Chronic health effects and cost of snakebite

IF 3.6 Q2 TOXICOLOGY Toxicon: X Pub Date : 2021-07-01 DOI:10.1016/j.toxcx.2021.100074
Anuradhani Kasturiratne , David G. Lalloo , H. Janaka de Silva
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引用次数: 25

Abstract

The burden of disability among survivors and the socio-economic impact of snakebite have not been adequately researched. We reviewed original research articles, case reports and small case series relating to chronic physical, mental and psycho-social disability and economic burden of snakebite. Both physical and psychological health problems seem common in snakebite survivors and can lead to disability and loss of productivity. Chronic physical health effects, musculoskeletal disability being the commonest, can be largely attributed to limited and delayed access to optimal treatment of acute envenoming. The economic burden is considerable, and includes health system costs, out-of-pocket expenditure and opportunity costs, with regional variations. Health systems should be more responsive to needs and circumstances of bite victims, and a more holistic approach should be developed in the treatment of snakebite which incorporates the management of chronic health effects.

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蛇咬伤对慢性健康的影响和成本
幸存者的残疾负担和蛇咬伤的社会经济影响尚未得到充分研究。我们回顾了有关蛇咬伤的慢性身体、精神和心理社会残疾和经济负担的原始研究文章、病例报告和小病例系列。在蛇咬伤幸存者中,身体和心理健康问题似乎都很常见,并可能导致残疾和丧失生产力。慢性身体健康影响,肌肉骨骼残疾是最常见的,可在很大程度上归因于有限和延迟获得最佳治疗的急性中毒。经济负担相当沉重,包括卫生系统成本、自付支出和机会成本,各地区差异很大。卫生系统应该对咬伤受害者的需要和情况作出更积极的反应,并且应该在治疗蛇咬伤方面制定更全面的办法,其中包括对慢性健康影响的管理。
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来源期刊
Toxicon: X
Toxicon: X Pharmacology, Toxicology and Pharmaceutics-Toxicology
CiteScore
6.50
自引率
0.00%
发文量
33
审稿时长
14 weeks
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