Tags

Type your tag names separated by a space and hit enter

Incidence of snakebites in Can Tho Municipality, Mekong Delta, South Vietnam-Evaluation of the responsible snake species and treatment of snakebite envenoming.
PLoS Negl Trop Dis. 2020 06; 14(6):e0008430.PN

Abstract

BACKGROUND

Data on incidence of snakebites and the responsible snake species are largely missing in Vietnam and comprehensive national guidelines for management of snakebite envenoming are not yet available. They are needed to estimate the scope of this health problem, to assess the demand for snake antivenom and to ensure the best possible treatment for snakebite victims.

METHODOLOGY/PRINCIPLE FINDINGS

A cross-sectional community-based survey was conducted from January to April 2018. Multistage cluster sampling was applied and snakebite incidence in Can Tho municipality, excluding two central districts of Can Tho city, was calculated at 48 (95%-confidence interval (CI): 20.5-99.8) snakebites per 100,000 person-years. Seven snakebite victims found during the survey reported 3 bites from green pit vipers and 4 bites from non-venomous snakes. In 2017 two treatment centres for snakebite envenoming in Can Tho city, the Military Hospital 121 and the Paediatric Hospital, received 520 admissions of snakebite victims. Two hundred sixty-seven came from Can Tho Municipality and 253 from neighbouring provinces. According to these data, the incidence of snakebites for Can Tho municipality was calculated at 21 (95%-CI: 18.5-23.7) snakebites per 100,000 person-years. Incidence was 14 (95%-CI: 12-17) snakebites per 100,000 person years in those 7 districts of the municipality which were part of the community survey. Green pit vipers were responsible for 92% of snakebite envenoming. Antivenom, antibiotics and corticosteroids were administered to 405 (90%), 379 (84%), and 310 (69%) out of 450 patients, respectively.

CONCLUSIONS

Incidence of snakebites in Can Tho Municipality is relatively low and green pit vipers are responsible for the vast majority of bites. Approximately one third of snakebite patients sought medical care in hospitals and although hospital data still underestimate the real incidence of snakebites, these statistics are valuable and can be obtained fast and inexpensively. Evaluation of patients' records indicates the need for development of guidelines for management of snakebite envenoming in Vietnam to ensure a rational use of antivenom and ancillary treatments.

Authors+Show Affiliations

Institute for Community Health Research, College of Medicine and Pharmacy, Hue University, Hue, Vietnam.Institute for Community Health Research, College of Medicine and Pharmacy, Hue University, Hue, Vietnam.Institute for Community Health Research, College of Medicine and Pharmacy, Hue University, Hue, Vietnam.Department of Infectious Disease Epidemiology, Bernhard Nocht Institute for Tropical Medicine, Hamburg, Germany. German Center for Infection Research (DZIF), Hamburg - Lübeck - Borstel - Riems, Germany.Department of Health, Can Tho City, Vietnam.Department of Health, Can Tho City, Vietnam.Department of Health, Can Tho City, Vietnam.Institute for Community Health Research, College of Medicine and Pharmacy, Hue University, Hue, Vietnam. Department of Infectious Disease Epidemiology, Bernhard Nocht Institute for Tropical Medicine, Hamburg, Germany.

Pub Type(s)

