Abstract:
:Snakebite is an important cause of mortality among rural dwellers in the savannah region of West Africa. We conducted a retrospective review of snakebite patients managed by experienced medical staff at Kaltungo in north-eastern Nigeria to determine the cause of death. During a 36 month period there were 94 deaths among 6687 victims (1.41%). Relative risk (RR) of mortality increased to 2.29 (95% CI 1.35-3.89) during a period when source of antivenom became unreliable. The increase was not due to seasonal variation. In a logistic regression model predictors of mortality were new central nervous system (CNS) features (Odds ratio (OR) = 24.61; 95% CI 6.93-87.41) and delay from bite to hospitalization (OR for every 1 h delay = 1.01; 95% CI 1.00-1.02). Treatment with antivenom was protective (OR = 0.17; 95% CI 0.03-0.96). Relationship of anaemia and shock to mortality were not maintained following adjustment. Effort should be made to provide regionally appropriate, affordable and effective antivenoms in addition to enforcement of continuous regulatory control measures. Antivenoms should be distributed to affected areas and treatment access points of care expanded to communities to diminish travel time. The populations at risk should be educated on avoiding unnecessary delays and on prevention of bites.
journal_name
Int Healthjournal_title
International healthauthors
Habib AG,Abubakar SBdoi
10.1016/j.inhe.2010.08.001subject
Has Abstractpub_date
2011-03-01 00:00:00pages
50-5issue
1eissn
1876-3413issn
1876-3405pii
j.inhe.2010.08.001journal_volume
3pub_type
杂志文章abstract::The Global Trachoma Mapping Project (GTMP) is the largest infectious disease survey ever undertaken. With 60 partners, 2.6 million people were examined across 29 countries for the blinding neglected tropical disease (NTD) trachoma, establishing the prevalence of the disease globally. Such an achievement was only made ...
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更新日期:2018-11-01 00:00:00
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更新日期:2013-03-01 00:00:00
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更新日期:2018-11-01 00:00:00
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pub_type: 杂志文章,多中心研究
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更新日期:2016-09-01 00:00:00
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更新日期:2019-09-02 00:00:00
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更新日期:2014-06-01 00:00:00
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更新日期:2011-12-01 00:00:00
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更新日期:2012-12-01 00:00:00
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更新日期:2017-03-01 00:00:00
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更新日期:2017-07-01 00:00:00
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更新日期:2020-07-01 00:00:00