Perfil epidemiológico de acidentes ofídicos do Estado do Amapá

Lima, Ana Cristina Silva Ferreira; Campos, Carlos Eduardo Costa; Ribeiro, José Renato

doi:10.1590/s0037-86822009000300017

Cited by 39 publications

(49 citation statements)

References 5 publications

(3 reference statements)

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“…Sabe-se que a ausência de utilização de equipamentos de proteção individual, tais como botas de cano longo, perneira, e demais vestimentas tornam os trabalhadores mais susceptíveis aos ataques nessas áreas (membros inferiores) (BOCHNER;STRUCHINER, 2003;CAMPOS;RIBEIRO, 2009;LIMA et al, 2009). Além disso, outro fator que deve ser levado em consideração é que as serpentes peçonhentas são répteis terrestres que possuem a habilidade de atacar as presas por meio de botes, o que contribui para a maior ocorrência de ataques aos membros inferiores quando comparados aos membros superiores (D'AGOSTINI; CHAGAS; BELTRAME, 2011).…”

Section: Discussionunclassified

Perfil clínico-epidemiológico dos acidentes ofídicos ocorridos na ilha de Colares, Pará, Amazônia oriental

Guimarães

Palha

Silva

2015

Semin. Cienc. Biol. Saude

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Descrever o perfil clínico-epidemiológico dos acidentes ofídicos ocorridos na ilha de Colares, Pará, Brasil. O estudo consistiu em uma investigação epidemiológica transversal a partir da análise de todos os casos de envenenamento por serpentes peçonhentas atendidos no Hospital Municipal e notificados ao Sistema Nacional de Notificações e Agravos (SINAN) do Ministério da Saúde, entre janeiro de 2007 e dezembro de 2011. Os dados obtidos a partir das fichas de notificação foram analisados utilizando-se estatística descritiva simples no Microsoft Excel (versão 2007). Foram notificados ao SINAN 94 casos de acidentes ofídicos, sendo observada maior concentração dos envenenamentos no primeiro semestre de cada ano, período em que ocorrem os maiores índices pluviométricos para a região. A maioria dos acidentes aconteceu na zona rural (85,11%), durante a realização dos trabalhos braçais (55,32%), com maior incidência em homens (73,40%), predominantemente provocados por serpentes do gênero Bothrops (69,62%). Foram identificadas falhas no protocolo de soroterapia, sendo verificada sua utilização em dois casos cujas serpentes não eram peçonhentas e não administrado em dois casos confirmados de acidentes ofídicos envolvendo serpentes peçonhentas. O pé foi a região mais acometida (51,06%) e a dor, edema e manifestações vagais foram os sinais mais frequentes. Estes resultados demonstram que o município de Colares segue o perfil dos acidentes ofídicos de outras localidades rurais amazônicas, sendo necessária maior atenção dos profissionais de saúde quanto ao preenchimento das fichas de notificação e aos protocolos terapêuticos dispensados às vítimas.

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Section: Discussionunclassified

Perfil clínico-epidemiológico dos acidentes ofídicos ocorridos na ilha de Colares, Pará, Amazônia oriental

Guimarães

Palha

Silva

2015

Semin. Cienc. Biol. Saude

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“…Only northern regions exceeded this Health Department recommended time, including Amapá, the riverine communities of the river Purus and other cities of Amazonas state, and some areas of Araguaia (Tocantins state) (22,24,29,35). This delay in commencing first aid is probably due to the geographic configuration of these regions, and by the lack of transportation, often by boat or along difficult tracks.…”

