Terrestrial snakebites in the South East of the Arabian Peninsula: Patient characteristics, clinical presentations, and management

Juma M. Alkaabi, Mariam Al Neyadi, Fakhra Al Darei, Mariam Al Mazrooei, Jawaher Al Yazedi, Abdishakur Abdulle

Research output: Contribution to journalReview article

Abstract

Background: To describe the characteristics, clinical presentations, management and complications of snakebites in the border region between Al-Ain, United Arab Emirates (UAE) and Buraimi, Sultanate of Oman. Methodology/Principal Findings: We carried out a retrospective review of medical records to study snakebite cases over four-year duration at three tertiary hospitals. Overall, 64 snakebite cases were studied with median hospitalization of 2 (interquartile range [IQR] 1-4) days. The majority of cases were male (87.5%), and most (61%) of the incidents occurred during summer months. The bite sites were predominantly (95%) to the feet and hands. Main clinical features included pain, local swelling, and coagulopathy, blistering and skin peeling. Overall, there were no deaths, but few major complications occurred; extensive skin peeling (n = 5, 8%), multi-organ failure (n = 1, 1.5%), and compartment syndrome (n = 1, 1.5%). Polyvalent anti snake venom (ASV), analgesia, tetanus toxoid, intravenous fluids, and antibiotics such as ampicillin, cloxacillin, and cephalosporins were commonly instituted as part of treatment protocols in the three hospitals. Conclusion: The overwhelming majority of bites occurred during summer months, and envenomations were more common in, relatively, young male farmers, but with no serious clinical complications. Prevention and treatment strategies should include increasing public awareness, developing management guidelines, and manufacturing specific ASV for a wide spectrum of the local venomous snakes.

Original languageEnglish (US)
Article numbere24637
JournalPLoS One
Volume6
Issue number9
DOIs
StatePublished - Sep 12 2011

Fingerprint

snake bites
Snake Bites
Snake Venoms
Peeling
snakes
Antivenins
Skin
peeling
venoms
Bites and Stings
Cloxacillin
skin (animal)
Tetanus Toxoid
Cephalosporins
Ampicillin
United Arab Emirates
Oman
cloxacillin
Swelling
Compartment Syndromes

ASJC Scopus subject areas

  • Biochemistry, Genetics and Molecular Biology(all)
  • Agricultural and Biological Sciences(all)

Cite this

Terrestrial snakebites in the South East of the Arabian Peninsula : Patient characteristics, clinical presentations, and management. / Alkaabi, Juma M.; Neyadi, Mariam Al; Darei, Fakhra Al; Mazrooei, Mariam Al; Yazedi, Jawaher Al; Abdulle, Abdishakur.

In: PLoS One, Vol. 6, No. 9, e24637, 12.09.2011.

Research output: Contribution to journalReview article

Alkaabi, Juma M. ; Neyadi, Mariam Al ; Darei, Fakhra Al ; Mazrooei, Mariam Al ; Yazedi, Jawaher Al ; Abdulle, Abdishakur. / Terrestrial snakebites in the South East of the Arabian Peninsula : Patient characteristics, clinical presentations, and management. In: PLoS One. 2011 ; Vol. 6, No. 9.
@article{2aee4a952ac942918867e54f6fce310f,
title = "Terrestrial snakebites in the South East of the Arabian Peninsula: Patient characteristics, clinical presentations, and management",
abstract = "Background: To describe the characteristics, clinical presentations, management and complications of snakebites in the border region between Al-Ain, United Arab Emirates (UAE) and Buraimi, Sultanate of Oman. Methodology/Principal Findings: We carried out a retrospective review of medical records to study snakebite cases over four-year duration at three tertiary hospitals. Overall, 64 snakebite cases were studied with median hospitalization of 2 (interquartile range [IQR] 1-4) days. The majority of cases were male (87.5{\%}), and most (61{\%}) of the incidents occurred during summer months. The bite sites were predominantly (95{\%}) to the feet and hands. Main clinical features included pain, local swelling, and coagulopathy, blistering and skin peeling. Overall, there were no deaths, but few major complications occurred; extensive skin peeling (n = 5, 8{\%}), multi-organ failure (n = 1, 1.5{\%}), and compartment syndrome (n = 1, 1.5{\%}). Polyvalent anti snake venom (ASV), analgesia, tetanus toxoid, intravenous fluids, and antibiotics such as ampicillin, cloxacillin, and cephalosporins were commonly instituted as part of treatment protocols in the three hospitals. Conclusion: The overwhelming majority of bites occurred during summer months, and envenomations were more common in, relatively, young male farmers, but with no serious clinical complications. Prevention and treatment strategies should include increasing public awareness, developing management guidelines, and manufacturing specific ASV for a wide spectrum of the local venomous snakes.",
author = "Alkaabi, {Juma M.} and Neyadi, {Mariam Al} and Darei, {Fakhra Al} and Mazrooei, {Mariam Al} and Yazedi, {Jawaher Al} and Abdishakur Abdulle",
year = "2011",
month = "9",
day = "12",
doi = "10.1371/journal.pone.0024637",
language = "English (US)",
volume = "6",
journal = "PLoS One",
issn = "1932-6203",
publisher = "Public Library of Science",
number = "9",

