Envenomation cases reporting to a rural primary health care center in Maharashtra

Authors

  • Swati Deshpande Department of Community Medicine, Seth G.S. Medical College and K.E.M Hospital, Parel, Mumbai, Maharashtra, India
  • Barsha Pathak Department of Community Medicine, Seth G.S. Medical College and K.E.M Hospital, Parel, Mumbai, Maharashtra, India
  • S. Rahini Department of Community Medicine, Seth G.S. Medical College and K.E.M Hospital, Parel, Mumbai, Maharashtra, India
  • Rukman Mecca Department of Community Medicine, Seth G.S. Medical College and K.E.M Hospital, Parel, Mumbai, Maharashtra, India

DOI:

https://doi.org/10.18203/2394-6040.ijcmph20184801

Keywords:

Snake bite, Scorpion sting, Rural hospital, India

Abstract

Background: Annually in the world 1,200,000 cases of envenomation and 3,250 deaths by scorpion stings ensue. Alarming statistics are also seen for snake bites globally i.e. 421,000 envenoming and 20,000 deaths. India is the country with the highest annual number of envenoming (81,000) and deaths (nearly 11,000).

Methods: A retrospective cross-sectional study based on hospital record to assess the trend of diverse cases of scorpion sting and snake bite reporting to a rural primary health care center from January 2017 to December 2017. A pre-designed case record proforma was utilized to estimate the percentages of diverse cases of scorpion and snake bites attending the center and assess the demographic profile of the bite cases along with the evaluation of management protocol of these bite cases.

Results: 190 cases of envenomation visited the health care center in a year where 165 were scorpion stings and 25 were snake bites. Referral to higher centres for management was established to be more in children and adolescent age groups but the mean age of envenomation was evaluated to be 33.8 years. Remarkable seasonal variation in the envenomation cases was spotted. Anti-snake venom was used for treatment of snake bites but anti-venom was not utilized for scorpion bites.

Conclusions: Envenomation cases were common in adults but complications were higher in children and adolescents. We observed gender based risk and a seasonal incidence of envenomation. Most patients of envenomation were successfully managed in rural hospital with limited facilities.

 

Author Biographies

Swati Deshpande, Department of Community Medicine, Seth G.S. Medical College and K.E.M Hospital, Parel, Mumbai, Maharashtra, India

DEPARTMENT OF COMMUNITY MEDICINE 

Associate Professor.

Barsha Pathak, Department of Community Medicine, Seth G.S. Medical College and K.E.M Hospital, Parel, Mumbai, Maharashtra, India

DEPARTMENT OF COMMUNITY MEDICINE 

POST GRADUATE STUDENT, 3rd Year.

S. Rahini, Department of Community Medicine, Seth G.S. Medical College and K.E.M Hospital, Parel, Mumbai, Maharashtra, India

DEPARTMENT OF COMMUNITY MEDICINE

POST GRADUATE STUDENT, 1st year

Rukman Mecca, Department of Community Medicine, Seth G.S. Medical College and K.E.M Hospital, Parel, Mumbai, Maharashtra, India

DEPARTMENT OF COMMUNITY MEDICINE

POST GRADUATE STUDENT, 1st year

References

Sinclair CL, Zhou C. Descriptive epidemiology of animal bites in Indiana, 1990-92--a rationale for intervention. Public Health Rep. 2013;110:64–7.

Sudarshan MK, Mahendra BJ, Madhusudana SN, Ashwath Narayana DH, Rahman A, Rao NSN, et al. An epidemiological study of animal bites in India: Results of a who sponsored national multi-centric rabies survey. J Commun Dis. 2006;38:32–9.

Vetter RS, Visscher PK. Bites and stings of medically important venomous arthropods. Int J Dermatol 1998;37:481–96.

Chippaux JP. Emerging options for the management of scorpion stings. Drug Des Devel Ther 2012;6:165–73.

