Deb Prasad Pandey, Bhola Ram Shrestha, Krishna Prasad Acharya, Khagendra Jang Shah, Chhabilal Thapa-Magar, Ishwari Prasad Dhakal, Fahim Mohamed, Geoffrey K Isbister
BACKGROUND: Snakebite is a neglected public health issue in Nepal. We aimed to characterize patients with snake envenoming admitted to hospital in south-western Nepal. METHODS: This was a prospective cohort study of 476 snakebite patients admitted to Bheri Hospital from May to December 2017. Data were collected on patient demographics, bite circumstances, snake type, treatment-seeking behavior, clinical effects, complications and treatment. RESULTS: There were 139/476 (29%) patients with clinical features of envenomation and 10 deaths (8%), of which six were prehospital deaths; 325/476 (68%) patients used non-recommended prehospital first aid, including 278 (58%) who applied a tourniquet and 43 (9%) consulting traditional healers...
January 6, 2023: Transactions of the Royal Society of Tropical Medicine and Hygiene