“STUDY OF CLINICAL PROFILE OF ACUTE RENAL FAILURE IN SNAKE BITE PATIENTS”.

Abstract

Snake bite is signicant avoidable and treatable health hazard. specially in farmers plantation workers leading to signicant morbidity and mortality. Renal failure is common all poisoning from snakes mostly due to Viperidae species of snakes. The rst sign of renal failure is oliguria and anuria This acute renal failure is largely a preventable complication. So, the patients with snake bite should be hospitalized and monitored for early detection of renal complications. Early treatment improves survival in these patients. This study is an attempt to analyze the clinical prole of snake bite patients and evaluation of outcome in Acute Renal Failure in them. This study will be a case control study conducted on 100 patients who are satisfying the inclusion & exclusion criteria. ARF occurred in 39% of snake bite patients with overall mortality of 3% and average hospital stay of 5.62±1.57 Snake bite patients developing coagulopathy are more prone to develop ARF. Snake bite patients presented with cellulitis as local manifestation are at increased risk to develop ARF. In ARF complicated cases, Dialysis & supporting therapy appears to be the mainstay of treatment. Clinical outcome depends on optimum ASV dosage which is variable, depending on the type of snake, type of envenomation, organ system involved & supportive care offered.