Current Status and Influencing Factors of Snakebite Diagnosis and Treatment Knowledge Among Medical Staff in China: A Cross-Sectional Study

doi:10.3389/ijph.2023.1606601

. 2023 Dec 11:68:1606601.

doi: 10.3389/ijph.2023.1606601. eCollection 2023.

Current Status and Influencing Factors of Snakebite Diagnosis and Treatment Knowledge Among Medical Staff in China: A Cross-Sectional Study

Yanlan Hu^#¹, Chuanzhu Lv^#^{2

3

4}, Xingyue Song⁵, Yong Gan⁶, Juntao Wang^{1

4}, Wenjie Hao^{1

4}, Lanfen He^{1

4}, Yu Chen¹, Xiaotong Han⁷, Shijiao Yan^{1

3

4}

Affiliations

¹ International School of Public Health and One Health, Hainan Medical University, Haikou, Hainan, China.
² Emergency Medicine Center, Sichuan Provincial People's Hospital, University of Electronic Science and Technology of China, Chengdu, Sichuan, China.
³ Research Unit of Island Emergency Medicine, Chinese Academy of Medical Sciences (No. 2019RU013), Hainan Medical University, Haikou, Hainan, China.
⁴ Key Laboratory of Emergency and Trauma of Ministry of Education, Hainan Medical University, Haikou, Hainan, China.
⁵ Department of Emergency, Hainan Clinical Research Center for Acute and Critical Diseases, The Second Affiliated Hospital of Hainan Medical University, Haikou, Hainan, China.
⁶ Department of Social Medicine and Health Management, School of Public Health, Tongji Medical College, Huazhong University of Science and Technology, Wuhan, Hubei, China.
⁷ Hunan Provincial Key Laboratory of Emergency and Critical Care Metabolomics, Department of Emergency Medicine, Hunan Provincial Institute of Emergency Medicine, Hunan Provincial People's Hospital, The First Affiliated Hospital, Hunan Normal University, Changsha, Hunan, China.

^# Contributed equally.

PMID: 38146482
PMCID: PMC10749458
DOI: 10.3389/ijph.2023.1606601

Current Status and Influencing Factors of Snakebite Diagnosis and Treatment Knowledge Among Medical Staff in China: A Cross-Sectional Study

Yanlan Hu et al. Int J Public Health. 2023.

. 2023 Dec 11:68:1606601.

doi: 10.3389/ijph.2023.1606601. eCollection 2023.

Authors

Yanlan Hu^#¹, Chuanzhu Lv^#^{2

3

4}, Xingyue Song⁵, Yong Gan⁶, Juntao Wang^{1

4}, Wenjie Hao^{1

4}, Lanfen He^{1

4}, Yu Chen¹, Xiaotong Han⁷, Shijiao Yan^{1

3

4}

Affiliations

¹ International School of Public Health and One Health, Hainan Medical University, Haikou, Hainan, China.
² Emergency Medicine Center, Sichuan Provincial People's Hospital, University of Electronic Science and Technology of China, Chengdu, Sichuan, China.
³ Research Unit of Island Emergency Medicine, Chinese Academy of Medical Sciences (No. 2019RU013), Hainan Medical University, Haikou, Hainan, China.
⁴ Key Laboratory of Emergency and Trauma of Ministry of Education, Hainan Medical University, Haikou, Hainan, China.
⁵ Department of Emergency, Hainan Clinical Research Center for Acute and Critical Diseases, The Second Affiliated Hospital of Hainan Medical University, Haikou, Hainan, China.
⁶ Department of Social Medicine and Health Management, School of Public Health, Tongji Medical College, Huazhong University of Science and Technology, Wuhan, Hubei, China.
⁷ Hunan Provincial Key Laboratory of Emergency and Critical Care Metabolomics, Department of Emergency Medicine, Hunan Provincial Institute of Emergency Medicine, Hunan Provincial People's Hospital, The First Affiliated Hospital, Hunan Normal University, Changsha, Hunan, China.

^# Contributed equally.

PMID: 38146482
PMCID: PMC10749458
DOI: 10.3389/ijph.2023.1606601

Abstract

Objectives: This study aimed to determine the current status of the knowledge of diagnosis and treatment of snakebites among medical staff in China and its influencing factors. Methods: A cross-sectional survey of 12,581 medical staff was conducted in 12 provinces in China between June 2022 and February 2023. We analyzed the results using descriptive statistics, T-tests or analysis of variance, and a generalized linear model. Results: The average score of snakebite diagnosis and treatment knowledge among medical staff in China was 3.15 ± 2.15 out of a total score of 12. Through a generalized linear regression model, we found that gender, occupation, region, hospital level, work department, work tenure, training received in the diagnosis and treatment of snakebite, experience in snakebite diagnosis and treatment, availability of antivenom in the unit, and self-evaluation of snakebite treatment ability all affected the medical staff's scores of snakebite diagnosis and treatment knowledge. Conclusion: The knowledge level of snakebite diagnosis and treatment among Chinese medical staff is generally low, so it is imperative to conduct standardized snakebite diagnosis and treatment training for medical staff.

