Treatment outcome of snake bite patients: A prospective observational study at tertiary care hospital

 

Shital Rathod¹, Arvind Chavhan², Deepika Ramrao Dharmkare^3*, Koustubh Bavdhankar⁴

 

{¹Associate Professor, ^3,4JR3 Medicine, Department Of Medicine} {²Associate Professor, Department Of Paediatrics}

Dr. Shankarrao Chavhan Government Medical College , Nanded, INDIA.

 

Abstract              Background: Snake-bite is one of the most life-threatening bio-weapon system in the nature which may cause local to systemic complication. Aim: To analyse the outcome of AKI after snake-bite. Material and Methods: A total of 200 patients of either gender with age >12 years having history of snake bite with signs of envenomation were investigated and treated in a tertiary care hospital. Outcome was analysed. Results: Anti-snake venom was given to all cases in the study. Antibiotics, fresh frozen plasma, whole blood and platelets was given to 48%, 19%, 9% and 7.5% cases respectively. Mortality rate among snake bite cases in present study was reported as 2%. and due to snake bite induced AKI was 19%. Conclusion: Mortality rate among snake bite cases was reported as 2% and due to snake bite induced AKI was 19%. Lapse of time in presenting to the hospital is the predictors of poor outcome in snake bite induced acute kidney injury. Early ASV administration and proper supportive management after ASV administration is of utmost importance, for a good patient outcome.

Keywords: Snake bite, anti-snake venom, acute kidney injury, mortality.