Overview of poisoning by snake bite in 2019 at UHC Gabriel Touré of Bamako: Clinical features, prognosis and evaluation of the availability of antivenom serum
Keywords:Ophidian envenomation, Anti-venom serum, Tropical diseases, Mali
Objective: The objective was to update epidemiological data, assess the management of these envenomation and bring out the prognostic factors of these conditions in our context.
Patients and Methods: This was a prospective cross-sectional study running from February 01, 2019 to January 31, 2020, all patients admitted to the emergency reception service of Teaching Hospital Gabriel TOURE. from Bamako for snakebite envenomation were included in the study. The demographic, clinical, paraclinical and therapeutic characteristics were recorded on a previously established operating sheet. Data was entered on WORD 2013 and analyzed on SPSS 21.
Results: 126 cases of envenomation were included in the study. The average age of the patients was 25 years; the male sex represented 63.5% of cases. The winter period was the preferred period for bites. The consultation time was> 72 hours in 40.5%. Hemorrhagic syndrome was present in 77% of cases. Profuse hemoperitoneum, intracranial hemorrhage, miscarriages and renal failure were the main complications encountered. We recorded a mortality of 10%.
Conclusion: Progress has been observed in the supply of after-sales service in Mali since 2016. In Mali, the incidence and severity of this pathology are still poorly understood. Studies on this subject are rare and are limited to a few hospitals. A better assessment of incidence and morbidity is however essential to improve care.