}

TY - JOUR

T1 - Terrestrial snakebites in the South East of the Arabian Peninsula

T2 - Patient characteristics, clinical presentations, and management

AU - Alkaabi, Juma M.

AU - Neyadi, Mariam Al

AU - Darei, Fakhra Al

AU - Mazrooei, Mariam Al

AU - Yazedi, Jawaher Al

AU - Abdulle, Abdishakur

PY - 2011/9/12

Y1 - 2011/9/12

N2 - Background: To describe the characteristics, clinical presentations, management and complications of snakebites in the border region between Al-Ain, United Arab Emirates (UAE) and Buraimi, Sultanate of Oman. Methodology/Principal Findings: We carried out a retrospective review of medical records to study snakebite cases over four-year duration at three tertiary hospitals. Overall, 64 snakebite cases were studied with median hospitalization of 2 (interquartile range [IQR] 1-4) days. The majority of cases were male (87.5%), and most (61%) of the incidents occurred during summer months. The bite sites were predominantly (95%) to the feet and hands. Main clinical features included pain, local swelling, and coagulopathy, blistering and skin peeling. Overall, there were no deaths, but few major complications occurred; extensive skin peeling (n = 5, 8%), multi-organ failure (n = 1, 1.5%), and compartment syndrome (n = 1, 1.5%). Polyvalent anti snake venom (ASV), analgesia, tetanus toxoid, intravenous fluids, and antibiotics such as ampicillin, cloxacillin, and cephalosporins were commonly instituted as part of treatment protocols in the three hospitals. Conclusion: The overwhelming majority of bites occurred during summer months, and envenomations were more common in, relatively, young male farmers, but with no serious clinical complications. Prevention and treatment strategies should include increasing public awareness, developing management guidelines, and manufacturing specific ASV for a wide spectrum of the local venomous snakes.

AB - Background: To describe the characteristics, clinical presentations, management and complications of snakebites in the border region between Al-Ain, United Arab Emirates (UAE) and Buraimi, Sultanate of Oman. Methodology/Principal Findings: We carried out a retrospective review of medical records to study snakebite cases over four-year duration at three tertiary hospitals. Overall, 64 snakebite cases were studied with median hospitalization of 2 (interquartile range [IQR] 1-4) days. The majority of cases were male (87.5%), and most (61%) of the incidents occurred during summer months. The bite sites were predominantly (95%) to the feet and hands. Main clinical features included pain, local swelling, and coagulopathy, blistering and skin peeling. Overall, there were no deaths, but few major complications occurred; extensive skin peeling (n = 5, 8%), multi-organ failure (n = 1, 1.5%), and compartment syndrome (n = 1, 1.5%). Polyvalent anti snake venom (ASV), analgesia, tetanus toxoid, intravenous fluids, and antibiotics such as ampicillin, cloxacillin, and cephalosporins were commonly instituted as part of treatment protocols in the three hospitals. Conclusion: The overwhelming majority of bites occurred during summer months, and envenomations were more common in, relatively, young male farmers, but with no serious clinical complications. Prevention and treatment strategies should include increasing public awareness, developing management guidelines, and manufacturing specific ASV for a wide spectrum of the local venomous snakes.

UR - http://www.scopus.com/inward/record.url?scp=80052620749&partnerID=8YFLogxK

UR - http://www.scopus.com/inward/citedby.url?scp=80052620749&partnerID=8YFLogxK

U2 - 10.1371/journal.pone.0024637

DO - 10.1371/journal.pone.0024637

M3 - Review article

C2 - 21931788

AN - SCOPUS:80052620749

VL - 6

JO - PLoS One

JF - PLoS One

SN - 1932-6203

IS - 9

M1 - e24637

ER -