02216nas a2200241   4500000000100000008004100001653003900042653001500081653001400096653001400110653001700124100001600141700001300157700001500170700001300185700001600198700001500214245009600229856008300325300000900408490000600417520155100423       2017                            d10aNeglected tropical diseases (NTDs)10aSnake bite10aMorbidity10aAntivenom10aenvemonation1 aBawaskar HS1 aPunde DP1 aBawaskar P1 aPunde GD1 aBawaskar PH1 aJaiswal SS00aProfile of snake bite poisoning at remote rural Maharashtra: Fourteen years clinical study.  uhttps://pdfs.semanticscholar.org/9402/f6c6909cbe642e7f4b0ea0048acf68ef2600.pdf  a10740 v53 a<p><strong>Background: </strong>Snake bite is neglected tropical disease. Snake bite accident is common in farmers, hunters, labors and migrating population. Patient has to travel 15-20 miles to obtain medical aids, moreover doctors are not train regarding management of snake bite. High morbidity and mortality due to venomous envenoming attributed to delay in diagnosis and management. We report rapid diagnosis and early intervention result in reduction in fatality and morbidity.<br />
<strong>Methods: </strong>This is retrospective study. Victims of snake bite on arrival to out patient department are examined in details by expert or trained physician. Species of snake bitten is confirmed by detail examination of killed specimen if it produced or by clinical syndromes. This is case series and not the trial.<br />
<strong>Results: </strong>January 2002 to 31st august 2015, 1625 (87.45%) were bitten by venomous species of snake of these 388 (23.87%) , 343 (21.10%) , 507(32.20%) , 257 (15.81%) 33 (2.03%) and 97 (5.96%) were bitten by cobra , krait , <em>Russell’s viper </em>, <em>echis carinatus, pit viper </em>and haematotoxic without identified the species respectively. Of these 67(4.12%) (<em>Cobra </em>8, <em>krait </em>41 <em>Russell’s viper </em>17 and <em>echis carinatus </em>1) died.<br />
<strong>Conclusion: </strong>Rapid transport of snake bite victim to health center. Early diagnosis by trained physician and rapid interventions reduced the mortality and morbidity due to venomous snake bite poisoning.</p>