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Please use this identifier to cite or link to this item: http://repository.li.mahidol.ac.th/dspace/handle/123456789/22316
Title: A national hospital-based survey of snakes responsible for bites in Thailand
Authors: Chaisin Viravan
Sornchai Looareesuwan
Waipot Kosakam
Vanapom Wuthiekanun
Colin J. McCarthy
Andrew F. Stimson
Danai Bunnag
Tranakchit Harinasuta
David A. Warrell
Mahidol University
Prapokklao Hospital
The Natural History Museum, London
Nuffield Department of Clinical Medicine
Keywords: Immunology and Microbiology;Medicine
Issue Date: 1-Jan-1992
Citation: Transactions of the Royal Society of Tropical Medicine and Hygiene. Vol.86, No.1 (1992), 100-106
Abstract: Snakes which had been killed and brought to hospital with the patients they had bitten were collected in 80 district and provincial hospitals throughout 67 provinces in Thailand in order to establish the geographical distribution and relative medical importance of the venomous species. Of the 1631 snakes collected, 1145 were venomous: Malayan pit vipers (Calloselasma rhodostoma), green pit vipers (Trimeresurus albolabris) and Russell’s vipers (Daboia russelii) were the most numerous, while T. albolabris, C. rhodostoma and spitting cobras (‘Naja atra’) were the most widely distributed. In 22 cases, non-venomous species were mistaken for venomous ones and antivenom was used unnecessarily. The Malayan krait (Bungarus candidus) was confused with B. fasciatus in 5 cases and B. fasciatus antivenom was used inappropriately. The study extended the known ranges of most of the medically-important venomous species in Thailand. Correct identification of venomous snakes is especially important in Thailand because the locally-produced antivenoms are monospecific. The technique of hospital-based collection, labelling and preservation of dead snakes brought by bitten patients is recommended when rapid assessment of a country’s medically important herpetofauna is required. © Oxford University Press.
URI: https://www.scopus.com/inward/record.uri?partnerID=HzOxMe3b&scp=0026569492&origin=inward
http://repository.li.mahidol.ac.th/dspace/handle/123456789/22316
ISSN: 18783503
00359203
Appears in Collections:Scopus 1991-2000

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