این سایت در حال حاضر پشتیبانی نمی شود و امکان دارد داده های نشریات بروز نباشند
Asia Pacific Journal of Medical Toxicology، جلد ۱۰، شماره ۲، صفحات ۳۸-۴۳

عنوان فارسی
چکیده فارسی مقاله
کلیدواژه‌های فارسی مقاله

عنوان انگلیسی Severity and Management of patients with Snake and Scorpion Envenomation Admitted to an Intensive Care Unit in Southeastern Turkey: A retrospective study
چکیده انگلیسی مقاله Background: Snake and scorpion envenomation is a common public health problem in many regions of the world. Life-threatening emergencies may occur in patients with snake and scorpion envenomation; therefore, these patients may be required intensive care unit (ICU) follow-up. Our objective was to present the demographic and clinical characteristics, treatment modalities and short term outcomes of patients with snake and scorpion envenomation who followed up in our tertiary hospital ICU. Methods: Patient records were retrospectively searched and snake or scorpion envenomation patients with ICU stay were identified with relevant keywords and ICD-10 codes between January 2010 and September 2019. All cases with ICU stay were included for study analysis, regardless of patient age. Scorpion and snake envenomation managed in outpatient clinic were excluded from our data. Poisoning severity score (PSS) system was used to present signs and symptoms and PSS was calculated. Primary and critical care treatment modalities were identified and analyzed. Results: Forty patients (25 with snake bites [62.5%] and 15 with scorpion sting [37.5%]) were included in this retrospective study. Local and systemic effects have been reported in 33 (82.5%) and in 27 patients (67.5%), respectively. Majority of patients suffered from pain or disturbances in sensory neural, hematological, cardiovascular or metabolic systems. Median PSS was 2 (0-4) and median length of stay in ICU was 2 days (1-12). Mortality rate was 2.5%. Antivenom immunoglobulins (n=32, %80.0), systemic antibacterial agents (n=24, 60%), and paracetamol (n=21, 52.5%) were the most common systemically administered treatments. Surgical interventions were performed in 4 patients (10%) Conclusions: We reported that snake and scorpion envenomation were mostly admitted to the ICU with local and/or systemic symptoms for advanced monitoring and observation. Although life treating emergencies and mortality was uncommon in our study, we think that these patients should be closely followed up in ICU.
کلیدواژه‌های انگلیسی مقاله Venom, Poisoning, Critical care, Middle East, scorpions, snakes, Envenomation

نویسندگان مقاله | Firdevs Tugba Bozkurt
Department of Intensive Care Medicine University of Health Sciences, Mehmet Akif İnan Research and Training Hospital Şanlıurfa, Turkey


| Burc Aydin
Department of Medical Pharmacology University of Health Sciences, Mehmet Akif İnan Research and Training Hospital Şanlıurfa, Turkey


| Tugba Tanrıverdi
Department of Anesthesiology and Reanimation University of Health Sciences, Mehmet Akif İnan Research and Training Hospital Şanlıurfa, Turkey


| Gulcin Patmano
Department of Anesthesiology and Reanimation University of Health Sciences, Mehmet Akif İnan Research and Training Hospital Şanlıurfa, Turkey


| Mehmet Tercan
Department of Anesthesiology and Reanimation University of Health Sciences, Mehmet Akif İnan Research and Training Hospital Şanlıurfa, Turkey


| Ahmet Kaya
Department of Anesthesiology and Reanimation University of Health Sciences, Mehmet Akif İnan Research and Training Hospital Şanlıurfa, Turkey



نشانی اینترنتی https://apjmt.mums.ac.ir/article_18221.html
فایل مقاله فایلی برای مقاله ذخیره نشده است
کد مقاله (doi)
زبان مقاله منتشر شده en
موضوعات مقاله منتشر شده
نوع مقاله منتشر شده Original Article
برگشت به: صفحه اول پایگاه   |   نسخه مرتبط   |   نشریه مرتبط   |   فهرست نشریات