| Autor: |
Diallo MC; Institut de Recherche en Biologie Appliquée de Guinée (IRBAG), Kindia 00224, Guinea., Kourouma K; Centre National de Formation et de Recherche en Santé Rurale de Maferinyah (CNFRSR), Maferinyah, Forécariah B.P. 2649, Guinea.; Public Health Department, Gamal Abdel Nasser University of Conakry, Conakry B.P. 1147, Guinea.; African Center of Excellence for the Prevention and Control of Communicable Diseases (CEA-PCMT), Gamal Abdel Nasser University of Conakry, Conakry B.P. 1017, Guinea., Boumbaly S; Institut de Recherche en Biologie Appliquée de Guinée (IRBAG), Kindia 00224, Guinea., Kamano AS; Centre National de Formation et de Recherche en Santé Rurale de Maferinyah (CNFRSR), Maferinyah, Forécariah B.P. 2649, Guinea., Sow A; Public Health Department, Gamal Abdel Nasser University of Conakry, Conakry B.P. 1147, Guinea., Grovogui FM; Centre National de Formation et de Recherche en Santé Rurale de Maferinyah (CNFRSR), Maferinyah, Forécariah B.P. 2649, Guinea.; Public Health Department, Gamal Abdel Nasser University of Conakry, Conakry B.P. 1147, Guinea.; African Center of Excellence for the Prevention and Control of Communicable Diseases (CEA-PCMT), Gamal Abdel Nasser University of Conakry, Conakry B.P. 1017, Guinea., Traore S; Institut de Recherche en Biologie Appliquée de Guinée (IRBAG), Kindia 00224, Guinea., Delamou A; Centre National de Formation et de Recherche en Santé Rurale de Maferinyah (CNFRSR), Maferinyah, Forécariah B.P. 2649, Guinea.; Public Health Department, Gamal Abdel Nasser University of Conakry, Conakry B.P. 1147, Guinea.; African Center of Excellence for the Prevention and Control of Communicable Diseases (CEA-PCMT), Gamal Abdel Nasser University of Conakry, Conakry B.P. 1017, Guinea. |
| Abstrakt: |
The aim of this study was to describe the frequency, clinical signs, management, and outcomes of snakebite patients admitted to the envenomation treatment center of the Institut de Recherche en Biologie Appliquée de Guinée (IRBAG). This was a retrospective review combining aggregated annual statistics (2011-2015) and routine data (from January to October 2021) from the IRBAG treatment center. There were 1345 (57.2%) snakebite victims out of a total of 2352 consultations at the center during the study period. Males (67.7%), persons aged ≥45 years (29%) and ≤14 years (27.7%), farmers/housewives (44.5%), workers (23.9%), and those residing in the Kindia Prefecture (53.5%) were the most commonly affected. The majority of victims (84.5%) were admitted three hours after snakebite, with bites mainly occurring in rural areas (86.5%) and during the rainy season (83.2%). Pain (100%), edema (76.8%), and bleeding (65.2%) were the most common clinical presentations. Almost all victims received antivenom serum (98%), antibiotics (87.7%), and analgesics or anti-inflammatory drugs (88.4%). Six out of the one hundred and fifty-five patients died. Snakebites are a frequent public health problem in rural Guinea. The majority of victims seek medical attention too late. There is an urgent need to include snakebite in the country's list of priority NTDs in order to promote access to antivenom serum. |
