Protocol and monitoring to improve snake bite outcomes in rural Ghana
dc.contributor.author | Visser, L.E. | |
dc.contributor.author | Kyei-Faried, S. | |
dc.contributor.author | Belcher, D.W. | |
dc.date.accessioned | 2019-03-13T09:22:59Z | |
dc.date.available | 2019-03-13T09:22:59Z | |
dc.date.issued | 2004-06 | |
dc.description.abstract | A study was conducted in Mathias Hospital, Yeji, an area of Ghana, where snake bite cases are an important cause of morbidity and mortality, with a case fatality rate of 11% (8/72). Case management difficulties included uncertainty about the assessment of the severity of envenoming, the dosage of antivenom, and the response to treatment. An intervention with several components was introduced: development of a treatment protocol, staff training, monitoring of compliance and patient education. During a 33-month post-intervention period there was excellent protocol compliance, fewer snake bite complications, and a fall in mortality rate to 1.3% (3/238) compared with a 15-month baseline review. There was a 50% increase in snake bite admissions and fewer delays. To improve snake bite outcomes in comparable settings, particularly if inexperienced staff are involved in care, we recommend a similar quality assurance project, involving case review and use of a treatment protocol with monitoring of compliance to sustain an improved approach. © 2004 Royal Society of Tropical Medicine and Hygiene. Published by Elsevier Ltd. All rights reserved. | en_US |
dc.identifier.other | https://doi.org/10.1016/S0035-9203(03)00065-8 | |
dc.identifier.other | Volume 98, Issue 5, Pages 278-283 | |
dc.identifier.uri | http://ugspace.ug.edu.gh/handle/123456789/28611 | |
dc.language.iso | en | en_US |
dc.publisher | Transactions of the Royal Society of Tropical Medicine and Hygiene | en_US |
dc.subject | Antivenom | en_US |
dc.subject | Carpet viper | en_US |
dc.subject | Envenoming | en_US |
dc.subject | Ghana | en_US |
dc.subject | Snake bite | en_US |
dc.subject | Treatment protocol | en_US |
dc.title | Protocol and monitoring to improve snake bite outcomes in rural Ghana | en_US |
dc.type | Article | en_US |
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