Bawaskar HS, Bawaskar PH. Utility of scorpion antivenin vs prazosin in the management of severe Mesobuthus tamulus (Indian red scorpion) envenoming at rural setting. J Assoc Physicians India. 2007;55:14–21.

de Araújo KAM, Tavares AV, Marques MR de V, Vieira AA, Leite R de S. Epidemiological study of scorpion stings in the Rio Grande do Norte State, Northeastern Brazil. Rev Inst Med Trop Sao Paulo. 2017: 59.

Anjum A, Munawwar H HA. Epidemiological Profile of Snake Bite at Tertiary Care Hospital, North India. J Forensic Res 2012;03:1422–8.

Chippaux J, Diallo a. É valuation de l. incidence des morsures de serpent en zone de sahel sénégalais, l. exemple de Niakhar; 2002: 151–3.

Warrell DA. Venomous bites and stings in the tropical world. Med J Aust. 1993;159:773–9.

Kasturiratne A, Wickremasinghe R, de Silva N, Gunawardena K, Pathmeswaran A, Premaratna R, et al. The Global Burden of Snakebite: A Literature Analysis and Modelling Based on Regional Estimates of Envenoming and Deaths. Public Libr Sci. 2008;5:1591–604.

Khatony A, Abdi A, Fatahpour T, Towhidi F. The epidemiology of scorpion stings in tropical areas of Kermanshah province, Iran, during 2008 and 2009. J Venom Anim Toxins Incl Trop Dis. 2015;21:45.

Mudgal SM. Epidemiological and Clinical Study of Scorpion Envenomation in Patients Admitted at Rims Teaching Hospital, Raichur. 2017;5:73–6.

Kalraiya A, Kapoor A, Singh R. Mortality pattern in pediatric intensive care unit patients of a tertiary care teaching hospital: a retrospective analysis. J PediatrRes.2016;3(12):898-901.

Patil MM, Lakhkar B, Patil SV, Akki AS, Gobbur RH, Kalyanshettar SS. Scorpion sting envenomation, Vijayapur, Karnataka, India experience: new observations. Int J Contemp Pediatr 2016;3:518-23.

Pradesh U, Bansal A, Bansal AK, Kumar A. Clinical pro fi le of scorpion sting from north Uttar Pradesh, India. Int J Med Sci Public Health. 2015;4:134–7.

Gupta YK. Snake Bite in India: Current Scenario of an Old Problem. J Clin Toxicol. 2014;4:1–9.

Hati AK, Mandal M, De MK, Mukherjee H, Hati RN. Epidemiology of snake bite in the district of Burdwan, West Bengal. J Indian Med Assoc. 1992;90:145–7.

Sharma SK, Khanal B, Pokhrel P, Khan A, Koirala S. Snakebite-reappraisal of the situation in Eastern Nepal. Toxicon. 2003;41:285–9.

Rahman R, Faiz MA, Selim S, Rahman B, Basher A, Jones A, et al. Annual incidence of snake bite in rural Bangladesh. PLoS Negl Trop Dis. 2010;4:1–6.

Punde DP. Management of snake-bite in rural Maharashtra: A 10-year experience. Natl Med J India. 2005;18:71–5.

Bawaskar HS, Bawaskar PH. Management of Snake bite and Scorpion Sting. Q Med Rev. 2009;60(4):1-46.

Bawaskar HS, Bawaskar PH. Efficacy and safety of scorpion antivenom plus prazosin compared with prazosin alone for venomous scorpion (Mesobuthus tamulus) sting: Randomised open label clinical trial. Bmj. 2011;342:153.

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Published

2018-11-24

How to Cite

Deshpande, S., Pathak, B., Rahini, S., & Mecca, R. (2018). Envenomation cases reporting to a rural primary health care center in Maharashtra. International Journal Of Community Medicine And Public Health, 5(12), 5265–5270. https://doi.org/10.18203/2394-6040.ijcmph20184801

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Original Research Articles