JVATiTD - Articles
Official publication of CEVAP/UNESP
Letter to the editor
A proactive multidisciplinary approach to Naja atra envenomation reduces surgical burden and length of hospital stay
A proactive multidisciplinary approach to Naja atra envenomation reduces surgical burden and length of hospital stay
Hsien-Po Huang1, Ting-Kuang Yeh1, Po-Hsiu Huang1, Kuo-Lung Lai2, Chih-Sheng Lai3, Po-Yu Liu1,4,5,6, Yan‑Chiao Mao5,7,8,9 [ + show more ]
J Venom Anim Toxins incl Trop Dis, 2026, 32:e20260029
Received: 19 March 2026 | Accepted: 20 March 2026 | Published online: 03 April 2026
https://doi.org/10.1590/1678-9199-JVATITD-2026-0029
Received: 19 March 2026 | Accepted: 20 March 2026 | Published online: 03 April 2026
https://doi.org/10.1590/1678-9199-JVATITD-2026-0029
Abstract
We report that the implementation of a multidisciplinary team (MDT) protocol – integrating early ultrasound surveillance, prompt surgical intervention, targeted antimicrobial therapy, and optimized antivenom administration – was associated with a marked reduction the length of hospital stay and surgical burden among patients with Naja atra envenomation at a tertiary medical center in Taiwan. This approach shifts management from a reactive to a proactive strategy by enabling the early detection of tissue involvement and timely intervention.
Keywords: Cobra envenomation; Multidisciplinary team; Length of stay; Surgical intervention