Journal Article
Research Support, Non-U.S. Gov't

Language

eng

PubMed ID

32555599

Citation

Thang, Vo Van, et al. "Incidence of Snakebites in Can Tho Municipality, Mekong Delta, South Vietnam-Evaluation of the Responsible Snake Species and Treatment of Snakebite Envenoming." PLoS Neglected Tropical Diseases, vol. 14, no. 6, 2020, pp. e0008430.
Thang VV, Bao TQQ, Tuyen HD, et al. Incidence of snakebites in Can Tho Municipality, Mekong Delta, South Vietnam-Evaluation of the responsible snake species and treatment of snakebite envenoming. PLoS Negl Trop Dis. 2020;14(6):e0008430.
Thang, V. V., Bao, T. Q. Q., Tuyen, H. D., Krumkamp, R., Hai, L. H., Dang, N. H., Chu, C. M., & Blessmann, J. (2020). Incidence of snakebites in Can Tho Municipality, Mekong Delta, South Vietnam-Evaluation of the responsible snake species and treatment of snakebite envenoming. PLoS Neglected Tropical Diseases, 14(6), e0008430. https://doi.org/10.1371/journal.pntd.0008430
Thang VV, et al. Incidence of Snakebites in Can Tho Municipality, Mekong Delta, South Vietnam-Evaluation of the Responsible Snake Species and Treatment of Snakebite Envenoming. PLoS Negl Trop Dis. 2020;14(6):e0008430. PubMed PMID: 32555599.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Incidence of snakebites in Can Tho Municipality, Mekong Delta, South Vietnam-Evaluation of the responsible snake species and treatment of snakebite envenoming. AU - Thang,Vo Van, AU - Bao,Truong Quy Quoc, AU - Tuyen,Hoang Dinh, AU - Krumkamp,Ralf, AU - Hai,Le Hoang, AU - Dang,Nguyen Hai, AU - Chu,Cao Minh, AU - Blessmann,Joerg, Y1 - 2020/06/17/ PY - 2020/01/05/received PY - 2020/05/29/accepted PY - 2020/06/29/revised PY - 2020/6/20/pubmed PY - 2020/6/20/medline PY - 2020/6/20/entrez SP - e0008430 EP - e0008430 JF - PLoS neglected tropical diseases JO - PLoS Negl Trop Dis VL - 14 IS - 6 N2 - BACKGROUND: Data on incidence of snakebites and the responsible snake species are largely missing in Vietnam and comprehensive national guidelines for management of snakebite envenoming are not yet available. They are needed to estimate the scope of this health problem, to assess the demand for snake antivenom and to ensure the best possible treatment for snakebite victims. METHODOLOGY/PRINCIPLE FINDINGS: A cross-sectional community-based survey was conducted from January to April 2018. Multistage cluster sampling was applied and snakebite incidence in Can Tho municipality, excluding two central districts of Can Tho city, was calculated at 48 (95%-confidence interval (CI): 20.5-99.8) snakebites per 100,000 person-years. Seven snakebite victims found during the survey reported 3 bites from green pit vipers and 4 bites from non-venomous snakes. In 2017 two treatment centres for snakebite envenoming in Can Tho city, the Military Hospital 121 and the Paediatric Hospital, received 520 admissions of snakebite victims. Two hundred sixty-seven came from Can Tho Municipality and 253 from neighbouring provinces. According to these data, the incidence of snakebites for Can Tho municipality was calculated at 21 (95%-CI: 18.5-23.7) snakebites per 100,000 person-years. Incidence was 14 (95%-CI: 12-17) snakebites per 100,000 person years in those 7 districts of the municipality which were part of the community survey. Green pit vipers were responsible for 92% of snakebite envenoming. Antivenom, antibiotics and corticosteroids were administered to 405 (90%), 379 (84%), and 310 (69%) out of 450 patients, respectively. CONCLUSIONS: Incidence of snakebites in Can Tho Municipality is relatively low and green pit vipers are responsible for the vast majority of bites. Approximately one third of snakebite patients sought medical care in hospitals and although hospital data still underestimate the real incidence of snakebites, these statistics are valuable and can be obtained fast and inexpensively. Evaluation of patients' records indicates the need for development of guidelines for management of snakebite envenoming in Vietnam to ensure a rational use of antivenom and ancillary treatments. SN - 1935-2735 UR - https://www.unboundmedicine.com/medline/citation/32555599/Incidence_of_snakebites_in_Can_Tho_Municipality,_Mekong_Delta,_South_Vietnam-Evaluation_of_the_responsible_snake_species_and_treatment_of_snakebite_envenoming L2 - https://dx.plos.org/10.1371/journal.pntd.0008430 DB - PRIME DP - Unbound Medicine ER -
Try the Free App:
Prime PubMed app for iOS iPhone iPad
Prime PubMed app for Android
Prime PubMed is provided
free to individuals by:
Unbound Medicine.