Clinico-epidemiological study of snakebite: an audit of 13 years of data from a community-based treatment centre in eastern Nepal.

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

Transactions of The Royal Society of Tropical Medicine and Hygiene Pub Date : 2025-07-01 DOI:10.1093/trstmh/trae119

Srista Manandhar, Sunit Chhetri, Rohan Basnet, Arun Gautam, Urza Bhattarai, Manish Uprety, Aarjav Sharma, Ujwal Gautam, Madhav Bhushal, Sanjib Kumar Sharma

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Abstract

Background: Snakebite envenomation is a global public health concern, especially in tropical and subtropical regions. We describe the demography, presentations, treatments and outcomes of snakebites from a community snakebite treatment centre in Nepal.

Methods: This was a retrospective study of snakebite cases from 2008 to 2021 presenting in a community-based treatment centre in eastern Nepal. The data were collected from predesigned forms in the centre.

Results: The median age of the victims (N=13 825) was 29 y (interquartile range 18-43) predominantly comprising farmers (39.5%). Cobras (Naja spp.) were the predominant species. Self-treatment practices like the application of tourniquets are common (74.5%) and antivenom was infused to 3.3% of victims. Motorcycles (57.9%) were the primary mode of transport, significantly reducing the time to reach healthcare centres compared with other means (p<0.001). The majority of patients visiting the community snakebite centre exhibited improvement (98.4%), with a low referral rate (0.6%) and case fatality rate (1.26%).

Conclusions: Snakebites are a common problem in rural Nepal. Neurotoxic envenomation, inflicted by the common cobra, predominates in this area. This community-based snakebite treatment centre, managed by paramedics, exemplifies the successful outcome of snakebite management in Nepal.

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蛇咬伤的临床流行病学研究：对尼泊尔东部社区治疗中心13年数据的审计

背景：蛇咬伤中毒是一个全球性的公共卫生问题，特别是在热带和亚热带地区。我们描述了尼泊尔社区蛇咬伤治疗中心的人口统计、表现、治疗和蛇咬伤的结果。方法：对尼泊尔东部社区治疗中心2008年至2021年蛇咬伤病例进行回顾性研究。数据是从中心预先设计的表格中收集的。结果：患者年龄中位数为29岁（N=13 825）（四分位数区间18 ~ 43），以农民为主（39.5%）。眼镜蛇（眼镜蛇科）是优势种。使用止血带等自我治疗做法很常见（74.5%），3.3%的受害者被注射抗蛇毒血清。摩托车（57.9%）是主要的交通方式，与其他方式相比，大大缩短了到达医疗中心的时间(p结论：蛇咬伤是尼泊尔农村的一个常见问题。由普通眼镜蛇造成的神经毒性中毒在该地区占主导地位。这个以社区为基础的蛇咬伤治疗中心由护理人员管理，体现了尼泊尔蛇咬伤管理的成功成果。

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.