Bite Cases Research Articles

“Watch them Young – Treat them Grow”: Management of Developing Anterior Cross Bite in Mixed Dentition Period Using Versatile 2x4 Appliance

The primary care of the Paediatric dentist is guidance of the child’s developing dentition, in accordance with the stage of orofacial growth and development . Anterior dental crossbite results from the lingual position of the maxillary anterior teeth in relationship with mandibular anterior teeth. In any type of crossbite correction, the practitioner must be able to delineate whether crossbite is of dental origin or skeletal origin . Dental Crossbite involves the localized tipping of a tooth or teeth, does not involve the basal bone . In case of simple anterior dental crossbite, the patient presents a normal skeletal pattern with abnormalities presenting in the axial inclination of the affected teeth. According to Profitt, first adequate space needs to be opened to bring the displaced tooth or teeth across the occlusion into its proper position for anterior dental crossbite correction. Certain malocclusions should be corrected during the mixed dentition period which aids in the normal growth of jaws and surrounding structures. This article describes successful management of anterior segmental cross bite case treated using 2 x 4 appliance. The 2 x 4 appliance is a partially fixed orthodontic appliance that is used in children in a mixed dentition period to correct simple malocclusions associated with permanent anterior teeth.

An Analysis of Dog and Cat Bite Cases Attending a Tertiary Care Hospital, Bursa

Objective: The aim of this study was to investigate the epidemiology of dog and cat bite cases in Bursa, Turkey through 2018–2022.
 Materials and Methods: A retrospective patient review was carried out. This study was conducted in the department of the Emergency Medicine of Yuksek Ihtisas Training and Research Hospital, Bursa, Turkey. The injury patterns and epidemiologic data of the patients were evaluated. A total of 92 animal bite cases were reviewed.
 Results and Conclusion: This study was enrolled 49 men (53.3%) and 43 women (46.7%) with an average age of 37.09± 16.65 years. None of them died as a consequence of animal bite. The findings indicate that a significant correlation was found between the site of injury, the type of wound, antibiotic use, and the species of the biting animals [(p=0.001), (p

Frequency, geographical distribution and outcomes of pit viper bites in Malaysia consulted to Remote Envenomation Consultancy Services (RECS) from 2017 to 2020.

Not all pit viper species are present in every state of Malaysia and their distribution varies according to altitude. There is limited information on pit viper bite incidence and its geographical distribution. This was a cross-sectional study of confirmed pit viper bite cases referred to Remote Envenomation Consultancy Services (RECS) from January 2017 to December 2020. Data was collected following the approval of institutional research ethics committee. Universal sampling methods were used. Confirmed pit viper bite cases in each state, geographical location and the antivenom used were reported. A total of 523 confirmed pit viper bite injuries occurred over the 4-year study period. The majority were Malaysians, male and young adults. Most were non-occupational related (83.9%) and involved the upper limbs (46.8%). The commonest pit viper species involved was Trimeresurus purpureomaculatus (23.7%). Green pit viper antivenom (GPAV) was the most frequent antivenom used (n = 51) with the majority of patients requiring only one dose (3 vials). This study provides a better appreciation of indigenous pit viper species distribution for each state and reflects the requirement of appropriate antivenom to be stocked in each state or district hospital.

Epidemiology of animal bite injuries in North of Fars province in Iran

Objective: To investigate the epidemiological situation of animal bites in Rostam city of Fars province. Methods: This is a cross-sectional study. Cases of animal bites registered in health centers of Rostam city of Fars province from the beginning of 2014 to 2020 were analyzed using the census method. The tool for collecting information was the portal of the Ministry of Health and the registration offices of people who were referred to the rabies center. Results: A total of 628 cases of animal bites registered in health centers of Rostam city of Fars province from the beginning of 2014 to 2020. The mean age of the injured was (31.3 ± 20.2) years. Of the total injured cases, 414 (65.9%) were male, and 491 (78.2%) lived in villages. Most of the cases were bitten by dogs (n=420, 66.8%) and the upper limb was involved in 280 (55.2%) cases. In addition, an increasing trend was observed in the incidence of animal bites from 2015 to 2020. Conclusions: The incidence of animal bites in Rostam City is high, and most of the cases occur in rural areas. Considering the injuries caused by animal bites, the risk of rabies transmission, and the high costs of vaccination and serum therapy, it is necessary to hold control, educational, and vaccination programs.

