Protocol and monitoring to improve snake bite outcomes in rural Ghana

dc.contributor.authorVisser, L.E.
dc.contributor.authorKyei-Faried, S.
dc.contributor.authorBelcher, D.W.
dc.date.accessioned2019-03-13T09:22:59Z
dc.date.available2019-03-13T09:22:59Z
dc.date.issued2004-06
dc.description.abstractA 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.otherhttps://doi.org/10.1016/S0035-9203(03)00065-8
dc.identifier.otherVolume 98, Issue 5, Pages 278-283
dc.identifier.urihttp://ugspace.ug.edu.gh/handle/123456789/28611
dc.language.isoenen_US
dc.publisherTransactions of the Royal Society of Tropical Medicine and Hygieneen_US
dc.subjectAntivenomen_US
dc.subjectCarpet viperen_US
dc.subjectEnvenomingen_US
dc.subjectGhanaen_US
dc.subjectSnake biteen_US
dc.subjectTreatment protocolen_US
dc.titleProtocol and monitoring to improve snake bite outcomes in rural Ghanaen_US
dc.typeArticleen_US

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