Antivenom use in bite and sting cases presenting to a public hospital.
Ulus Travma Acil Cerrahi Derg
; 24(4): 343-350, 2018 Jul.
Article
en En
| MEDLINE
| ID: mdl-30028493
ABSTRACT
BACKGROUND:
To evaluate the distribution of bite and sting cases presenting to a district public hospital and the use of antivenom in scorpion sting and snake bite cases.METHODS:
The demographic characteristics of patients with bites/stings reporting to a public hospital in 2014, the agent involved, the season of reporting, severity of clinical findings during presentation, and use of antivenom in scorpion sting and snake bite cases were evaluated retrospectively. χ2 test was used for statistical analysis.RESULTS:
Bite and sting cases comprised 0.5% of all the patients reporting to the hospital's emergency department, with scorpion sting cases comprising almost half (54.2%) of these hospital presentations, followed by Hymenoptera (bee and wasp) sting (30.8%) and snake bite (5.5%) cases. Unnecessary antihistamine administration was found to be significantly high in asymptomatic patients (p=0.00006). Furthermore, antivenom use was found to be significantly high in patients with scorpion sting and snake bite despite the absence of systemic or local indications (p<0.0001, χ2=80.595).CONCLUSION:
The study results showed that antivenom was used in scorpion sting and snake bite cases even when it was not indicated. Therefore, primary practitioners should be provided training for management of envenomation cases and should be made aware of the updated guidelines and references to raise their knowledge levels.
Texto completo:
1
Colección:
01-internacional
Base de datos:
MEDLINE
Asunto principal:
Mordeduras y Picaduras
/
Antivenenos
/
Evaluación de Resultado en la Atención de Salud
/
Servicio de Urgencia en Hospital
Tipo de estudio:
Guideline
/
Observational_studies
/
Prevalence_studies
/
Risk_factors_studies
Límite:
Adolescent
/
Adult
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Animals
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Child
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Female
/
Humans
/
Male
País/Región como asunto:
Asia
Idioma:
En
Revista:
Ulus Travma Acil Cerrahi Derg
Año:
2018
Tipo del documento:
Article