Can We Reduce Morbidity & Mortality In Viper Snake Bite?
Keywords:
Immunotherapy, Antivenin, Haemogram, Serial evaluation, TrendsAbstract
Objective: The objective of the study was to reduce the mortality and morbidity in viper snake bites by optimizing antivenin dose with clinical signs and laboratory value trends. Methodology: In this Retrospective study. Retrospective analysis was done in 23 severely envenomed cases to find out the various percentages of morbidity and mortality. In year 2011 immunotherapy was optimized by estimation of haemogram for trends of WBC and platelets, this resulted into reduction in the morbidity and mortality. In year 2012-2013, initial dose of antivenin was correlated clinically with epigastric tenderness and additional doses were modified using above laboratory value trends. Total 28 viper snake bite cases were treated and the morbidity and mortality was reduced substantially by using the modified protocol. Result: Improved outcomes correlate well with laboratory trends causing decrease in mortality and morbidity in viper snake bite. Conclusion: If we modify the dose schedule of immunotherapy using clinical signs and value trends as guidelines, morbidity and mortality in viper snake bite can be reduced substantially, reducing hospital stay, use of blood products and the cost.
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