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Challenges in diagnosing and treating snakebites in a rural population of Tamil Nadu, India The views of clinicians.pdf
Toxicon 130 (2017) 44e46
Contents lists available at ScienceDirect
Toxicon
journal homepage: /locate/toxicon
Short communication
Challenges in diagnosing and treating snakebites in a rural population of Tamil Nadu, India: The views of clinicians
Harry F. Williams a, Rajendran Vaiyapuri b, Prabu Gajjeraman c, Gail Hutchinson d, Jonathan M. Gibbins d, Andrew B. Bicknell d, Sakthivel Vaiyapuri a, *
a School of Pharmacy, University of Reading, Reading, UK b School of Pharmacy, University of Reading Malaysia, Johor, Malaysia c Department of Biotechnology, Karpagam University, Coimbatore, Tamil Nadu, India d Institute for Cardiovascular and Metabolic Research, School of Biological Sciences, University of Reading, Reading, UK
article info
Article history: Received 12 December 2016 Received in revised form 20 February 2017 Accepted 21 February 2017 Available online 24 February 2017
Keywords: Snakebite Venom Anti-venom ASV Big four
abstract
Snakebites cause death, disability and economic devastation to their victims, people who live almost exclusively in rural areas. Annually an estimated two million venomous bites cause as many as 100,000 deaths worldwide as well as hundreds of thousands of deformities and amputations. Recent studies suggest that India has the highest incidence of snakebite and associated deaths worldwide. In this study, we interviewed 25 hospital-based clinicians who regularly treat snakebites in Tamil Nadu, India, in order to gauge their opinions and views on the diagnostic tools and treatment methods available at that time, the dif?culties encountered in treating snakebites and improvements to snakebite management protocols they deem necessary. Clinicians identi?ed the improvement of community education, training of medical personnel, development of standard treatment protocols and improved medication as priorities for the immediate future.
? 2017 Elsevier Ltd. All rights reserved.
1. Introduction
Snakebites are one of the major neglected tropical medica
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