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Farzaneh E, Fouladi N, Shafaee Y, et al. Epidemiological study of snakebites in Ardabil Province (Iran). Electron Physician. 2017;9(3):3986-3990doi: 10.19082/3986.
Farzaneh, E., Fouladi, N., Shafaee, Y., Mirzamohammadi, Z., Naslseraji, F., & Mehrpour, O. (2017). Epidemiological study of snakebites in Ardabil Province (Iran). Electronic physician, 9(3), 3986-3990. https://doi.org/10.19082/3986
Farzaneh, Esmaeil, et al. "Epidemiological study of snakebites in Ardabil Province (Iran)." Electronic physician vol. 9,3 (2017): 3986-3990. doi: https://doi.org/10.19082/3986
Farzaneh E, Fouladi N, Shafaee Y, Mirzamohammadi Z, Naslseraji F, Mehrpour O. Epidemiological study of snakebites in Ardabil Province (Iran). Electron Physician. 2017 Mar 25;9(3):3986-3990. doi: 10.19082/3986. eCollection 2017 Mar. PMID: 28461874; PMCID: PMC5407232.
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Electron Physician. 2017 Mar 25;9(3):3986-3990. doi: 10.19082/3986. eCollection 2017 Mar.

Epidemiological study of snakebites in Ardabil Province (Iran).

Electronic physician

Esmaeil Farzaneh, Nasrin Fouladi, Yousef Shafaee, Zahra Mirzamohammadi, Farnaz Naslseraji, Omid Mehrpour

Affiliations

  1. Forensic Medicine and Toxicology Specialist, Associate Professor, Faculty of Medicine, Department of Internal Medicine, Ardabil University of Medical Sciences, Ardabil, Iran.
  2. Ph.D. of Community Medicine, Associate Professor, Faculty of Medicine, Department of Community Medicine, Ardabil University of Medical Sciences, Ardabil, Iran.
  3. Plastic Surgery Specialist, Assistant Professor, Faculty of Medicine, Department of Plastic Surgery, Iran University Of Medical Sciences, Tehran, Iran.
  4. General Practitioner, Ardabil University of Medical Sciences, Ardabil, Iran.
  5. Resident of Gynecology and Obstetrics, Faculty of Medicine, Ardabil University of Medical Sciences, Ardabil, Iran.
  6. Fellowship of Medical Toxicology, Associate Professor, Medical Toxicology and Drug Abuse Research Center (MTDRC), Birjand University of Medical Sciences, Moallem Avenue, Birjand, Iran.

PMID: 28461874 PMCID: PMC5407232 DOI: 10.19082/3986

Abstract

INTRODUCTION: Average annual incidence of snakebite worldwide is between 5.5 to 1.2 million, and at least 125,000 of them are fatal. In Iran, around 4,500-11,000 snakebites occur annually, and a small number of them are fatal. Snake bites can cause intoxity and immediate death in patients, and the aim of this study was to investigate the epidemiological study of snakebites in Ardabil Province.

METHODS: This study was a cross-sectional that has been done on 67 snakebite patients who were admitted to the Imam Khomeini Hospital of Ardabil during 2008-2013. Information included: age and sex of victims, region of incidence, site of bite, hospitalized duration and symptoms. Data analyzed by descriptive statistical methods using SPSS version 19.

RESULTS: There was significant difference between the two sexes (p=0.001). There was no significant difference between the mean age of male and female victims (p=0.68). Most of the victims were in the age group of 20-29 years (34.3%). All snakebites happened in rural areas. There was no significant relation between gender of victims and the residential location of victims (p=0.32). Most snakebites happened during 11 a.m. to 4 p.m. (32.8%). Most of the snakebites occurred in spring and summer seasons. Results showed that most of the bites in yearly months was seen in the summer season and the difference between seasons is significant. (p=0001). Most snakebites, with 38 cases (56.7%), were observed on lower limbs and among them right limbs with 20 cases (52.6%) had the greatest number. There was significant difference between organs of bites in victims because the most organs were in the right lower limb (p=0.002). Of all cases, 66 (98.5%) were injured by a species of viper snake. All patients, showed symptoms of pain, swelling, erythema and ecchymosis bite. Twenty-seven (40.3%) of all cases, suffered fainting. Nausea and vomiting were two other common symptoms. The antidote used in patients was 5.1±1.3 vials. The mean incidence rate of snakebite was an estimated 4.1 per 100000.

CONCLUSIONS: Possible risk factors include male gender and young age. It was also found that the stings reach peak in the morning and noon. These reports are all in rural areas, and mostly occurred in the warm months. Snakebites in rural parts around Ardebil were prevalent. Severe side effects were rare, but the incidence of other complications was common among the victims.

Keywords: Epidemiology; Poison; Snakebite

Conflict of interest statement

Conflict of Interest: There is no conflict of interest to be declared.

References

  1. J Res Med Sci. 2014 Feb;19(2):153-63 - PubMed
  2. Toxicon. 2012 Jan;59(1):86-99 - PubMed
  3. PLoS Negl Trop Dis. 2009 Dec 22;3(12):e569 - PubMed
  4. Lancet. 2010 Jan 2;375(9708):77-88 - PubMed
  5. Am J Trop Med Hyg. 2008 Sep;79(3):458-62 - PubMed
  6. PLoS Negl Trop Dis. 2010 Jan 26;4(1):e603 - PubMed
  7. Arch Trauma Res. 2012 Summer;1(2):67-71 - PubMed
  8. J Clin Diagn Res. 2013 Jan;7(1):122-6 - PubMed
  9. PLoS Negl Trop Dis. 2013;7(1):e2009 - PubMed
  10. Rev Inst Med Trop Sao Paulo. 2013 Jan-Feb;55(1):13-8 - PubMed
  11. PLoS Negl Trop Dis. 2010 Oct 26;4(10):e860 - PubMed
  12. J Occup Med Toxicol. 2013 Mar 25;8(1):7 - PubMed
  13. Hum Exp Toxicol. 2009 Nov;28(11):697-702 - PubMed
  14. Indian J Med Res. 2007 May;125(5):661-8 - PubMed

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