Document Detail


Amputation and disability following snakebite in Nigeria.
MedLine Citation:
PMID:  20305111     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
Snakebite is an important cause of amputation and disability in rural communities throughout the tropics. However, the details of the causes, types and estimates of disability are lacking. This report describes 16 snakebite victims who had amputations, including two who had above-knee amputations. The patients presented with limb swelling (16), gangrene (15), ischaemia (4) and three had possible compartment syndrome. All the patients used ineffective time wasting remedies that were potentially harmful as first-aid. The median delay to hospital following bite was 2.5 days. In order to prevent disability, efforts should be made to: reduce delay before hospital presentation; improve the knowledge of first-aid; provide effective antivenoms; improve wound and clinical care in communities; and improve facilities.
Authors:
S B Abubakar; A G Habib; J Mathew
Publication Detail:
Type:  Case Reports; Journal Article    
Journal Detail:
Title:  Tropical doctor     Volume:  40     ISSN:  1758-1133     ISO Abbreviation:  Trop Doct     Publication Date:  2010 Apr 
Date Detail:
Created Date:  2010-03-22     Completed Date:  2010-04-21     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  1301706     Medline TA:  Trop Doct     Country:  England    
Other Details:
Languages:  eng     Pagination:  114-6     Citation Subset:  IM    
Affiliation:
Snakebite Ward, Kaltungo General Hospital, Kaltungo, Gombe State, Nigeria.
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MeSH Terms
Descriptor/Qualifier:
Adolescent
Adult
Amputation*
Child
Child, Preschool
Female
Gangrene / diagnosis,  etiology,  mortality,  surgery*
Humans
Male
Medicine, African Traditional
Middle Aged
Nigeria / epidemiology
Rural Health
Snake Bites / complications*,  mortality,  surgery
Tetanus / diagnosis,  etiology*
Tetanus Toxoid / administration & dosage
Time Factors
Treatment Outcome
Young Adult
Chemical
Reg. No./Substance:
0/Tetanus Toxoid

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