Section: Discussionmentioning

confidence: 99%

Epidemiological profile of snakebites in Rio de Janeiro, Brazil, 2001-2006

Machado¹,

Bochner²,

Fiszon³

2012

J. Venom. Anim. Toxins incl. Trop. Dis

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All snakebites registered in Rio de Janeiro state, Brazil, between 2001 and 2006 were analyzed. Of these, the snake species involved was identified in 2,431 cases, most of which were caused by Bothrops (2,347). Most victims were male (78.4%) and the age group most frequently attacked was between 20 and 39 years (38.4%). As for severity, 1,118 (45.9%) were classified as minor, 748 (30.7%) as moderate, and 209 (8.6%) as severe. Progression towards complete cure occurred in 1,567 patients; 39 had sequelae; three died; and clinical outcomes were not monitored in 822 cases. The time between bite and first medical attention was less than three hours in 74.6% of cases. Most occurred in municipalities with vast areas of preserved Atlantic Forest: Angra dos Reis (208), Rio de Janeiro (197), Parati (186), Teresópolis (134), and Petrópolis (110). Accident frequency was highest between November and April, in which the daily average is practically twice that observed in other months. Although results show that Rio de Janeiro state has a good level of medical care, it could be improved by creating multidisciplinary teams that include doctors, biologists, and nurses. The Vital Network for Brazil helps to promote a stimulating environment for this type of training, with both traditional courses and distance learning. Training hours must be increased to improve the skills of professionals responsible for victim care.

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“…The state of Amapá showed the lowest rate among all Brazilian states (0.96 / 100.000 inhabitants).This finding could be attributed to the fact that in Amapá, there is a concern about the high prevalence of endemic diseases such as malaria, dengue, sting of animals and venomous insects as well as the existence of different means of transportation and human activities in the field, providing less risk of injuries due to accidents in the maxillofacial area [24]. Studies have shown that the nighttime and weekends are characterized as of higher demand in emergency centers [10,25].…”

Section: Resultsmentioning

confidence: 94%

Profile of Hospitalizations and Deaths from Craniofacial Fractures in Brazilian Children and Adolescents: An Ecological Study

Costa¹,

Nóbrega²,

Dantas³

et al. 2016

Pesqui. bras. odontopediatria clín. integr.

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Objective: To characterize the profile of hospitalizations and deaths related to craniofacial fractures in Brazilian children and adolescents. Material and Methods: This is an ecological cross-sectional study with inductive approach with comparativedescriptive procedure and indirect documentation technique. Data were obtained from the DATASUS / SIH-SUS website for the years 2010-2014, considering information for each state of the five Brazilian regions. Admission rates were calculated per 100,000 inhabitants, and data were analyzed by population rates, averages and absolute and relative frequencies. Results: The Northeastern region of Brazil showed the highest hospitalization rate (81.72), followed by the Northern (56.84), Southern (50.94), Midwestern (44.25) and Southeastern regions (30.28). In all regions, the years with the highest hospitalization rates were: 2010 for the Northern (13.17) and Southeastern regions (6.61), 2013 for the Northeastern (20.07) and Midwestern regions (10.17) and 2014 for the Southerner region (10.52). The highest hospitalization rates in all regions of the country in the last five years were observed for male children and adolescent. In relation to age group, higher rates were recorded from 15 to 19 years. Of the total of 27,244 hospitalizations (3.8%), 1028 patients died and 35.5% of them occurred in the Northeastern region. Considering the years under study, the average length of stay and average daily hospitalization cost were respectively 4.0 days and US$ 82.7. Conclusion: The Northeast region of Brazil had the highest hospitalization rate of children and adolescents by craniofacial fractures, and male adolescents and those aged 15-19 years were the most affected in different regions of the country. Costs of hospital admissions due to this type of injury are significant, with more deaths as a result of these injuries in Brazil in the last 5 years evaluated with the highest prevalence in the Northeastern region of Brazil.

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Perfil epidemiológico de acidentes ofídicos do Estado do Amapá

Cited by 39 publications

References 5 publications

Perfil clínico-epidemiológico dos acidentes ofídicos ocorridos na ilha de Colares, Pará, Amazônia oriental

Perfil clínico-epidemiológico dos acidentes ofídicos ocorridos na ilha de Colares, Pará, Amazônia oriental

Epidemiological profile of snakebites in Rio de Janeiro, Brazil, 2001-2006

Profile of Hospitalizations and Deaths from Craniofacial Fractures in Brazilian Children and Adolescents: An Ecological Study

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