A RETROSPECTIVE STUDY OF BITES AND STINGS PRESENTING TO EMERGENCY DEPARTMENT
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Keywords
Arthropod, Bite, Emergency, Management, Snakes, Stings
Abstract
INTRODUCTION
Despite increasing health effects of bite and stings and their associated consequences, research on their frequency is limited. The aim of present study is to estimate the proportion of bites and stings cases, to describe the clinico-demographic of bites and stings presenting to emergency medicine and to estimate the outcome of exposure.
MATERIAL AND METHODS
The present retrospective study was conducted at Shridevi Institute of Medical Sciences and Research Hospital, Tumkur among the 120 patients of bite and sting exposure during the period of April 2022 to March 2023. The information relevant to Bite and sting cases was noted down and results were analyzed using SPSS version 25.0
RESULTS
The number of patients in the age group of 20-30 years was 22, in the age group of 30-40 years was 30, in the age group of 40-50 years was 48 and in the age group of 50-60 years was 20. The number of female patients was 45 whereas that of male was 75. Different bite and stings found were bee/wasps sting (27), unknown insect bites (12), dog bites (54), cat and rat bites (7), snake bite (2) and scorpion sting (3). 8 patients belong to urban region where as 112 patients belong to rural area. 98 patients had local symptoms at presentation and 22 patients had systemic symptoms.
CONCLUSION
The majority of cases presenting to the emergency department are due to dog bites and bee stings. Physicians must possess comprehensive knowledge of of bites and stings that occur in their specific geographic area in order to effectively handle such situations.
References
2. Kularatne S, Shahmy S, Rathnayake SS, Dawson A. Clinico-epidemiology of arthropod stings and bites in primary hospitals of north western province of Sri Lanka. Clin Toxicol (Phila) 2018;56(10):880-5.
3. Mowry JB, Spyker DA, Brooks DE, Zimmerman A, Schauben JL. 2015 Annual report of the American association of poison control centers’ national poison data system (NPDS): 33rd annual report. Clin Toxicol (Phila) 2016;54(10):924-1109.
4. Goldfrank L, Flomenbaum N, Lewin N, Howland MA, Hoffman R, Nelson L, eds. Goldfrank’s Toxicologic Emergencies. 10th edn. New York, NY: McGraw-Hill 2013.
5. Warrell DA, Cox TM, Firth JD, eds. Oxford Textbook of Medicine. Vol 2, 2nd edn. Oxford: Oxford University Press 2003:1202-8.
6. Warrell DA. Venomous bites, stings, and poisoning. Infect Dis Clin North Am 2012;26:207-23.
7. Köse R. The management of snake envenomation: evaluation of twenty one snake bite cases. Ulus Travma Acil Cerrahi Derg 2007;13:307-12.
8. de Silva HA, Ryan NM, de Silva HJ. Adverse reactions to snake antivenom, and their prevention and treatment. Br J Clin Pharmacol 2016;81:446-52.
9. Tang N, Stein J, Hsia RY, Maselli JH, Gonzales R. Trends and characteristics of US emergency department visits, 1997-2007. JAMA 2010;304:664-70.
10. O’Neil ME, Mack KA, Gilchrist J. Epidemiology of non-canine bite and sting injuries treated in U.S. emergency departments, 2001-2004. Public Health Rep 2007;122:764-75.
11. Arici A, S. Hocaoglu, N. Tuncok Y. Bites and stings reported to the Dokuz Eylul University Drug and Poison Information Center. Turkish Pharmacology Association, 21st National Pharmacology Congress 2011.
12. Forrester JA, Weiser TG, Forrester JD. An update on fatalities due to venomous and nonvenomous animals in the United States (2008–2015). Wilderness Environ Med 2018;29(1):36-44.
13. Quan D. North American poisonous bites and stings. Crit Care Clin 2012;28(4):633-59.
14. Çağlar A, Köse H, Babayiğit A, Öner T, Duman M. Predictive factors for determining the clinical severity of pediatric scorpion envenomation cases in Southeastern Turkey. Wilderness Environ Med 2015;26(4):451–8.
15. Şahin A, Arıcı MA, Hocaoğlu N, Kalkan S, Tunçok Y. Antivenom use in bite and sting cases presenting to a public hospital. Ulus Travma Acil Cerrahi Derg 2018;24(4):343-50.
16. Walker JP, Morrison R, Stewart R, Gore D. Venomous bites and stings. Curr Probl Surg 2013;50(1):9-44.
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Dr. Spoorthy M.
Junior Resident, Department of Emergency Medicine, Shridevi Institute of Medical Sciences and Research Hospital, Tumkur, Karnataka, India.
Dr. Deepak T. G.
Associate Professor, Department of Emergency Medicine, Shridevi Institute of Medical Sciences and Research Hospital, Tumkur, Karnataka, India.