Abdul Rauf, Adnan ., Saqib Malik, Haider Zaman, Saima Gilani


Background: Snake bite is one of the important public health problems. The objective of the study was to assess the demographic and clinical features of snake bite patients.
Material & Methods: This cross-sectional study was conducted in the Department of Medicine, Ayub Teaching Hospital, Abbottabad from July, 2016 to June, 2017. Sample size was 52 selected through consecutive sampling technique. Demographic variables were sex, age, residence, districts and months. Research variables were site of snake bite, presence of fang marks, snake eye witnessed, time period to reach hospital, signs and symptoms, complications, anti-snake venom (ASV) administration, length of hospital stay and incidence of death. Data being categorical was analyzed by SPSS-16 as count and percentages and numeric by mean and SD.
Results: Among 52 patients, 57.70% were male. Patients belonging to rural area were 96.15%. Mean age was 30 years and mean hospital stay was two days. The modal site of snake bite was foot and ankle in 42.30%. Fang marks were seen in 76.92% and snake was eye witnessed in 73.07%. Bleeding complications were seen in 30.76% patients, Four patients died.
Conclusion: Snake bite is common in young males from Mansehra, especially in July and August. Foot and legs were most common area receiving bite with fang marks and snake eye witness in majority of cases. Swelling, pain and tenderness were the most common signs and symptoms with bleeding as common complication. Half of the patients reached hospital in 6 hours. Mortality is significantly high in victims who presented after 48 hours of the bite.


Snake bites; Venoms; Public health.

Full Text:



Alirol E, Sharma SK, Bawasker HS, Koch U, Chapuis F. Snake bite in South Asia; A review. PLOS neglected tropical disease 2010;4:1-9.

Quraishi NA, Quraishi HI, Simpson ID. A contextual approach to managing snake bite in Pakistan: snake bite treatment with particular reference to neurotoxicity and the ideal hospital snake bite kit. J Pak Med Assoc 2008;58:325-31.

Usmani AH, Durrani R , Ara J . Morbidity resulting from delayed presentation of snake bites cases. J Surg Pak 2007:12:32-41.

Chippaux JP. Snake bite; appraisal of the global situation. WHO Bulletin OMS 1998;76:516-23.

Asif N, Akhtar F, Kamal K. A study of ninety cases of snake bite at PAF hospital Shorkot. Pakistan Armed Forces Med J 2015:65:333-8.

Hayat AS, Khan AH , Zafar T, Ahmad R, Sheikh N. Study of snake bite cases at Liaquat National Hospital Hyderabad. J Ayub Med Coll Abbottabad 2008;20;125-7.

Bhatti AR, Satti AS , Khalid MA . Snake bite: Clinical profile and evaluation of effective anti-snake venom dose. J Rawal Med Coll 2010;14:22-5.

Bawasker HS, Bawasker PH, Pundi DP ,Inamdar MK, Dongari RB, Bhoite RR. Profile of Snake bite in rural Maharashtra, India. JAPI 2008;56:88-95.

Brunda G, Sashidar RB. Epidemiological profile of snake bite cases from Andra Pradesh using immunoanalytical approach. Indian J Med Res 2007;125:661-8.

Butt KZ, Anwar F, Rizwan M. Snake bite experience; in a field hospital. Professional Med J 2010;17:263-8.

Mal R. A study of snake bite cases. J Pak Med Assoc 1994;44:289-91.

Hussain S, Ali G, Khanani R. Pre Hospital measure of snake bite Sind. Pak J Med Res 1975;14:43-4.


  • There are currently no refbacks.

© 2011 Gomal Journal of Medical Sciences