1921
image of Infectious Complications Following Snakebite by Bothrops lanceolatus in Martinique: A Case Series
  • ISSN: 0002-9637
  • E-ISSN: 1476-1645

Abstract

Infections secondary to snakebite occur in a number of patients and are potentially life-threatening. bites in Martinique average 30 cases per year and may result in severe thrombotic and infectious complications. We aimed to investigate the infectious complications related to bite. A retrospective single-center observational study over 7 years (2011–2018) was carried out, including all patients admitted to the hospital because of bite. One hundred seventy snake-bitten patients (121 males and 49 females) were included. Thirty-nine patients (23%) presented grade 3 or 4 envenoming. Twenty patients (12%) developed wound infections. The isolated bacteria were (3 cases), (two cases), group A , and group B (one case each). Patients were treated empirically with third-generation cephalosporin (or amoxicillin–clavulanate), aminoglycoside, and metronidazole combinations. Outcome was favorable in all patients. The main factor significantly associated with the occurrence of infection following snakebite was the severity of envenoming ( < 0.05). Our findings clearly point toward the frequent onset of infectious complications in –bitten patients presenting with grade 3 and 4 envenoming. Thus, based on the bacteria identified in the wounds, we suggest that empiric antibiotic therapy including third-generation cephalosporin should be administered to those patients on hospital admission.

[open-access] This is an open-access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.

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/content/journals/10.4269/ajtmh.19-0369
2019-10-14
2019-11-19
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http://instance.metastore.ingenta.com/content/journals/10.4269/ajtmh.19-0369
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  • Received : 13 May 2019
  • Accepted : 12 Jul 2019
  • Published online : 14 Oct 2019
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