Profile of snakebite cases admitted to the Poison Control Center of Bach Mai Hospital in northern Vietnam from 2008 to 2020.

IF 1.9 4区医学 Q3 PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH

Transactions of The Royal Society of Tropical Medicine and Hygiene Pub Date : 2025-04-01 DOI:10.1093/trstmh/trae118

Thuan Q Le, Linh T H Le, Hoang H Nguyen, Hung T Ha, Nguyen T Nguyen, Truong Q Nguyen, Thomas Ziegler, Tung T Do, Tao T Nguyen

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引用次数: 0

Abstract

Background: Vietnam harbours a high species richness of venomous snakes with >60 recognised species but snakebite pathology and treatment are still understudied, particularly in northern Vietnam.

Methods: A retrospective study from 2008 to 2020 was conducted, focusing on snakebite cases at the Poison Control Center of Bach Mai Hospital, a major centre in northern Vietnam for treating envenoming incidents.

Results: A total of 5805 snakebite cases were reported over 12 y. The demography of patients was predominantly male snakebite victims (70%), middle-aged (30-59 y) and mostly from rural districts. Cobra (Naja spp.) attacks were the main culprit, accounting for 39% of cases, and most snakebites occurred in the rainy season. The majority of patients were from Hanoi, but the percentage of cases from other provinces increased over the years up to 75% in 2020. The highest number of snakebites were recorded from communes with snake farms.

Conclusions: Male gender, rainy season, rural residency and snake farming were identified as major risk factors for contracting snakebites. Multicentre hospital studies, cross-sectional community surveys and a central snakebite database are needed to better understand and deal with snakebites in Vietnam.

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2008 年至 2020 年越南北部 Bach Mai 医院毒物控制中心收治的蛇咬伤病例概况。

背景：越南拥有种类丰富的毒蛇，目前已确认的毒蛇种类有近60种，但蛇咬伤的病理和治疗仍未得到充分研究，特别是在越南北部。方法：回顾性研究2008年至2020年的毒蛇咬伤病例，研究对象为越南北部治疗毒蛇咬伤事件的主要中心巴赫迈医院中毒控制中心。结果：12年来共报告蛇咬伤病例5805例，患者以男性为主（70%），年龄在30 ~ 59岁，多来自农村地区。眼镜蛇（Naja spp.）袭击是罪魁祸首，占39%的案件，大多数蛇咬伤发生在雨季。大多数患者来自河内，但来自其他省份的病例百分比逐年增加，到2020年达到75%。蛇咬伤的最高记录发生在有蛇场的社区。结论：男性、雨季、农村居住和养蛇是感染蛇咬伤的主要危险因素。为了更好地了解和处理越南的蛇咬伤，需要多中心医院研究、横断面社区调查和中央蛇咬伤数据库。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Transactions of The Royal Society of Tropical Medicine and Hygiene 医学-公共卫生、环境卫生与职业卫生

CiteScore

4.00

自引率

9.10%

发文量

115

审稿时长

4-8 weeks

期刊介绍： Transactions of the Royal Society of Tropical Medicine and Hygiene publishes authoritative and impactful original, peer-reviewed articles and reviews on all aspects of tropical medicine.