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Published on: October 6, 2023
Venomous snakebites in southern Croatia
Boris Luksić1, Nikola Bradarić, Sandra Prgomet
1Department of Infectious Diseases, University Hospital Split, Split, Croatia. boris.luksic1@st.htnet.hr
Southern Croatia experiences an average of 5.2 snakebites per 100,000 people annually, primarily from the nose-horned viper. Most victims were older adults or children, with bites occurring in spring/summer, often on upper limbs.
Area of Science:
- * Clinical Toxicology
- * Epidemiology
- * Herpetology
Background:
- * Snakebite envenomation remains a significant public health concern globally, particularly in regions with venomous snake populations.
- * Understanding regional epidemiological patterns is crucial for effective prevention and treatment strategies.
Purpose of the Study:
- * To determine the incidence of venomous snakebite in southern Croatia.
- * To analyze the epidemiological and clinical characteristics of snakebite cases.
- * To evaluate treatment protocols and outcomes in the region.
Main Methods:
- * Retrospective analysis of 542 snakebite envenomation cases treated at University Hospital Split over 21 years.
- * Data collection included patient demographics, snake species, bite location, envenomation severity, and treatment administered.
Main Results:
- * Mean annual snakebite incidence was 5.2 per 100,000 inhabitants.
- * Nose-horned viper (Vipera ammodytes) was the most common cause of bites.
- * Victims included all age groups, with higher frequency in those over 50 and under 19; bites occurred most in May, often on upper limbs.
- * Envenomation severity ranged from minor (15.1%) to severe (18%), with a mortality rate of 0.4%.
- * Antivenom was widely administered, with rare complications, though often used more than indicated by symptoms.
Conclusions:
- * Snakebite envenomation in southern Croatia is characterized by a specific incidence rate and common snake species.
- * Demographic and seasonal patterns highlight at-risk populations and periods.
- * Current treatment, including antivenom use, appears effective with low mortality, though judicious application is suggested.
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