典型文献
Early severity predictors of snakebite envenomation in the southern region of Tunisia
文献摘要：
I read with interest the paper by Chakroun-Walha et al.[1]; it is a retrospective review of the medical records of patients with a history consistent with snakebite in a region of Tunisia. It found that leucocytosis within the first 24 h of emergency department arrival and prior tourniquet application were the independent predictors of severe snakebite envenoming. Although it is a baseline study, I am delighted that authors are at the forefront in showcasing snakebite envenoming, a neglected tropical disease, in North Africa. However, I have few observations:
First, I doubt the utility of leucocytosis in predicting severe envenoming in snakebite victims presenting at rural health centres of low and middle-income countries (who first receive most snakebite cases). This is because the resources for obtaining a complete blood count may be lacking. However, bedside 20 min whole blood clot test has been recommended to diagnose coagulopathy in this setting[2]; it does not require expensive equipment and training and ensures timely administration of anti-snake venom if indicated.
文献关键词：
中图分类号：
作者姓名：
Godpower Chinedu Michael
作者机构：
Department of Family Medicine,Aminu Kano Teaching Hospital,PMB 3452 Kano,Nigeria;Africa-Middle East Section of the International Society on Toxinology
文献出处：
引用格式：
[1]Godpower Chinedu Michael-.Early severity predictors of snakebite envenomation in the southern region of Tunisia)[J].急性病杂志（英文版）,2022(02):88
A类：
snakebite,envenomation,Chakroun,Walha,leucocytosis,envenoming
B类：
Early,severity,predictors,southern,region,Tunisia,read,interest,paper,by,retrospective,review,medical,records,patients,history,consistent,It,found,that,within,first,emergency,department,arrival,prior,tourniquet,application,were,independent,severe,Although,baseline,study,am,delighted,authors,are,forefront,showcasing,neglected,tropical,disease,North,Africa,However,have,few,observations,
First,doubt,utility,predicting,victims,presenting,rural,health,centres,low,middle,income,countries,receive,most,cases,This,because,resources,obtaining,complete,blood,may,lacking,bedside,whole,clot,test,has,been,recommended,diagnose,coagulopathy,this,setting,does,not,require,expensive,equipment,training,ensures,timely,administration,anti,if,indicated
AB值：
0.611476
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