Asia Pacific Journal of Medical Toxicology

The Investigation of the Clinical Symptoms of Snakebites in Children Admitted to Abuzar Hospital in South of Iran from 2018-2020

Document Type : Original Article

Authors

Mahdieh Sadat Badiee 1
Ali hassan Rahmani 2
Ali Vadizadeh 1
Hamidreza Godarzi 3

1 Department of Toxicology, Faculty of Pharmacy, Ahvaz Jundishapur University of Medical sciences, Ahvaz, Iran

2 Department of Clinical Toxicology, Razi Hospital, School of Medicine, Ahvaz Jundishapur University of Medical Sciences, Ahvaz, Iran

3 Faculty of Medicine, Ahvaz Jundishapur University of Medical Sciences, Ahvaz, Iran

https://doi.org/10.22038/apjmt.2023.22258
Abstract
Introduction: Due to the diversity of snakes in Iran, understanding the demographic characteristics of patients can be effective in better treatment. The aim of this study was to determine the clinical symptoms of snakebites in children admitted to Abuzar Hospital of south of Iran from 2018-2020.
Methods: The present study was descriptive-analytical and retrospective. A number of 145 snakebites children referred to Abuzar Hospital of south of Iran from 2018-2020 were selected by census and examined. The clarified was extracted from the analysis using SPSS software version 22. 
Results: The mean age of snakebite children was 10.73±3.41 years, 92 (63.4%) were male children. The mean of anti -venom intake in bitten children was 4.93±1.44, the mean BUN (Blood Urea Nitrogen) 13.70±4.01, and the mean creatinine 0.68±0.14. The mean duration of hospitalization 4.05±2.13 days and the mean duration of onset of symptoms after the bite in patients was 94.34±109.31 hours. The mean of coagulation problems in the first stage in patients was 2.76±1.91 and 82 (56.6%) of snake bred children received FFP blood product. The first symptom after a bite in 60 snakebite children (41.4%) was pain. Four patients (2.8%) were hospitalized for two days and two patients (1.4%) were admitted to the intensive care unit (ICU) for three days. The location of 49 of the snakebite children was Ahvaz (33.8%) and none of the snakebite children died. 
Conclusion: According to the results of this study and understanding the epidemiology of snakebite in the Khozestan province, it is possible to play an effective role in preventing snakebites and other causes by educating all health care workers and physicians as well as raising public awareness in the community.

Keywords

Clinical symptoms
Snakebite
Child
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