statistical Package for Social Sciences (SPSS version 11.5). The results are expressed as percentages.RESULTS: The study included 198 cases of snakebite victims. The majority of the cases were males (68.2%). The mean age of the study population was 34.8 years. Maximum numbers of snakebite cases were reported during the month of September to December (47.9%). The peak time of snakebite was between 18.01 and 24.00 h which was reported in 40.5% of the cases. Lower extremities were the most common site of bite in more than three-fourth of the cases (80.9%). The most common symptoms were a pain (45.9%) and swelling (44.9%). The case fatality rate was observed to be 3.0%.CONCLUSION: Snakebite still remains a major public health problem in this part of the world. Knowledge must be imparted regarding the prevention of snakebites through community health programs. Messages regarding prompt reporting of such cases and importance of effective treatment must be disseminated among people through mass media and role plays.