@article{fdi:010066681,
  title = {{S}nakebites notified to the poison control center of {M}orocco between 2009 and 2013},
  author = {{C}hafiq, {F}. and {E}l {H}attimy, {F}. and {R}halem, {N}. and {C}hippaux, {J}ean-{P}hilippe and {S}oulaymani, {A}. and {M}okhtari, {A}. and {S}oulaymani-{B}encheikh, {R}.},
  editor = {},
  language = {{ENG}},
  abstract = {{B}ackground: {S}nakebites cause considerable death and injury throughout the globe, particularly in tropical regions, and pose an important yet neglected threat to public health. {I}n 2008, the {C}entre {A}nti {P}oison et de {P}armacovigilance du {M}aroc ({CAPM}) started to set up a specific strategy for the control of snakebites that was formalized in 2012. {T}he aim of the present study is to describe and update the epidemiological characteristics of snakebites notified to {CAPM} between 2009 and 2013. {M}ethods: {T}his retrospective five-year study included all cases of snakebites notified to {CAPM} by mail or phone. {R}esults: {D}uring the study period, 873 snakebite cases were reported to {CAPM}, an average incidence of 2.65 cases per 100,000 inhabitants with 218 cases each year. {T}he highest incidence was found in {T}angier-{T}etouan region with 357 cases (40.9 %) followed by {S}ouss {M}assa {D}raa region with 128 cases (14.6 %). {T}he average age of patients was 26.8 +/- 17.2 years. {T}he male to female sex ratio was 1.67:1 and 77 % of cases occurred in rural areas. {T}he bites occurred mainly in spring (44 %) followed by summer (42 %). {S}nake species was identified in 54 cases (6.2 %): colubrids represented 31 % (n = 18) and vipers 67 % (n = 36), mainly {D}aboia mauritanica, {B}itis arietans and {C}erastes cerastes. {I}n 311 cases (35.6 %), the patients showed viper syndrome. {T}hrombocytopenia was observed in 23.5 % of viper syndrome cases, whereas, compartment syndrome was observed in 7.6 % patients. {FAV}-{A}frique ({R}) was administered in 41 patients (5 %). {I}n patients treated with antivenom, 38 patients recovered and three died. {T}wenty-seven deaths were reported (3.9 %). {C}onclusion: {D}espite specific efforts to better understand the epidemiology of snakebites in {M}orocco (incidence, severity, snake species involved), it remains underestimated. {T}herefore, further work is still necessary to ensure accessibility of appropriate antivenom against venomous species and to improve the management of envenomation in {M}orocco.},
  keywords = {{S}nakebite ; {E}nvenomation ; {V}iper ; {M}orocco ; {E}pidemiology ; {MAROC}},
  booktitle = {},
  journal = {{J}ournal of {V}enomous {A}nimals and {T}oxins {I}ncluding {T}ropical {D}iseases},
  volume = {22},
  numero = {},
  pages = {8},
  ISSN = {1678-9199},
  year = {2016},
  DOI = {10.1186/s40409-016-0065-8},
  URL = {https://www.documentation.ird.fr/hor/fdi:010066681},
}