>
Fa   |   Ar   |   En
   severity and management of patients with snake and scorpion envenomation admitted to an intensive care unit in southeastern turkey: a retrospective study  
   
نویسنده bozkurt firdevs tugba ,aydin burc ,tanriverdi tuğba bingöl ,patmano gulcin ,tercan mehmet ,kaya ahmet
منبع asia pacific journal of medical toxicology - 2021 - دوره : 10 - شماره : 2 - صفحه:38 -43
چکیده    Background: snake and scorpion envenomation is a common public health problem in many regions of the world. life-threatening emergencies may occur in patients with snake and scorpion envenomation; therefore, these patients may be required intensive care unit (icu) follow-up. our objective was to present the demographic and clinical characteristics, treatment modalities and short term outcomes of patients with snake and scorpion envenomation who followed up in our tertiary hospital icu. methods: patient records were retrospectively searched and snake or scorpion envenomation patients with icu stay were identified with relevant keywords and icd-10 codes between january 2010 and september 2019. all cases with icu stay were included for study analysis, regardless of patient age. scorpion and snake envenomation managed in outpatient clinic were excluded from our data. poisoning severity score (pss) system was used to present signs and symptoms and pss was calculated. primary and critical care treatment modalities were identified and analyzed. results: forty patients (25 with snake bites [62.5%] and 15 with scorpion sting [37.5%]) were included in this retrospective study. local and systemic effects have been reported in 33 (82.5%) and in 27 patients (67.5%), respectively. majority of patients suffered from pain or disturbances in sensory neural, hematological, cardiovascular or metabolic systems. median pss was 2 (0-4) and median length of stay in icu was 2 days (1-12). mortality rate was 2.5%. antivenom immunoglobulins (n=32, %80.0), systemic antibacterial agents (n=24, 60%), and paracetamol (n=21, 52.5%) were the most common systemically administered treatments. surgical interventions were performed in 4 patients (10%). conclusions: we reported that snake and scorpion envenomation were mostly admitted to the icu with local and/or systemic symptoms for advanced monitoring and observation. although life treating emergencies and mortality was uncommon in our study, we think that these patients should be closely followed up in icu.
کلیدواژه venom ,poisoning ,critical care ,middle east ,scorpions ,snakes ,envenomation
آدرس university of health sciences, mehmet akif inan research and training hospital, department of intensive care medicine, turkey, university of health sciences, mehmet akif inan research and training hospital, department of medical pharmacology, turkey, university of health sciences, mehmet akif inan research and training hospital, department of anesthesiology and reanimation, turkey, university of health sciences, mehmet akif inan research and training hospital, department of anesthesiology and reanimation, turkey, university of health sciences, mehmet akif inan research and training hospital, department of anesthesiology and reanimation, turkey, university of health sciences, mehmet akif inan research and training hospital, department of anesthesiology and reanimation, turkey
پست الکترونیکی ahmetkayamd@yahoo.com
 
     
   
Authors
  
 
 

Copyright 2023
Islamic World Science Citation Center
All Rights Reserved