Original scientific paper
Snakebites in Mostar Region, Bosnia and Herzegovina
Ivo Curić
; Department for Infectious Diseases, University Clinical Hospital Mostar, Mostar, Bosnia and Herzegovina
Snježana Curić
; Health Center Mostar, Mostar, Bosnia and Herzegovina
Ivica Bradarić
; Department for Infectious Diseases, University Clinical Hospital Mostar, Mostar, Bosnia and Herzegovina
Pero Bubalo
; Department for Infectious Diseases, University Clinical Hospital Mostar, Mostar, Bosnia and Herzegovina
Helien Bebek-Ivanković
; Department for Infectious Diseases, University Clinical Hospital Mostar, Mostar, Bosnia and Herzegovina
Jadranka Nikolić
; Department for Infectious Diseases, University Clinical Hospital Mostar, Mostar, Bosnia and Herzegovina
Ozren Polašek
; School of Public Health »Andrija Štampar«, School of Medicine, University of Zagreb, Zagreb, Croatia
Nikola Bradarić
; University Hospital Center Split, Split, Croatia
Abstract
The aim of this study was to provide an overview of the snakebites in patients hospitalized at the Mostar Clinical Hospital, admitted between 1983 and 2006. A total of 341 patients were recorded, with moderate men predominance (52.8%). Majority of patients were bitten for the first time (99.1%). In 98.8% of patients snakebite occurred to the bare skin, most commonly during June to September period (64.2%). Snakebites were the commonest in agricultural workers (48.1%). Until 2003 all admitted patients were treated according to Russel’s scheme (3-anti). As of 2003 new treatment scheme was applied, resulting in the reduction of antidote and supportive treatment use, causing a reduction in the number of clinically apparent allergic reactions. Serum sickness was recorded in only 2 patients, while lethal outcome was recorded in one (0.3%). Overall results indicate that lethality of snakebite is low, and that patients were often administered treatment without medical indication. High number of tourists as well as the presence of the peace keeping troops and other visiting personnel in this region make the snakebites and awareness on snakes not only a local issue, but also more general concern.
Keywords
snakebite; snake; serum; antidote; Vipera ammodytes; Vipera berus; Bosnia and Herzegovina
Hrčak ID:
51602
URI
Publication date:
20.12.2009.
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