{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,6,18]],"date-time":"2026-06-18T09:17:28Z","timestamp":1781774248619,"version":"3.54.5"},"reference-count":20,"publisher":"SAGE Publications","issue":"1","license":[{"start":{"date-parts":[[2004,1,1]],"date-time":"2004-01-01T00:00:00Z","timestamp":1072915200000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/journals.sagepub.com\/page\/policies\/text-and-data-mining-license"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Trop Doct"],"published-print":{"date-parts":[[2004,1]]},"abstract":"<jats:p>We studied 604 suspected snakebite cases seen at the peripheral snakebite treatment centre, Oamak, Eastern Nepal from January to December 2000 using predesigned proforma. Seventy-five per cent of the patients were in the age group 11\u201340 years. The common victims were farmers (44.2%) and housewives (31.7%). The bite was commonly encountered during farming (29.4%), working in the field (16.2%). walking (13.7%) and feeding cattle (9.2%). Sixty-five per cent were bitten during outdoor and agriculture related activities. Bite during sleep was recorded in 7%: 62% had sustained bite in lower limb. Forty-two per cent of the victims arrived at the treatment centre within 2 hours of being bitten. Fourteen patients arrived 7 hours after being bitten and six were dead on arrival. Acommon local practice (seen in 56.7%)was to eat chilliesto confirm envenomation. Application of a tourniquet, often multiple, was the common (90%) first aid measure. Neurotoxicity was present in 11% (n=66) of the victims. Fivehad local features of envenomation. Nocase of coagulopathy was recorded. Reaction to anti-snake venom was noticed in 28.16%(n=20). Two patients died during treatment. Mortality among patients with features of neurotoxicity was 3%.<\/jats:p>","DOI":"10.1177\/004947550403400108","type":"journal-article","created":{"date-parts":[[2017,1,11]],"date-time":"2017-01-11T00:32:01Z","timestamp":1484094721000},"page":"20-22","source":"Crossref","is-referenced-by-count":27,"title":["Clinico-Epidemiological Features of Snakebite: A Study from Eastern Nepal"],"prefix":"10.1177","volume":"34","author":[{"given":"Sanjib Kumar","family":"Sharma","sequence":"first","affiliation":[{"name":"Department of Medicine, B P Koirala Institute of Health Sciences, Dharan;"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Sekhar","family":"Koirala","sequence":"additional","affiliation":[{"name":"Department of Medicine, B P Koirala Institute of Health Sciences, Dharan;"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Gehraj","family":"Dahal","sequence":"additional","affiliation":[{"name":"Red Cross Sub Center, Damak, Nepal"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Chandra","family":"Sah","sequence":"additional","affiliation":[{"name":"Red Cross Sub Center, Damak, Nepal"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"179","published-online":{"date-parts":[[2004,1,1]]},"reference":[{"key":"bibr1-004947550403400108","doi-asserted-by":"publisher","DOI":"10.1177\/004947559802800401"},{"key":"bibr2-004947550403400108","first-page":"22","volume":"20","author":"Joshi DD","year":"1982","journal-title":"J Nepal Med Assoc"},{"key":"bibr3-004947550403400108","first-page":"319","volume":"62","author":"World Health Organization","year":"1987","journal-title":"Nepal WHO Wkly Epidem Rev"},{"key":"bibr4-004947550403400108","doi-asserted-by":"publisher","DOI":"10.1016\/S0140-6736(80)92608-2"},{"key":"bibr5-004947550403400108","doi-asserted-by":"publisher","DOI":"10.1136\/jramc-137-03-03"},{"key":"bibr6-004947550403400108","doi-asserted-by":"publisher","DOI":"10.1177\/004947559802800412"},{"key":"bibr7-004947550403400108","unstructured":"Banerjee RN, Siddiqui ZA. Epidemiological study of snakebite in India.\n                      5th International Symposium on Animal, Plant and Microbial Toxins\n                      . 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