Keywords: China; diagnosis and treatment; envenomation; medical staff; snakebite.

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Conflict of interest statement

The authors declare that they do not have any conflicts of interest.

Figures

**FIGURE 1**
Research process (Haikou, China, 2023).

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References

1. Bawaskar HS, Bawaskar PH, Bawaskar PH. Snake Bite in India: A Neglected Disease of Poverty. Lancet (2017) 390(10106):1947–8. 10.1016/s0140-6736(17)32175-x - DOI - PubMed
1. Bagcchi S. Experts Call for Snakebite to Be Re-Established as a Neglected Tropical Disease. BMJ (2015) 351:h5313. 10.1136/bmj.h5313 - DOI - PubMed
1. Chippaux JP. Snake-Bites: Appraisal of the Global Situation. Bull World Health Organ (1998) 76(5):515–24. - PMC - PubMed
1. Kasturiratne A, Wickremasinghe AR, De Silva N, Gunawardena NK, Pathmeswaran A, Premaratna R, et al. The Global Burden of Snakebite: A Literature Analysis and Modelling Based on Regional Estimates of Envenoming and Deaths. Plos Med (2008) 5(11):e218. 10.1371/journal.pmed.0050218 - DOI - PMC - PubMed
1. Maduwage K, Karunathilake P, Gutiérrez JM. Web-Based Snake Identification Service: A Successful Model of Snake Identification in Sri Lanka. Toxicon (2022) 205:24–30. 10.1016/j.toxicon.2021.11.007 - DOI - PubMed

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Grants and funding

This study was supported by Hainan Province Science and Technology Special Fund (ZDKJ202004, ZDKJ2021038), Hainan Provincial Natural Science Foundation of China (821RC557), National Natural Science Foundation of China (82160647), Finance Science and Technology Program of Sichuan Province (2022YFS0602), Hainan Clinical Medical Research Center Project (LCYX202310), Hainan Province’s Philosophy and Social Science Planning Project (HNSK (ZC) 22-142).

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[1] Bawaskar HS, Bawaskar PH, Bawaskar PH. Snake Bite in India: A Neglected Disease of Poverty. Lancet (2017) 390(10106):1947–8. 10.1016/s0140-6736(17)32175-x - DOI - PubMed

[2] Bawaskar HS, Bawaskar PH, Bawaskar PH. Snake Bite in India: A Neglected Disease of Poverty. Lancet (2017) 390(10106):1947–8. 10.1016/s0140-6736(17)32175-x - DOI - PubMed

[3] Bagcchi S. Experts Call for Snakebite to Be Re-Established as a Neglected Tropical Disease. BMJ (2015) 351:h5313. 10.1136/bmj.h5313 - DOI - PubMed

[4] Bagcchi S. Experts Call for Snakebite to Be Re-Established as a Neglected Tropical Disease. BMJ (2015) 351:h5313. 10.1136/bmj.h5313 - DOI - PubMed

[5] Chippaux JP. Snake-Bites: Appraisal of the Global Situation. Bull World Health Organ (1998) 76(5):515–24. - PMC - PubMed

[6] Chippaux JP. Snake-Bites: Appraisal of the Global Situation. Bull World Health Organ (1998) 76(5):515–24. - PMC - PubMed

[7] Kasturiratne A, Wickremasinghe AR, De Silva N, Gunawardena NK, Pathmeswaran A, Premaratna R, et al. The Global Burden of Snakebite: A Literature Analysis and Modelling Based on Regional Estimates of Envenoming and Deaths. Plos Med (2008) 5(11):e218. 10.1371/journal.pmed.0050218 - DOI - PMC - PubMed

[8] Kasturiratne A, Wickremasinghe AR, De Silva N, Gunawardena NK, Pathmeswaran A, Premaratna R, et al. The Global Burden of Snakebite: A Literature Analysis and Modelling Based on Regional Estimates of Envenoming and Deaths. Plos Med (2008) 5(11):e218. 10.1371/journal.pmed.0050218 - DOI - PMC - PubMed

[9] Maduwage K, Karunathilake P, Gutiérrez JM. Web-Based Snake Identification Service: A Successful Model of Snake Identification in Sri Lanka. Toxicon (2022) 205:24–30. 10.1016/j.toxicon.2021.11.007 - DOI - PubMed

[10] Maduwage K, Karunathilake P, Gutiérrez JM. Web-Based Snake Identification Service: A Successful Model of Snake Identification in Sri Lanka. Toxicon (2022) 205:24–30. 10.1016/j.toxicon.2021.11.007 - DOI - PubMed

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Current Status and Influencing Factors of Snakebite Diagnosis and Treatment Knowledge Among Medical Staff in China: A Cross-Sectional Study

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Current Status and Influencing Factors of Snakebite Diagnosis and Treatment Knowledge Among Medical Staff in China: A Cross-Sectional Study

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Abstract

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