Epidemiological pattern and management of dog bite injuries in Karachi, Pakistan: A cross-sectional study

BackgroundDog bite injuries are a common problem globally; however, little is known about the epidemiology of dog bite injury from a low-and-middle-income country like Pakistan. This study aims to determine the epidemiology of dog bite injuries among children and adults from a tertiary care hospital in Karachi, Pakistan. MethodsWe conducted a cross-sectional study on dog bite patients visiting the emergency department from November 2015 to August 2016 of a major public tertiary care hospital. Data was collected using a structured questionnaire on demographic details, bite history, and management of dog bite victims. Descriptive analysis was reported. Chi-square test was applied to check the associations between age-specific dog bite cases and independent variables. Results2178 participants were included in the analysis. 715 (38.8%) were children less than 18 years old, and 1463 (61.2%) were adults over 18 years. A majority of the patients were males (1909, 87.7%). Results show that most dog bite injuries (2052, 94.2%) tend to occur outside the house by stray dogs biting without provocation. People aged 18 years and above (61.2%) and males (children: 84.6%, adults: 89.1%) tend to be bitten more often. Lower limbs are most frequently bitten (children: 69.5%, adults: 85.8%). Free-roaming stray dogs (children: 73.4%, adults: 74.9%) were involved in reported biting cases. Many of the patients did not receive appropriate first aid and instead just washed the wound with soap and water (children: 45.1%, adults: 43.7%). 99% of the victims received Tetanus toxoid, Rabies vaccine, and immunoglobulins while in the emergency department. ConclusionThere is a high burden of dog bite injuries from stray dogs in Karachi, Pakistan. Efforts should be made to create awareness among the general public on the risks of dog bites and on seeking appropriate first aid and medical attention for a dog bite injury.

Knowledge, Attitude, and Practice of Dog Owners on Rabies In The Province of West Java

West Java Province is one of the regions that is still not rabies-free. Although the ISIKHNAS data shows that West Java had no rabies cases in 2021, there were 313 cases of bites by Rabies Transmitting Animals reported, so the public needs to remain vigilant against rabies. This study aims to determine and analyze the dog owner's level of knowledge, attitude, and practice regarding rabies. The research was conducted using a survey method (questionnaire) using a Google form which was distributed via social media and was filled in by 108 respondents from various regions in West Java in October-November 2022. The questionnaire in this study was the result of a modification from previous research in Sukabumi Regency and is valid and reliable based on test results to 30 respondents outside the research sample. The research data were then processed descriptively. The study's findings revealed that most of the respondents (43.5%) have sufficient level of knowledge, positive attitude level (89.8%) and good practice level (84.3%). There is some knowledge that has not been obtained properly, especially in the information that there is no effective drug to cure rabies. The findings of this study may provide the foundational information for future research and help to identify the kinds of interventions and programs that can be put in place to prevent and reduce rabies cases throughout all study locations.

Cypermethrin insecticide in viscera of suspected snake bite case: A Forensic case study

The present paper reports the use of analytical techniques in identifying the reason of the death of a suspect. After the death of an individual, a post-mortem examination was conducted. As part of the investigation, the viscera (I) and (II) were sent to the Mini Forensic Science Laboratory in Solapur. The Medical Officer, in their report, mentioned that no injuries or defensive marks were found on the body, except for a small prick mark or bite mark with clotted blood observed on the right foot, between the small toe and adjacent fingers. Upon cleaning the area, it was noticed that one spot was more prominent, while the other spot was faint. Since there were no eyewitnesses present at the crime scene, the police recorded in their inquest that the death might be a result of a snake bite. No formal complaint was registered at that time. However, the viscera samples were preserved for further examination and a final opinion. In the analysis of the viscera, techniques such as Thin-Layer Chromatography (TLC) and Gas Chromatography-Mass Spectrometry (GC-MS) were employed. The results of the analysis revealed that the cause of death was cypermethrin poisoning, as indicated by the presence of cypermethrin in the viscera samples

Compliance to post-exposure prophylaxis among patients attending anti-rabies vaccination clinic in a tertiary health care centre in central India: a cross sectional study

