When the bite is not the threat: non-venomous snakebites and their impact on rural child health.

IF 2.3 4区 医学 Q2 PEDIATRICS
Kavinda Dayasiri, Achila Ranasinghe, Nayani Suraweera, Priyanga Burhan
{"title":"When the bite is not the threat: non-venomous snakebites and their impact on rural child health.","authors":"Kavinda Dayasiri, Achila Ranasinghe, Nayani Suraweera, Priyanga Burhan","doi":"10.1136/bmjpo-2025-003583","DOIUrl":null,"url":null,"abstract":"<p><strong>Background: </strong>While the clinical management of venomous snakebites has been widely studied, little attention has been paid to paediatric bites from non-venomous or mildly venomous snakes in Sri Lanka. Although medically less severe, these bites frequently lead to healthcare visits and even hospital admissions, primarily due to caregiver anxiety and concern, and may result in minor complications.</p><p><strong>Methods: </strong>A multicentre descriptive cross-sectional study was conducted across four referral hospitals in Sri Lanka. Children aged 0-17 years with confirmed bites from snakes of low or no medical significance were included. Data were collected through medical records and caregiver interviews. A matched control group was used to explore environmental and behavioural risk factors. Multivariate logistic regression identified independent predictors of snakebites.</p><p><strong>Results: </strong>Among 183 children, the mean age was 10.5 years (SD=4.1), with 68.3% being male. Most lived in rural areas (86.9%), and rat snakes and water snakes were the most frequently implicated species. Bites primarily affected the feet (71%) and occurred during outdoor activities at home. Most children presented to healthcare facilities within 1 hour of the bite. Multivariate analysis showed that regular use of a torchlight (OR: 0.38, p<0.001) and home garden cleaning (OR: 0.35, p<0.001) were protective, while the presence of rats (OR: 2.01, p<0.001) and proximity to water bodies (OR: 1.92, p=0.04) were associated with increased risk.</p><p><strong>Conclusion: </strong>Non-venomous and mildly venomous snakebites in children are common in rural Sri Lanka and are influenced by modifiable behavioural and environmental factors. Targeted community education and preventive measures could reduce unnecessary health system burdens.</p>","PeriodicalId":9069,"journal":{"name":"BMJ Paediatrics Open","volume":"9 1","pages":""},"PeriodicalIF":2.3000,"publicationDate":"2025-07-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12306283/pdf/","citationCount":"0","resultStr":null,"platform":"Semanticscholar","paperid":null,"PeriodicalName":"BMJ Paediatrics Open","FirstCategoryId":"3","ListUrlMain":"https://doi.org/10.1136/bmjpo-2025-003583","RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"Q2","JCRName":"PEDIATRICS","Score":null,"Total":0}
引用次数: 0

Abstract

Background: While the clinical management of venomous snakebites has been widely studied, little attention has been paid to paediatric bites from non-venomous or mildly venomous snakes in Sri Lanka. Although medically less severe, these bites frequently lead to healthcare visits and even hospital admissions, primarily due to caregiver anxiety and concern, and may result in minor complications.

Methods: A multicentre descriptive cross-sectional study was conducted across four referral hospitals in Sri Lanka. Children aged 0-17 years with confirmed bites from snakes of low or no medical significance were included. Data were collected through medical records and caregiver interviews. A matched control group was used to explore environmental and behavioural risk factors. Multivariate logistic regression identified independent predictors of snakebites.

Results: Among 183 children, the mean age was 10.5 years (SD=4.1), with 68.3% being male. Most lived in rural areas (86.9%), and rat snakes and water snakes were the most frequently implicated species. Bites primarily affected the feet (71%) and occurred during outdoor activities at home. Most children presented to healthcare facilities within 1 hour of the bite. Multivariate analysis showed that regular use of a torchlight (OR: 0.38, p<0.001) and home garden cleaning (OR: 0.35, p<0.001) were protective, while the presence of rats (OR: 2.01, p<0.001) and proximity to water bodies (OR: 1.92, p=0.04) were associated with increased risk.

Conclusion: Non-venomous and mildly venomous snakebites in children are common in rural Sri Lanka and are influenced by modifiable behavioural and environmental factors. Targeted community education and preventive measures could reduce unnecessary health system burdens.

Abstract Image

当咬伤不是威胁时:非毒蛇咬伤及其对农村儿童健康的影响。
背景:虽然毒蛇咬伤的临床处理已被广泛研究,但在斯里兰卡,很少有人注意到儿童被无毒或轻度毒蛇咬伤。虽然医学上不那么严重,但这些咬伤经常导致就医,甚至住院,主要是由于护理人员的焦虑和担忧,并可能导致轻微并发症。方法:在斯里兰卡的四家转诊医院进行了一项多中心描述性横断面研究。年龄0-17岁的儿童被证实被蛇咬伤,其医学意义不大或没有。通过医疗记录和护理人员访谈收集数据。一个匹配的对照组用于探索环境和行为风险因素。多变量logistic回归确定了蛇咬伤的独立预测因素。结果:183例患儿平均年龄10.5岁(SD=4.1),男性占68.3%。以农村地区居多(86.9%),鼠蛇和水蛇是最常见的种类。叮咬主要影响足部(71%),发生在家中户外活动期间。大多数儿童在被咬后一小时内到医疗机构就诊。多因素分析显示,经常使用手电筒(OR: 0.38, p)。结论:斯里兰卡农村儿童无毒和轻度毒蛇咬伤很常见,并受可改变的行为和环境因素的影响。有针对性的社区教育和预防措施可以减少不必要的卫生系统负担。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
求助全文
约1分钟内获得全文 求助全文
来源期刊
BMJ Paediatrics Open
BMJ Paediatrics Open Medicine-Pediatrics, Perinatology and Child Health
CiteScore
4.10
自引率
3.80%
发文量
124
×
引用
GB/T 7714-2015
复制
MLA
复制
APA
复制
导出至
BibTeX EndNote RefMan NoteFirst NoteExpress
×
提示
您的信息不完整,为了账户安全,请先补充。
现在去补充
×
提示
您因"违规操作"
具体请查看互助需知
我知道了
×
提示
确定
请完成安全验证×
copy
已复制链接
快去分享给好友吧!
我知道了
右上角分享
点击右上角分享
0
联系我们:info@booksci.cn Book学术提供免费学术资源搜索服务,方便国内外学者检索中英文文献。致力于提供最便捷和优质的服务体验。 Copyright © 2023 布克学术 All rights reserved.
京ICP备2023020795号-1
ghs 京公网安备 11010802042870号
Book学术文献互助
Book学术文献互助群
群 号:604180095
Book学术官方微信