CLINICO-EPIDEMIOLOGICAL PROFILE AND OUTCOME OF SNAKE BITE; A PICU-BASED STUDY IN A TERTIARY CARE HOSPITAL IN WEST BENGAL, INDIA

Abstract

INTRODUCTION: Snake bite remains an area which has not been properly addressed to, though it is quite common in specic regions worldwide. BACKGROUND: Inspite of the fact that every year Snake bite take away many lives, this issue has remained one of the medically neglected topics. If a Snake bite victim can be given proper management in time, mortality rate is extremely low. OBJECTIVES: This study was done in PICU of a Medical College Hospital with an intention to observe the epidemiological prole and the outcome of snake bite victims. RESULTS: Out of 50 cases studied, there were 43 poisonous snake bite cases,40 cases responded well to standard management , only 4 patients required mechanical ventilation support and only 1 patient died. 2 patients were referred to more higher center for hemodialysis. CONCLUSION: Increasing awareness has made it possible for snake bite victims to be brought to hospital early and so early treatment. This has improved the outcome in snake bite making the death rate to be signicantly low. AIMS & OBJECTIVES: 1- To study the cilinico-epidemiological prole of snake bite. 2- To observe the outcome after standard treatment and to look for different complications. 3- To note the difference in outcome between the patients in relation to the time interval between bite and initiation of treatment. WHATWAS ALREADYKNOWN IN THIS FIELD ? 1- Snake bite is an important public health problem till now, in a country like ours; imposing the brunt on poor and rural population. 2- Snake bite victims , if brought early to medical attention have an overall good prognosis. 3- Despite administration of ASVand other measures snake bite victim have a signicant mortality and complication. WHATHAS BEEN REVEALED IN OUR STUDY? 1- Same as above. 2- Snake bite victims who were brought to our hospital early had an excellent prognosis. 3- In our study the overall mortality and complication was remarkably lower than those found in other studies. SUBJECTS: 50 Cases of envenomation by snake bite admitted at PICU of Bankura Sammilani Medical College and Hospital from June 2020 to December 2020.