TY - JOUR TI - The effect of plasmapheresis therapy on management of patients with snakebite AB - Aim: The aim of the study was to evaluate the effectiveness of plasmapheresis therapy in patients with snakebite who were admitted to intensive care unit in the setting of tertiary referral hospital. Materials and Methods: The retrospective study involved 114 adult patients with snakebite who were admitted to a referral hospital’s intensive care unit between January 2012 and December 2022. The patients were divided into four groups according to the treatments. Group AV performed antivenom (Group AV) alone. Group PP performed plasmapheresis alone. Group AV+PP performed antivenom and plasmapheresis. Group GST performed only general supportive therapy. Results: Fifty two of 114 were included in Group GST, 31 in Group AV, 18 in Group PP and 13 in Group AV+PP. APACHE score, SOFA score, GCS, stage of the bite, length of stay in the intensive care unit, acute kidney injury, and hematological disorders were higher while the platelet count at admission was lower in Group PP and Group AV+PP compared to Group AV and Group GST (p< 0.05). Conclusion: Antivenom and plasmapheresis are not alternatives to each other, antivenom should be performed to patients according to the severity of the bite, and plasmapheresis should be performed without delay in those with severe hematological effects. AU - BİCAKCİOGLU, Murat AU - korkmaz dişli, zeliha AU - OZER, Ayse Belin AU - Yucel, Neslihan AU - KALKAN, SERKAN AU - DOĞAN, Zafer AU - togal, turkan AU - DEMİRCAN, SELÇUK AU - DUZENCI, DECCANE AU - aydogan, mustafa said DO - 10.5455/annalsmedres.2023.08.223 PY - 2023 JO - Annals of Medical Research VL - 30 IS - 9 SN - 2636-7688 SP - 1144 EP - 1148 DB - TRDizin UR - http://search/yayin/detay/1205597 ER -