%0 Journal Article
%9 ACL : Articles dans des revues avec comité de lecture répertoriées par l'AERES
%A Dolab, J. A.
%A de Roodt, A. R.
%A de Titto, E. H.
%A Garcia, S. I.
%A Funes, R.
%A Salomon, O. D.
%A Chippaux, Jean-Philippe
%T Epidemiology of snakebite and use of antivenom in Argentina
%D 2014
%L fdi:010061978
%G ENG
%J Transactions of the Royal Society of Tropical Medicine and Hygiene
%@ 0035-9203
%K Antivenom ; Argentina ; Bothrops ; Crotalus ; Micrurus ; Snakebite
%K ARGENTINE
%M ISI:000334754200006
%N 5
%P 269-276
%R 10.1093/trstmh/tru038
%U https://www.documentation.ird.fr/hor/fdi:010061978
%> https://www.documentation.ird.fr/intranet/publi/2014/05/010061978.pdf
%V 108
%W Horizon (IRD)
%X Background: The incidence and case fatality rate of snakebite in Argentina are poorly known. Methods: The authors used questionnaires provided with antivenoms by the primary manufacturer of anti-venoms in Argentina. Results: A total of 8083 completed questionnaires was collected between 1978 and 1998. The annual incidence of snakebite was 1.8 bites per 100 000 inhabitants, with a high geographical heterogeneity; in the northern provinces of the country, the incidence can exceed 150 snakebites per 100 000 people per year. Bothrops (pit viper) bites predominated, accounting for 96.6 (6720/6957) of envenomations, bites from Crotalus (rattlesnake) accounted for 2.8 (195/6957), and bites from Micrurus (coral snake) for 0.6 (42/6957). Most patients were young men, who were generally bitten during agricultural activities, i.e. while working in the fields. Most snakebites (78.9, 5852/7419) were to the lower limb, including 58.3 (4322/7419) to the foot. The case fatality rate was 0.04 (3/8083). Most envenomations (90, 7275/8083) were treated with specific antivenom during the first 4 h after the bite. The median dose of antivenom was two vials for viper bites (Bothrops and Crotalus) and three vials for Micrurus bites. Conclusion: These preliminary results should enable manufacturers to increase the availability of appropriate antivenom and health authorities to improve the management of snakebites where they are most common.
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