Background: Rabies is a fatal but vaccine-preventable disease. Prevention of rabies in exposed individuals is possible by providing them with the proper post-exposure prophylaxis. This study aims to assess the compliance to post-exposure prophylaxis in animal bite cases and factors associated with it. Methods: A cross sectional study was conducted between September 2022 to November 2022 using a predesigned, pretested proforma to interview 300 patients attending anti-rabies vaccination clinic in a tertiary health care centre in central India. Results: Majority of the patients 268 (89.3%) suffered category 3 animal bite and 32 (10.7%) patients suffered category 2 animal bite. 125 (41.7%) patients washed the wound with water, soap and applied antiseptic. 234 (78%) patients completed their last dose of anti-rabies vaccine (ARV) while compliance to Rabies Immunoglobulin (RIG) was seen in 167 (63.3%) patients of all cases requiring it. Out of all the patients who took Equine RIG, 7 (4.5%) showed hypersensitivity reactions. Significant association was found between compliance to ARV with type of animal and status of animal after 10 days; and compliance to RIG with gender, socio-economic status, type of animal and type of wound. Conclusions: Compliance to ARV and RIG in our study was 78% and 63.3% respectively. Major reason for poor compliance to RIG was the price of immunoglobulin. Health education regarding significance of post-exposure prophylaxis is needed among the population.

Effect of COVID-19 Pandemic on Emergency Department Admissions and Outcome.

Emergency Department admissions have changed significantly during the COVID-19 pandemic. Understanding this variation may play a crucial role in rearranging hospital resources for better outcome. In this study, we aimed to assess the impact of COVID-19 pandemic on emergency department admission and outcome. This is a cross-sectional retrospective study conducted at Bharatpur Hospital, Nepal comparing pre- pandemic data of the 4 months (March 24 to July 21, 2019) with the initial 4 months of the pandemic (March 24 to July 21, 2020). Admission in emergency ward decreased during covid period among female admission (47%vs43%), age-group(0-14)(18%vs12%), Dalit(17%vs11%) p<0.0001.Diagnosis increased during covid for acute abdomen(11%vs13%), animal and insect bite(10%vs13%), psychiatric illness(2%vs6%),poisoning and drug over dose(0.9%vs2.6%)(p<0.0001).The odds for referral(cOR 3.62,95% CI:2.70-4.84), Left against medical advice(cOR 6.03,95% CI:.06-8.94) and death(cOR 3.28,95% CI:1.64-6.68) increased during the covid respectively. There was decrease in rates of emergency department utilization during the Covid-19 pandemic. Admissions due to trauma, gastrointestinal, respiratory, neurological, musculoskeletal and coronary artery disease showed a decline whereas psychiatric disorders, diabetes and hypertension, animal and insect bites cases increased. Overall, mortality rate was increased.

Real-Time Surveillance of Dog Bite Incidence in Islamabad: A Cross-Sectional Study from December 2019 to July 2020

Rabies is a neglected viral zoonotic disease with an almost 100% fatality rate. A pilot project was initiated by the National Institute of Health (NIH), Islamabad, in collaboration with Health Security Partners (HSP) to establish a real-time dog bite surveillance in humans in public sector secondary care hospitals of Islamabad. The main objective of this study was to analyze different characteristics of dog bite cases, identify gaps in surveillance, and recommend suggestions to improve and strengthen real-time dog bite surveillance systems. An observational cross-sectional study was conducted in two major public sector hospitals in Islamabad from December 2019 to July 2020. Data on demographic information, site of the dog bite, category of the dog bite, and treatment was collected via a WVS mobile-based application. Descriptive analysis was carried out for different variables at a p-value of &lt;0.05. A total of 338 dog bite cases were captured in the World Veterinary Service (WVS) application, and most cases (n = 226, 85.6%) were reported in December 2019 with a male-to-female ratio of 2:1. Most cases were reported from the age group of 22 to 31 years (n = 178, 53%). Out of the total number of cases, 263 (78%) presented with a single anatomical location, and 174 (51%) had Category II wounds. All dog bite patients were given only the first dose of the anti-rabies vaccine at the hospital level. Real-time dog bite surveillance via a mobile-based application proved to be effective for the timely recording and management of dog bite cases. Young people were reported to be mostly affected by dog bites, and nearly half of the cases were managed in hospitals. Refresher training was conducted for medics and paramedics for mobile-based applications, dog bite management, and proper referral of cases to tertiary care hospitals.

