@article{ref1,
title="Incidence and treatment of snakebites in West Bengal, India",
journal="Toxicology reports",
year="2019",
author="Mana, Kaushik and Ghosh, Rituparna and Gantait, Kripasindhu and Saha, Kanchan and Parua, Poulami and Chatterjee, Upasana and Sarkhel, Sumana",
volume="6",
number="",
pages="239-243",
abstract="OBJECTIVE: Snake envenomation is a major cause of death and disability in the developing countries. In India and neighboring countries, the four venomous snakes of concern include - Indian cobra(<i>Naja naja)</i>, Common Krait (<i>Bungarus caeruleus</i>); Russell's Viper (<i>Daboia russelli</i>); Saw Scaled Viper (<i>Echis carinatus</i>). We describe the management protocol for snakebite treatment in a tertiary care hospital of <i>Paschim Medinipur</i> district, West Bengal based on case reports of subjects admitted and treated in Ghatal Subdivisional Hospital(GSH) during 2013-2016. <br><br>METHODS &MATERIALS: We developed a structured data collection form to record demographic and clinical details of patients hospitalized at GSH between 1 January 2013 through 31 December 2016. <br><br>RESULTS: Snake bite cases in Ghatal Subdivisional hospital(GSH) were assessed during the period 2013-2016. A total <b>18 deaths</b> due to snakebite has been reported from this tertiary care hospital during the period. Total patients admitted in this hospital with snakebite is <b>1160</b> during the period 2013-2016. In 80% of the cases the lower extremities were affected. Preliminary first aid was provided in 45% cases. About 65% of the affected victims suffered snakebite in the morning hours. Some of the recommended drugs that were prescribed by the physicians of GSH were neostigmine, atropine, adrenaline, hydrocortisone, Amoxicillin. WBCT<sub>20</sub> and Urea, Creatinine level were routinely performed. <br><br>CONCLUSION: Hospital studies are a key source of information about snake bites. The ready availability and appropriate use of AVS, close monitoring of patients, the institution of ventilator support and if required, early referral to a larger hospital all help to reduce the mortality. Thus knowledge of the varied clinical manifestations of snake bite is important for effective management in hospitals by a complete health care team.<p /> <p>Language: en</p>",
language="en",
issn="2214-7500",
doi="10.1016/j.toxrep.2019.02.008",
url="http://dx.doi.org/10.1016/j.toxrep.2019.02.008"
}