Lack of Benefit of Early Antimicrobial Treatment in Bothropic Snakebite: Historical Cohorts Study (original) (raw)
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Routine prophylactic antibiotic use in the management of snakebite
BMC clinical pharmacology, 2001
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Characteristics of Snakebite-Related Infection in French Guiana
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Wound infection is frequently reported following snakebite (SB). This study is retrospective. It was conducted in the emergency department and the Intensive Care Unit (ICU) of Cayenne General Hospital between 1 January 2016 and 31 July 2021. We included 172 consecutive patients hospitalized for SB envenoming. All patients were monitored for wound infection. Sixty-three patients received antibiotics at admission (36.6%). The main antibiotic used was amoxicillin–clavulanate (92.1%). Wound infection was recorded in 55 cases (32%). It was 19% in grade 1, 35% in grade 2, and 53% in grade 3. It included abscess (69.1%), necrotizing fasciitis (16.4%), and cellulitis (21.8%). The time from SB to wound infection was 6 days (IQR: 3–8). The main isolated microorganisms were A. hydrophila and M. morganii (37.5% and 18.8% of isolated organisms). Surgery was required in 48 patients (28.1%), and a necrosectomy was performed on 16 of them (33.3%). The independent factors associated with snakebite-a...
JMS SKIMS, 2020
Background: Snakebite is a major public health problem and its prevalence is high in India. Insufficient epidemiological data and global neglect of this condition prompted the World Health organization to recognize it as a ‘‘neglected tropical disease’’ Objective: To study demographic characteristics of snakebite victims, to see clinical symptoms of bite and outcomes of snakebite. Methods: A prospective observational hospital-based study carried out from November 2016 to October 2017, in patients with a history of snakebite. Results:Total 300 patients were included in this study,170 (56.67%) were bitten by heamotoxic snakes and 130 (43.33%) were bitten by neurotoxic snakes. Majority of patients were in the age group of 20-39 years ( n=153; 51%). Men outnumbered women( n=190; 63.33%), with male to female ratio of 1.7: 1. Higher incidence of snake bite was found in July – September (n=135;45.00 %) followed by April to June( n=124; 41.33%).Majority of patients were farmers in rural a...
Profile of snakebite victims reported in a public teaching hospital: a cross-sectional study
2021
OBJECTIVE To understand the epidemiological and clinical profile of snakebite victims in a public teaching hospital. METHOD Exploratory, descriptive, cross-sectional study with a quantitative approach conducted in a public hospital in the Triângulo Sul region of Minas Gerais state, Brazil. The data were collected from medical records and compulsory case report forms of patients admitted in the Emergency Service from June 2018 to May 2019. The data were descriptively analyzed and presented in tables. RESULTS The 137 patients were predominantly male (74.5%), rural workers (33.4%), in their working age (mean of 43.49 years), and in rural areas (87.6%). Bothrops was the most common genus (70.8%), and most occurrences were classified as mild (53.3%). The most performed treatment was snake antivenom administration (73%). CONCLUSION Snakebite victims were mostly men in their working age and rural workers. Bothrops bites and mild occurrences were prevalent. Most treatments employed the appr...
Snake Bites: A Public Health Problem Present
International Journal of Innovative Science and Research Technology, 2020
This article shows the results of a retrospective analysis study, 2018-2019, with the aim of clinically and epidemiologically characterizing patients with snake bite accidents treated at Huixtla General Hospital, Chiapas, Mexico. The universe of study consists of No. 43 patients. The variables were studied: age, sex, occupation, time of aggression, place and time of aggression, clinical picture, hematological alterations, neurotoxic alterations, type of snake and laboratory studies. Snakebite is a significant occupational risk, especially for field workers, to whom prevention-focused educational campaigns should be run. Appropriate provision of anti-crotalic serum is recommended in hospitals located in risk areas and deepen the formation of health servers in these areas.