Management of snakebites at a rural South African hospital

Abstract

AbstractBackground: Snakebites remain a source of considerable morbidity and mortality in many countries, with an estimated global true incidence of envenomation exceeding five million a year, with about 100 000 of these cases developing severe sequelae. Despite the availability of polyvalent snake antivenom, inappropriate first aid, regional effects of envenomation and inappropriate use of antivenom result in significant and at times potentially avoidable morbidity and mortality, particularly in children. The study was undertaken in Lephalale (previously Ellisras) Hospital, Limpopo Province, due to the frequency of snakebites managed at the hospital.Methods: This was a record-based retrospective study in which patient files with the diagnosis of snakebite were reviewed. The objective of this study was to document the management of snakebites at Lephalale Hospital, a rural hospital in South Africa. The hospital files of all patients managed at the hospital for snakebites from 1 January 1998 to 31 December...