A Study on profile of AKI in Snake Bite Victims in a tertiary care centre in Jharkhand.

Rohit Keshav; Bindey Kumar; Jag Mohan Kumar

Volume : IX, Issue : IV, April - 2019

A Study on profile of AKI in Snake Bite Victims in a tertiary care centre in Jharkhand.

Rohit Keshav, Bindey Kumar, Jag Mohan Kumar

Abstract :

Snake bite is a common occupational hazard and is a common cause of morbidity and mortality in India. Acute kidney injury is a very important and common complication of snake bite and a proper supportive management after the anti–venom administration is of utmost importance for a good patient outcome in these cases. The objectives of this study were to describe the clinical profile of the snake bite patients who develop acute renal failure; assessing the risk and the prognostic factors of snake bite induced AKI; and to identify the predictors of mortality in these patients. This hospital based observational study was carried on 544 snake bite patients admitted in Rajendra Institute of Medical Sciences, Ranchi, Jharkhand. Males are affected significantly more often than the females and the younger population was predominantly involved (20–40 years). Most of the victims who developed AKI were bitten on the lower limbs. 75.47% of the snake bite victims who developed AKI were illiterate. Patients who developed AKI had a significantly longer bite–to–hospital time. Cellulitis, gangrene at the bite area and regional lymphadenopathy were independent risk factors which related to the development of AKI . The patients who visited the traditional healers before arrival to the hospital had a higher incidence of developing AKI. Overall mortality due to venomous snake bites was 12.58%, with a significantly higher mortality in victims who developed AKI. Treatment with dialysis was not associated with improved outcome in patients with snake bite induced AKI. This study highlights the fact that we should be more vigilant in treating snake bite patients with regard to their renal function in order to reduce the mortality and morbidity of such patients.