TY  - JOUR
PY  - 1989//
TI  - An epidemiological and clinical study of snake-bites in childhood
JO  - Medical journal of Australia
A1  - Jamieson, R.
A1  - Pearn, J.
SP  - 698
EP  - 702
VL  - 150
IS  - 12
N2  - The last decade has seen major changes in the first-aid management of elapid snake-bites and the introduction of a new venom-detection kit which can identify the genus of medically-important snakes. In the light of these developments, we report a 10-year study that comprised 218 consecutive children who were admitted to hospital in southeast Queensland, after a confirmed or a suspected snake-bite. One-third (34.9%) of victims were preschool children (zero to five years of age) but the highest "at-risk" group comprised prepubescent boys. In 70% of cases, the bite was on a single lower limb. Of the 218 children who were admitted to hospital, 42% manifested local or systemic symptoms that were consistent with a confirmed snake-bite, irrespective of whether or not the species of snake was venomous. A positive identification of the genus of the offending snake was established in 18.8% of cases. In 35.8% of cases, the Commonwealth Serum Laboratories' Venom Detection Kit was used in an attempt to identify the involved snake, with 10 (4.6% of all cases) positive test-results. We have found that appropriate first aid was applied in the field in a maximum of 18% of cases. Antivenom was administered to 14 children, seven of whom received polyvalent antivenom; one child manifested a severe anaphylactic reaction. There were no fatalities in this series, and no permanent morbidity.<p /> <p>Language: en</p>
LA  - en
SN  - 0025-729X
UR  - http://dx.doi.org/
ID  - ref1
ER  -