Cost-Effectiveness Analysis of Integrated Bite Case Management and Sustained Dog Vaccination for Rabies Control

The successful prevention, control, and elimination of dog-mediated rabies is challenging due to insufficient resource availability and inadequate placement. An integrated dog bite case management (IBCM) system plus dog vaccination can help address these challenges. Based on data from the IBCM system in Haiti, we conducted a cost-effectiveness evaluation of a newly established IBCM system plus sustained vaccination and compared it with 1) a no bite-case management (NBCM) and 2) a non-risk-based (NRB) program, where bite victims presenting at a health clinic would receive post-exposure prophylaxis regardless of risk assessment. We also provide cost-effectiveness guidance for an ongoing IBCM system and for sub-optimal dog vaccination coverages, considering that not all cost-effective interventions are affordable. Cost-effectiveness outcomes included average cost per human death averted (USD/death averted) and per life-year gained (LYG). The analysis used a governmental perspective. Considering a sustained 5-year implementation with 70% dog vaccination coverage, IBCM had a lower average cost per death averted (IBCM: $7,528, NBCM: $7,797, NRB: $15,244) and cost per LYG (IBCM: $152, NBCM: $158, NRB: $308) than NBCM and NRB programs. As sensitivity analysis, we estimated cost-effectiveness for alternative scenarios with lower dog-vaccination coverages (30%, 55%) and lower implementation costs. Our results suggest that better health and cost-effectiveness outcomes are achieved with the continued implementation of an IBCM program ($118 per life-year saved) compared with a newly established IBCM program ($152 per life-year saved). Our results suggest that IBCM is more cost-effective than non-integrated programs to eliminate dog-mediated human rabies.

Evaluation of Clinical Profile and Complications Associated with Snake Bite among Such Patients at a Tertiary Care Hospital

Background: Snakebite occurs in Pakistan ofently mostly an occupational infection like farmers, plantation workers, fishers, and even among wildlife park rangers and military personnel. Monsoons are essential to farming, and most farmers are from lower-income backgrounds. Snake bite morbidity and fatality rates are species- and time-specific. The sufferers are often from lower socioeconomic classes, despite the absence of evidence to support their usage in the treatment of snake bite poisoning. Snake bites may be fatal if not treated quickly, thus having accurate data on the frequency and severity of these incidents is crucial for both diagnosis and policymaking. So, the study focuses on the evaluation of clinical profile and complications associated with snake bite among such patients at a tertiary care hospital. Objective: The objective of this study is to identify potential contributors to snake bite occurrences and also to determine the mortality and morbidity rates associated with snakebites and how they vary by snake species, venom type, bite location, and anti-venom use. Study Design: Observational Retrospective Study. Settings: This study is conducted in the department of Forensic Medicine and Toxicology, Sheikh Zayed Medical College, Rahim Yar Khan Pakistan. Duration: One year from Jan 2022 to Dec 2022. Methods: Both sexes from any age group and only suspected of snake bite were included. The poison illness other than snake bite were excluded from the study. Tertiary care facilities located in Pakistan included 150 snake bite cases were studied retrospectively between (study period). Using hospital records, researchers were able to learn specifics about snakebite-related mortality and morbidity, such as the species of snake if known, the method of envenomation, the victim's age, sex, residence, occupation, bite site, bite location, clinical manifestations of snakebite, initial treatment, and antivenom use. The admission and death registry were used to compile the historical record of data. Results: There were 96 male and 57 female enrolled in the study. The afternoon had the highest rate of bites (47% during the day), followed by the morning (28%), for a total of 78.5% during the day and 26.5% during the night. Seventy-five percent of the victims were alert when they were taken to the hospital, and most stayed there for between three and ten days as part of their surveillance, improvement, and recovery. The ages have been divided into different groups and we found that majority were from between 30 to 40 years. Pain, swelling, bleeding, tingling, numbness, and a blackened discoloration of the skin were all seen locally in 92 percent of the cases. Conclusion: Surveillance of envenomation’s is crucial for defining standards, arranging therapeutic supplies, and teaching medical personnel on Snakebite treatment since under-reporting of Snake bite occurrences has led to variances in observed rates of it. In addition, it has been noted that snake bites continue to be a significant occupational (farming) danger for people of working age, particularly men, in rural areas.

Pattern and Reporting of Animal Bite Cases at Anti-rabies Clinic of a Tertiary Care Hospital during COVID-19 Lockdown Period in Odisha - A Hospital-based Cross-sectional Study

Pattern and Reporting of Animal Bite Cases at Anti-rabies Clinic of a Tertiary Care Hospital during COVID-19 Lockdown Period in Odisha - A Hospital-based Cross-sectional Study

Epidemiologic Aspects of Animal Bite, Rabies, and Predictors of Delay in Post-exposure Prophylaxis: A National Registry-based Study in Iran.

