Siju V. Abraham , Deo Mathew , Aravind Sreekumar , Akhil V. George , Vijay Chanchal , Purushothaman Kuzhikkathu Kandiyil , Punchalil Chathappan Rajeev , Udaya Bhaskaran Valuvil , Jayesh Kumar , Kuruvath Bahuleyan Mohan , Joe Thomas , Manu Ayyan , Sandeep Das , Freston Marc Sirur , Indira Madhavan , Aboobacker Mohamed Rafi , Pradeoth Korambayil Mukundan , Kartik Sunagar , Vimal Krishnan S , Babu Urumese Palatty
{"title":"印度蛇咬伤护理的临床挑战、争议和区域策略","authors":"Siju V. Abraham , Deo Mathew , Aravind Sreekumar , Akhil V. George , Vijay Chanchal , Purushothaman Kuzhikkathu Kandiyil , Punchalil Chathappan Rajeev , Udaya Bhaskaran Valuvil , Jayesh Kumar , Kuruvath Bahuleyan Mohan , Joe Thomas , Manu Ayyan , Sandeep Das , Freston Marc Sirur , Indira Madhavan , Aboobacker Mohamed Rafi , Pradeoth Korambayil Mukundan , Kartik Sunagar , Vimal Krishnan S , Babu Urumese Palatty","doi":"10.1016/j.lansea.2025.100598","DOIUrl":null,"url":null,"abstract":"<div><div>Snakebite envenomation remains a significant public health issue, particularly in southeast Asia, where diverse venomous snake species and resource-limited healthcare settings complicate effective management. This Health Policy employed thematic analysis of a panel discussion involving multidisciplinary experts with over 300 years of combined experience. Four key themes were identified: (i) the evolution of snakebite treatment paradigms, (ii) clinical and procedural challenges, (iii) debates over controversial practices, and (iv) the role of policy and research in improving outcomes. The findings emphasise the need for region-specific antivenoms, enhanced peripheral healthcare capabilities, and evidence-based treatment protocols. This work provides actionable insights to inform health policy, guide targeted training initiatives, and prioritise research on neglected areas in the management of snakebite.</div></div>","PeriodicalId":75136,"journal":{"name":"The Lancet regional health. Southeast Asia","volume":"37 ","pages":"Article 100598"},"PeriodicalIF":6.2000,"publicationDate":"2025-05-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":"0","resultStr":"{\"title\":\"Clinical challenges, controversies, and regional strategies in snakebite care in India\",\"authors\":\"Siju V. Abraham , Deo Mathew , Aravind Sreekumar , Akhil V. George , Vijay Chanchal , Purushothaman Kuzhikkathu Kandiyil , Punchalil Chathappan Rajeev , Udaya Bhaskaran Valuvil , Jayesh Kumar , Kuruvath Bahuleyan Mohan , Joe Thomas , Manu Ayyan , Sandeep Das , Freston Marc Sirur , Indira Madhavan , Aboobacker Mohamed Rafi , Pradeoth Korambayil Mukundan , Kartik Sunagar , Vimal Krishnan S , Babu Urumese Palatty\",\"doi\":\"10.1016/j.lansea.2025.100598\",\"DOIUrl\":null,\"url\":null,\"abstract\":\"<div><div>Snakebite envenomation remains a significant public health issue, particularly in southeast Asia, where diverse venomous snake species and resource-limited healthcare settings complicate effective management. This Health Policy employed thematic analysis of a panel discussion involving multidisciplinary experts with over 300 years of combined experience. Four key themes were identified: (i) the evolution of snakebite treatment paradigms, (ii) clinical and procedural challenges, (iii) debates over controversial practices, and (iv) the role of policy and research in improving outcomes. The findings emphasise the need for region-specific antivenoms, enhanced peripheral healthcare capabilities, and evidence-based treatment protocols. This work provides actionable insights to inform health policy, guide targeted training initiatives, and prioritise research on neglected areas in the management of snakebite.</div></div>\",\"PeriodicalId\":75136,\"journal\":{\"name\":\"The Lancet regional health. Southeast Asia\",\"volume\":\"37 \",\"pages\":\"Article 100598\"},\"PeriodicalIF\":6.2000,\"publicationDate\":\"2025-05-15\",\"publicationTypes\":\"Journal Article\",\"fieldsOfStudy\":null,\"isOpenAccess\":false,\"openAccessPdf\":\"\",\"citationCount\":\"0\",\"resultStr\":null,\"platform\":\"Semanticscholar\",\"paperid\":null,\"PeriodicalName\":\"The Lancet regional health. Southeast Asia\",\"FirstCategoryId\":\"1085\",\"ListUrlMain\":\"https://www.sciencedirect.com/science/article/pii/S2772368225000691\",\"RegionNum\":0,\"RegionCategory\":null,\"ArticlePicture\":[],\"TitleCN\":null,\"AbstractTextCN\":null,\"PMCID\":null,\"EPubDate\":\"\",\"PubModel\":\"\",\"JCR\":\"Q1\",\"JCRName\":\"HEALTH CARE SCIENCES & SERVICES\",\"Score\":null,\"Total\":0}","platform":"Semanticscholar","paperid":null,"PeriodicalName":"The Lancet regional health. Southeast Asia","FirstCategoryId":"1085","ListUrlMain":"https://www.sciencedirect.com/science/article/pii/S2772368225000691","RegionNum":0,"RegionCategory":null,"ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"Q1","JCRName":"HEALTH CARE SCIENCES & SERVICES","Score":null,"Total":0}
Clinical challenges, controversies, and regional strategies in snakebite care in India
Snakebite envenomation remains a significant public health issue, particularly in southeast Asia, where diverse venomous snake species and resource-limited healthcare settings complicate effective management. This Health Policy employed thematic analysis of a panel discussion involving multidisciplinary experts with over 300 years of combined experience. Four key themes were identified: (i) the evolution of snakebite treatment paradigms, (ii) clinical and procedural challenges, (iii) debates over controversial practices, and (iv) the role of policy and research in improving outcomes. The findings emphasise the need for region-specific antivenoms, enhanced peripheral healthcare capabilities, and evidence-based treatment protocols. This work provides actionable insights to inform health policy, guide targeted training initiatives, and prioritise research on neglected areas in the management of snakebite.
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