Snakebite poisoning in children???a call for unified clinical guidelines
| Autor: | G. Eshel, Gideon Paret, Ben Abraham R, Eyal Winkler, Zohar Barzilay |
|---|---|
| Rok vydání: | 2001 |
| Předmět: |
Male
Time Factors Adolescent Anti-Inflammatory Agents Snake Bites Viper Venoms Severity of Illness Index complex mixtures Medical Records Viperidae Animals Humans Medicine Israel Child Envenomation Retrospective Studies Snake envenomation biology Antivenins business.industry Retrospective cohort study medicine.disease biology.organism_classification people.cause_of_death Anti-Bacterial Agents Vipera palaestinae Venomous snake Child Preschool Practice Guidelines as Topic Emergency Medicine Female Steroids Medical emergency business people Cost containment |
| Zdroj: | European Journal of Emergency Medicine. 8:189-192 |
| ISSN: | 0969-9546 |
| DOI: | 10.1097/00063110-200109000-00005 |
| Popis: | In Israel, there are no uniform guidelines for the treatment policy of children snake-bitten by the Vipera palaestinae, the most abundant venomous snake in the country. We conducted a retrospective study aiming to compare treatment policies in two different medical centers. We found significant differences regarding admission and steroid administration criteria. Although the differences between the centers regarding anti-venom administration did not reach statistical significance, there were substantial differences. Neither of the centers had a well-established policy for the treatment of snake envenomation in children. In the era of cost containment, a policy of routine admission of children to the PICU service following V. palaestinae envenomation is unjustified, especially since the introduction of a specific monovalent anti-venom into the therapeutic armamentarium. |
| Databáze: | OpenAIRE |
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