The increasing trend in animal bites and rabies in recent years makes the disease a public health concern in Iran. The objectives of the current study were to investigate the epidemiologic aspects of the animal bite and determine the associated risk factors of the delay in initiation of post-exposure prophylaxis (PEP) against rabies in Iran. National registry-based cross-sectional study. This study included all registered cases of animal bites between March 2021 and March 2022 at the Ministry of Health and Medical Education in Iran. We retrieved epidemiologic data on person, time, place, and PEP outcome. A total of 260470 animal bite cases (approximately 334 per 100000 populations, and 11 deaths) were registered during the study period. About 77.2% of them were reported in males, 4.3% in children aged less than 5 years, 56.4% occurred in urban areas, 98% in domestic animals, and mostly in north and northeast areas of Iran. Additionally, 2.8% of cases had a delay of more than 48 hours in the initiation of PEP. Significant determinants of the increase in delay were female gender (OR=1.43, 95% CI: 1.36, 1.51, P<0.001), foreign nationality (OR=1.19, 95% CI: 1.01, 1.12, P=0.001), rural residence (OR=1.07, 95% CI: 1.01, 1.12, P=0.010), and the wild animals (OR=1.22, 95% CI: 1.12, 1.34, P<0.001). The observed frequency of animal bites in a year indicates a serious public health concern and the need for targeted interventions, especially in at-risk areas and vulnerable populations.

A review of 49 tick bite cases that occurred from 2020–2022 at Japanese Red Cross Ashikaga Hospital in Tochigi Prefecture —Trends in 40 cases of &lt;i&gt;Amblyomma testudinarium&lt;/i&gt; bites—

A review of 49 tick bite cases that occurred from 2020–2022 at Japanese Red Cross Ashikaga Hospital in Tochigi Prefecture —Trends in 40 cases of &lt;i&gt;Amblyomma testudinarium&lt;/i&gt; bites—

Epidemiologic profile of scorpion sting accidents in the duodecennial between 2011 and 2022 in the southeastern region of Brazil

Scorpion sting accidents have a significant impact in Brazil, leading to increased hospitalizations and healthcare costs, especially in regions with high scorpion populations. The present study aimed to perform an epidemiological analysis of these accidents in Southeastern Brazil. It is an epidemiological, ecological, and mixed-design study. The methodological strategy involved the analysis of epidemiological bulletins provided by the Sistema de Informação de Agravos de Notificação (Sinan) from 2011 to 2022. The data revealed that 613,385 cases of accidental scorpion bites were reported. Minas Gerais had the highest number of cases (50.44%). Males, Caucasians, between 20 and 59 years old, with a low level of education, are the most affected. Victims sought medical attention within 3 hours of the bite, and 27.34% were on the fingers. About 89.7% of the cases were classified as mild, 95.33% were cured, and 0.78% died from the reported disease. The results highlight the urgent need for targeted prevention strategies, improved medical management, and community awareness campaigns to reduce the impact of scorpion stings in the southeastern region of Brazil.

Epidemiologic Survey Around Dog Bites in Plateau State, Central Nigeria

Rabies is a zoonotic viral fatal disease of warm-blooded animals and occurs due to the bites of animals like dogs, cats, hyenas, jackals against their victims. Rabies remains threat to more than half of the world’s population, killing more than 59,000 people yearly mostly in Asia and Africa whilst most of the victims are children. Domestic dogs are responsible for causing over 99% of all human cases. Rabies can be transmitted through biting, scratching wounds, licking of broken skin and mucous membrane from rabid animal saliva to humans and other animals. In this study, ten farmers were randomly chosen and participated from the list of willing farmers from 5 local government areas LGAs, making a total of 50 farmers from the Berom, Tarok and Fulani communities in Plateau state. The population of those farmers who had no form of education combine with those who had least form of education 29(58%) are higher than those who attended secondary and tertiary 21(42%). 36(72%) revealed that ruminants have been the major victim of dog bites cases in the various communities and only 8(16%) said dogs are the most victims. 25(50%) of the respondents says animal can survive and live a normal life after bitten by a dog and 40(80%) believe that human can survive and live a normal life after bitten by a dog. Only 25(50%) of the respondents take their human victims of dog bites to the hospital for proper medical attention; 13(52%) of them had no idea on what to do with their human victims to dog bites before visits to the hospital, 5(20%) wash and dress the wounds of dog bites only and 6(28%) of the respondents’ resorts to using traditional methods of caring to dog bites wounds before hospital visits. In conclusion, this present study revealed that dog bite is an indiscriminate public health menace in both humans and animals, with ruminants being the most affected. Majority of the farmers had no idea on what to do with the wounds of dog bite on humans and their animals and this require for more public enlightenment/awareness about the fatality of the disease, its transmission and how the virus persists amongst human and animal populations. The dangers and risks, dog bites pose to the public health in any given community must be clearly explained to the public across all communities in the state and the whole country

