Analisis clinico y socio demografico de la ofidiotoxicosis en ninos hospitalizados en el HURGV de Bucaramanga (Colombia) en un periodo de 10 anos (1983-1993). Se seleccionaron 40 casos con diagnostico de egreso de mordedura de serpiente, que fueron hospitalizados en la sala de Medicina Interna Pediatrica en este periodo. Los resultados fueron: mayor frecuencia en escolares (82%); predominio leve en varones; procedencia de area rural en 95% de casos; la mayoria ocasionados por genero Bothrops (85%), solo hubo un caso por Micrurus, y el resto no identificados; sitio de mordedura 91% en pie y tercio distal de pierna; el 65% consultan a organismos de salud en las primeras 24 horas, el resto en forma tardia; todos los pacientes presentaron huellas de colmillos, edema y dolor localizados en el sitio de la mordedura; las manifestaciones hemorragicas mas comunes fueron equimosis en el 80%, seguidas por gingivorragias. El 69% de casos se clasificaron en Grados Il y IlI. Hubo complicaciones en 33%, siendo la mas frecuente la CID. El PT en 85% de casos, y el PTT en 63% estuvieron prolongados. CH fue inespecifico. Tratamiento: el 97.5% recibieron suero antiofidico, el 28% transfusiones, y el 100% antibioticos y profilaxis antitetanica. Promedio de estancia 5 dias. Evolucion buena en 90% de casos, hubo secuelas en 3 casos (7,5%), y solo 1 paciente murio. Se concluye que debe hacerse educacion a la comunidad en riesgo sobre uso de calzado adecuado, primeros auxilios, evitar tratamientos empiricos que lleven a iatrogenia, y consulta inmediata al organismo de salud mas cercano. Debe capacitarse al personal medico y paramedico sobre oportuna atencion de pacientes con mordedura de serpiente. Se incluye un protocolo de manejo, facil de aplicar en nuestros organismos de salud. SUMMARY It was done a sociodemographic and clinical analysis ofinstitutionalized children in the pediatric internal medicine section of the Ramon Gonzalez Valencia Universitary Hospital in Bucaramanga (Colombia) from 1983 – 1993.40 children with diagnosis of snake bite were selected. Resulte: The major frecuency was found in the school age with a little male predominance. 95% of children carne from the rural area. The most snake genus was Bothrops (85%), we had just one case for Micrurus and the rest of them were not identified. 91%of the snake hites were in feet and legs distal thirC:. 65% of people assist for medical attention in the first 24 hours. Every patient had eye-teeth marks, and localized oedema and pain in the bite; most common haemorrhagic manifestations were ecchymosis (80%) and gingival bleeding. 69% of cases were Grade II and lII. 33% of them had complicationsj the most common one was Disseminated Intravascular Coagulation. We found.prolongued PT and PTT in 85% and 63% of cases respectively. BC was not specific. 97.5% of our children received especific antivenin for treatment, 28% transfusions and 100% antibiotic and antitetanic prophylaxis. Hospitalization average days were 5. Three of our patients (7.5%) had sorne sequel andjust one died. In conclussion there not be a good education in the community on risk about appropiatte use of shoes, first aid, avoidiry empire treatments that to yatrogene and inmediately a consultation to the nearest clinical center should be done. The medical and paramedical personnel should be prepared about attention of patients with snake bite. It was included a protocol for the management, easy to apply in our health centers.