title: Snakebite: Admissions at a tertiary health care centre in Maharashtra, India.
abstract: OBJECTIVE
  To determine the outcome, seasonal variation, and death pattern of snakebite cases admitted at the tertiary health care centre in the last 10 years.
  
  
  METHODS
  This was a record-based retrospective descriptive study at the Dr Shankarrao Chavan Government Medical College and Hospital in Vazirabad, a tertiary health care centre in Maharashtra, India.
  
  
  RESULTS
  Out of 5 639 admitted snakebite cases, 65.24% were male. The 16 - 45-year age group accounted for 84.7% of cases; 46% were referred from other health centres, mostly from rural areas; 55.2% occurred during July to September, which coincided with the rainy season in this region; 94.6% of the snakebite patients survived; and 5.4% died. Case fatality rates were higher for females (8.78%) and for bites by neurotoxic snakes (8.91%).
  
  
  CONCLUSIONS
  Snakebite is a common life-threatening emergency in the study area. Ready availability and appropriate use of antivenom, early referral when required and close monitoring of patients in the hospital will help to reduce mortality from snakebites.
authors.affiliation: Department of Community Medicine, Dr Shankarrao Chavan Government Medical College and Hospital, Vazirabad, Nanded District, Maharashtra State, India. ifinamdar@rediffmail.com
authors.forename: I F
authors.initials: IF
authors.lastname: Inamdar
authors.forename: N R
authors.initials: NR
authors.lastname: Aswar
authors.forename: M
authors.initials: M
authors.lastname: Ubaidulla
authors.forename: S D
authors.initials: SD
authors.lastname: Dalvi
mesh_terms: D000293:Adolescent; D000328:Adult; D000997:Antivenins / Q000627:therapeutic use; D004630:Emergencies; D005260:Female; D006801:Humans; D007194:India / Q000453:epidemiology; D008297:Male; D008875:Middle Aged; D008991:Monitoring, Physiologic; D015995:Prevalence; D011379:Prognosis; D012909:Snake Bites / Q000453:epidemiology* / Q000401:mortality
chemical_list: D000997:Antivenins