{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,14]],"date-time":"2026-08-14T20:31:20Z","timestamp":1786739480335,"version":"build-2736575974"},"reference-count":27,"publisher":"Ovid Technologies (Wolters Kluwer Health)","issue":"2","license":[{"start":{"date-parts":[[2021,2,1]],"date-time":"2021-02-01T00:00:00Z","timestamp":1612137600000},"content-version":"unspecified","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by-nc-nd\/4.0\/"}],"content-domain":{"domain":["lww.com","ovid.com"],"crossmark-restriction":true},"short-container-title":[],"abstract":"<jats:sec>\n                    <jats:title>Background:<\/jats:title>\n                    <jats:p>Snakebite is a common but neglected public health problem of tropical &amp; subtropical regions worldwide. This study was conducted to look into profile, first aid measures, management strategy and outcomes of snake bite patients.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods:<\/jats:title>\n                    <jats:p>This was an ambispective study conducted in the Department of Medicine &amp; Emergency Medicine at AIIMS, New Delhi from June 2011 to May 2017 and enrolled 54 patients. In retrospective part 33 case records of snake bite patients were retrieved and in prospective part 21 patients were recruited. All relevant information including demographic parameters, first aid measures, clinical and laboratory profile and outcomes were recorded in pre made proformas. All data were analysed using IBM Stata version 13 and Microsoft Excel 2011.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results:<\/jats:title>\n                    <jats:p>\n                      Majority of patients were male, and the mean age was 27.6 years. Maximum numbers of bites 34 (63%) happened in the rainy season and Krait was the most common culprit species. Neurological manifestations were most common (70.4%) followed by haematological. Most common complication was ventilatory failure (78.6%), and median dose of ASV was 20 vials. Forty-nine (90.7%) patients were discharged successfully. There was significant association of sepsis and shock with non survivors of snake bite with respective\n                      <jats:italic toggle=\"yes\">P<\/jats:italic>\n                      values of 0.02 and 0.007.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion:<\/jats:title>\n                    <jats:p>Neurotoxic snake bite (70.4%) was the most common type of envenomation. Most common complication was ventilatory failure and majority of patient (90.7%) successfully discharged. Sepsis and shock were significantly associated with non survivors of snake bite.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.4103\/jfmpc.jfmpc_1408_20","type":"journal-article","created":{"date-parts":[[2021,2,26]],"date-time":"2021-02-26T15:18:45Z","timestamp":1614352725000},"page":"933-940","update-policy":"https:\/\/doi.org\/10.1097\/lww.0000000000001000","source":"Crossref","is-referenced-by-count":4,"title":["Ambispective study of clinical picture, management practices and outcome of snake bite patients at tertiary care centre in Northern India"],"prefix":"10.4103","volume":"10","author":[{"given":"Ranveer Singh","family":"Jadon","sequence":"first","affiliation":[{"name":"Department of Medicine, All India Institute of Medical Sciences, New Delhi, India"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Rita","family":"Sood","sequence":"additional","affiliation":[{"name":"Department of Medicine, All India Institute of Medical Sciences, New Delhi, India"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Nitesh Kumar","family":"Bauddh","sequence":"additional","affiliation":[{"name":"Department of Medicine, Government Medical College, Kota, India"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Animesh","family":"Ray","sequence":"additional","affiliation":[{"name":"Department of Medicine, All India Institute of Medical Sciences, New Delhi, India"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Manish","family":"Soneja","sequence":"additional","affiliation":[{"name":"Department of Medicine, All India Institute of Medical Sciences, New Delhi, India"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Praveen","family":"Agarwal","sequence":"additional","affiliation":[{"name":"Department of Emergency Medicine All India Institute of Medical Sciences, New Delhi, India"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Naveet","family":"Wig","sequence":"additional","affiliation":[{"name":"Department of Medicine, All India Institute of Medical Sciences, New Delhi, India"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"276","published-online":{"date-parts":[[2021,2]]},"reference":[{"key":"R2-20260527","doi-asserted-by":"crossref","first-page":"e54076","DOI":"10.7554\/eLife.54076","article-title":"Trends in snakebite deaths in India from 2000 to 2019 in a nationally representative mortality study","volume":"9","author":"Suraweera","year":"2020","journal-title":"Elife"},{"key":"R3-20260527","first-page":"37","article-title":"WHO\/SEAR guideline for the management of snake bite","author":"Warrel David","year":"2010"},{"key":"R4-20260527","first-page":"1","article-title":"WHO\/SEARO guidelines for the clinical management of snakebite in the South-East Asian Region","volume":"30","author":"Warrel","year":"1999","journal-title":"SE Asian J Trop Med Pub Health"},{"key":"R5-20260527","doi-asserted-by":"crossref","first-page":"146","DOI":"10.4172\/2157-7145.1000146","article-title":"Epidemiological profile of snake bite at tertiary care hospital, North India","volume":"3","author":"Anjum","year":"2012","journal-title":"J Forensic Res"},{"key":"R6-20260527","doi-asserted-by":"crossref","first-page":"209","DOI":"10.2147\/IJGM.S136153","article-title":"Clinical and epidemiologic profile and predictors of outcome of poisonous snake bites \u2013 An analysis of 1,500 cases from a tertiary care center in Malabar, North Kerala, India","volume":"11","author":"Kumar","year":"2018","journal-title":"Int J Gen Med"},{"key":"R7-20260527","doi-asserted-by":"crossref","first-page":"415","DOI":"10.1016\/j.toxrep.2017.07.007","article-title":"A hospital based epidemiological study of snakebite in Paschim Medinipur district, West Bengal, India","volume":"4","author":"Sarkhela","year":"2017","journal-title":"Toxicol Rep"},{"key":"R8-20260527","first-page":"71","article-title":"Management of snake bite in rural Maharashtra. 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