Evaluation of Risk Factors and Follow-Up Criteria for Severity of Snakebite in Children

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dc.contributor.authorAktar, Fesih
dc.contributor.authorAktar, Safak
dc.contributor.authorYolbas, Ilyas
dc.contributor.authorTekin, Recep
dc.date.accessioned2024-04-24T17:28:03Z
dc.date.available2024-04-24T17:28:03Z
dc.date.issued2016
dc.departmentDicle Üniversitesien_US
dc.description.abstractBackground: Snakebites are an emergency medical condition and require rapid treatment procedures in children. Objectives: This study aimed to present an overview of the demographic characteristics, clinical presentations, laboratory findings, severity, and complications that developed in pediatric patients due to snakebites. Patients and Methods: A total of 151 children with snakebite were enrolled in the study. All patients had a history of snakebite obtained between June 2006 and August 2015 retrospectively. Results: Duration of hospitalization (P < 0.001), rural occurrence (P < 0.001), white blood cell (WBC) count (P = 0.002), aspartate aminotransferase to alanine aminotransferase (AST/ALT) ratio (P = 0.010), hypoproteinemia (P = 0.001), hypoalbuminemia (P < 0.001), and hypocalcemia (P = 0.005) were significantly high in the severe snakebite group. WBC (P = 0.006) and AST/ALT ratio (P = 0.018) were significantly higher on the first day of the snakebite than on subsequent days. Conclusions: Children admitted to the hospital due to snakebite should be monitored for at least 24 - 48 hours even if no signs of clinical envenomation could be observed. According to the severity of the disease, antivenom should be administered to the patients. Duration of hospitalization, rural occurrence, WBC count, AST/ALT ratio, CK, hypoproteinemia, hypoalbuminemia, and hypocalcemia can be associated with the severity of snakebite. WBC AST/ALT ratio can be used as follow-up criteria in children with snakebiteen_US
dc.identifier.doi10.5812/ijp.5212
dc.identifier.issn2008-2142
dc.identifier.issn2008-2150
dc.identifier.issue4en_US
dc.identifier.pmid27729959
dc.identifier.scopus2-s2.0-84988025788
dc.identifier.scopusqualityQ3
dc.identifier.urihttps://doi.org/10.5812/ijp.5212
dc.identifier.urihttps://hdl.handle.net/11468/20310
dc.identifier.volume26en_US
dc.identifier.wosWOS:000384932700013
dc.identifier.wosqualityQ4
dc.indekslendigikaynakWeb of Science
dc.indekslendigikaynakScopus
dc.indekslendigikaynakPubMed
dc.language.isoenen_US
dc.publisherKowsar Corpen_US
dc.relation.ispartofIranian Journal of Pediatrics
dc.relation.publicationcategoryMakale - Uluslararası Hakemli Dergi - Kurum Öğretim Elemanıen_US
dc.rightsinfo:eu-repo/semantics/openAccessen_US
dc.subjectSnakebiteen_US
dc.subjectEnvenomationen_US
dc.subjectAntivenomen_US
dc.subjectChilden_US
dc.titleEvaluation of Risk Factors and Follow-Up Criteria for Severity of Snakebite in Childrenen_US
dc.titleEvaluation of Risk Factors and Follow-Up Criteria for Severity of Snakebite in Children
dc.typeArticleen_US

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