Background
tropical disease, snakebites, snakebite
SECONDARY
Snakebite is considered a neglected tropical disease [Modifiable factors in hospitals that may affect care include a lack of intensive care or monitoring facilities, adherence to management guidelines, and health worker knowledge.The majority of snakebites present to primary rural hospitals, which are staffed by non-specialist medical doctors. A sizable proportion of patients are then transferred to secondary or tertiary care hospitals where specialists are available for further care [The Sri Lanka Medical Association (SLMA), the apex body in medicine in Sri Lanka, has a lead role in advocacy for snakebite management, including the development of management guidelines [The objective of this study was to test whether an additional systematic educational program (an educational intervention) based on SLMA national guidelines improves the knowledge and clinical practice of first-contact doctors and nurses in primary care hospitals compared with access to freely available online guidelines alone.