Clinico-Epidemiological Study of Snake Bite Presenting to the Emergency Department of a Tertiary Care Hospital

Snakebite is an acute, life-threatening condition which is most commonly faced by the rural population of tropical countries. About 1.2 million deaths related to snake bites are reported from the Indian subcontinent adding a major part to the global burden towards snake bite mortality. Maharashtra reported the highest number of snake bite cases in the year 2019. A retrospective study was carried out at the emergency department from April 1st, 2020 to June 30th, 2021. Data regarding demographic factors, clinical features, complications, details of treatment received and outcomes of the snake bite victims were recorded. A total of 103 patients with snake bites were admitted, 71.84% were males, and the mean age group was 31.68 years. 26% of the cases were reported during the month of June, and 68% of the bites were reported between 12:00 pm to 12:00 am. 62.14% had bites over their lower limbs, and 31.07% of them were farmers. 47.57% had local pain. 59.22% were dry bites out of which 17.47% received an incomplete dose of Antisnakevenom (ASV) from referring hospitals. 17.47% manifested with neurological symptoms. Our study suggested that farmers, children, women and labourers are the most vulnerable groups affected. There is still a lack of knowledge among healthcare workers regarding the use of ASV.

Snake Envenomation Simulating ST Elevation Myocardial Infarction.

Envenomation syndromes following snakebites can include tissue reaction, coagulopathy, nephrotoxicity, and neurotoxicity. Cardiotoxicity is rare but usually presents with dysrhythmias. Myocardial infarction after envenomation has rarely been reported. We discuss a case of snake bite simulating ST-elevation myocardial infarction (STEMI). Our patient is a 49-year-old male who sustained a snake bite in his left hand. Patient had hemodynamic collapse requiring increasing pressor support; EKG and troponin results confirmed STEMI. Cardiac catheterization did not demonstrate any thrombosis, rather severe cardiomyopathy with left ventricular ejection fraction 20-25%. Even though our patient did not require any coronary intervention, an angiogram was warranted given the clinical presentation. Our case demonstrates severe cardiotoxicity following snake bite. Further research is warranted to study the mechanism behind such phenomena.

Frequency, Presentation, Management and Outcome of Snake Bite in Children at DGKMC &amp; Hospital, D.G Khan.

Objective: To evaluate the frequency, common presentation, anti-snake venom (ASV) related management and outcome of snake bite cases in admitted children at a tertiary care hospital. Study Design: Case-series study. Setting: Department of Pediatric, Dera Ghazi Khan Medical College (DGKMC) &amp; Hospital. Period: 1st March 2021 to 31st August 2021. Material &amp; Methods: During the study period, all children presenting with snake bite were included. All cases were observed for their presentation, classified according to signs and symptoms, and managed through ASV as needed. Results: During the study period, a total of 52 patients of snake bite admitted in paediatric medical ward of DGKMC &amp; Hospital. There were 37 (71.2%) male and 15 (28.8%) female. Overall, mean age of the children was 6.1±3.1 years. Maximum number of snake bite cases were reported during May, June and July as 15 (28.8%), 13 (25.0%) and 8 (15.4%) respectively. In the presentation, 29 (55.8%) patients presented with local symptoms only while remaining 23 (44.2%) presented with local as well as systemic symptoms. In the management, 3 (5.8%) cases did not require any ASV vial, 35 (67.3%) needed initial doses only. Fourteen (26.9%) cases required initial as well as maintenance doses. In terms of outcome, 49 (94.2%) children were discharged successfully, 1 (1.9%) expired and 2 (3.8%) got left against medical advice (LAMA). Conclusion: Snake bite was a common pediatric medical emergency at our institute. Most children presented with hemotoxic symptoms and needed ASV for resolution of symptoms. Prognosis is good with timely and judicious management of snake bite.