Retrospective analysis of snakebite at a rural hospital in Zululand

Wilkinson, D. (1994) Retrospective analysis of snakebite at a rural hospital in Zululand. South African Medical Journal, 84 12: 844-847.

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Author Wilkinson, D.
Title Retrospective analysis of snakebite at a rural hospital in Zululand
Journal name South African Medical Journal   Check publisher's open access policy
ISSN 0256-9574
Publication date 1994-12
Sub-type Article (original research)
Open Access Status File (Publisher version)
Volume 84
Issue 12
Start page 844
End page 847
Total pages 4
Place of publication Pinelands, South Africa
Publisher Medical Association of South Africa
Language eng
Subject 1108 Medical Microbiology
1117 Public Health and Health Services
Abstract Aspects of the epidemiology and clinical features of 81 consecutive patients admitted with snakebite to a rural hospital in Zululand are reviewed, Most bites occurred during the hot season, 40% in children under 10 years of age. Thirty per cent of bites occurred at night. Most bites showed features of local envenoming only, but systemic features (neurotoxicity and haemorrhage) were encountered, Snakebite caused significant morbidity and mortality, Thirty-one per cent of admissions needed surgery; almost 50% needed more than one operation, Five per cent, all children, died. The extent of local envenoming on admission proved to be a highly sensitive indicator of risk of worsening of local envenoming, and of the development of systemic signs. The analysis has allowed the development of rational guidelines on the management of snakebite in this hospital which, it is hoped, will reduce mortality rates, and has identified several areas warranting further research.
Keyword Bacteriology
Venom
Q-Index Code C1
Q-Index Status Provisional Code
Institutional Status Unknown

Document type: Journal Article
Sub-type: Article (original research)
Collection: School of Medicine Publications
 
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Created: Tue, 07 Sep 2010, 13:04:28 EST