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Red‐back spider bites to Perth children, 1979‐1988

The aim of this study was to describe the pattern of illness caused by red‐back spider bites to children in Perth, Western Australia, over a 10 year period, and to compare it with that in adults. The case‐notes of 241 (89%) of the 271 children admitted to Princess Margaret Hospital and Fremantle Hospital with suspected red‐back spider bite from 1979 to 1988 were available for analysis. A definite bite was defined as a definite bite by a positively identified red‐back spider, positive identification of a red‐back spider with no definite bite but the later development of typical symptoms or no definite history of red‐back spider bite but strong clinical evidence and complete recovery after administration of antivenom. Systemic envenomation was accepted if there were symptoms of vomiting, generalized pain or sweating, or abdominal pain.