Human Envenomations Due to Snakebites in Marilia, State of São Paulo, Brazil. A Retrospective Epidemiological Study

Sgarbi, L.P.S.; Ilias, Mohamad Ikram; Machado, Tiago Ribeiro; Álvarez, Luis Pérez; Barraviera, Benedito

doi:10.1590/s0104-79301995000200004

Cited by 12 publications

(9 citation statements)

References 5 publications

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“…Considering the accident place and the victim's gender and age, the obtained data were similar to those reported in literature (5,9,13,15,26).…”

Section: Resultssupporting

confidence: 87%

Snakebites in southwestern Goiás State, Brazil

Pacheco¹,

Zortéa²

2008

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

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ABSTRACT:The present study evaluated snakebite cases recorded by the Southwest II Regional Health Bureau [Regional de Saúde Sudoeste II], Goiás State, Brazil. The following data were analyzed: accident period; patient's age and gender; bite site; envenomation severity; and time elapsed between the bite and medical treatment. We evaluated 211 cases recorded between January 2002 and December 2005, which resulted in an incidence coefficient of 32.4/100,000 inhabitants. Most accidents were due to the bite of snakes from the Bothrops genus (78.2%). The months between January and April had a larger number of accidents (93%-44.1%), although no significant differences were observed. Only one death occurred, resulting in a mortality rate of 0.5%. The lower limbs were the most frequently affected (66.3%). The majority of the victims were male (75.1%). The age group of most of the patients was from 21 to 30 years (20.8%). The accidents were classified as mild, moderate and severe, representing 44.9%, 47.6% and 7.5% of the cases, respectively. The time elapsed between the accident and medical treatment was less than 3h in most of the cases (80.7%), reflecting the high frequency of mild and moderate accidents (92.5%) as well as the large number of healed patients.

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“…Considering the accident place and the victim's gender and age, the obtained data were similar to those reported in literature (5,9,13,15,26).…”

Section: Resultssupporting

confidence: 87%

Snakebites in southwestern Goiás State, Brazil

Pacheco¹,

Zortéa²

2008

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

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“…For the same reason, males were more afflicted with bites than females. Similar results have been reported by many studies in Africa and Asia (18,21,(26)(27)(28).…”

Section: Discussionsupporting

confidence: 91%

“…This work also demonstrated that young adults and adolescents are more affected by snakebites, mainly due to their greater exposure through outdoor activities, particularly agricultural ones (22,(24)(25)(26). For the same reason, males were more afflicted with bites than females.…”

Section: Discussionmentioning

confidence: 58%

Epidemiological profile of snakebites in Morocco

Arfaoui¹,

Hmimou²,

Ouammi³

et al. 2009

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

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ABSTRACT:The present work aims to find the epidemiological profile of snakebites in Morocco through a retrospective study of 1,423 snakebite cases that occurred between 1992 and 2007. Data were obtained from medical charts of envenomation at the Poison Control and Pharmacovigilance Center of Morocco. Results revealed that 86% of the snakebites had occurred in rural areas and that males were significantly more affected than females at a sex ratio of 23:20. Furthermore, 35% of the bites happened during the summer, with a peak of 215 cases in June (15.1%). We also discovered that 67.3% of the patients were bitten during the day. The age group that comprised the most agriculturally active persons, from 20 to 44 years old, was the most affected by snakebites (551 cases). In terms of evolution, patients who were at least 60 years of age (8.89%) as well as those who were less than 10 years old (7.50%) presented higher mortality. According to clinical severity grades, the data revealed a 70% predominance of grade 2 cases (430). Deaths had occurred only in patients with grades 3 and 4. Furthermore, grade 4 patients presented 100% mortality whereas grade 3 registered 10.7%. The distribution of snakebites according to administrative regions in Morocco showed a predominance of the Souss-Massa-Daraa region both in terms of frequency (32%) and mortality (72.1%). Our study clearly displayed the severity and extent of the snakebite problem in the country, thus revealing that public health authorities should give more attention to this serious situation.

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“…O envenenamento causado por serpentes constitui um dos problemas mais importantes na Medicina e Medicina Veterinária nos países tropicais, devido a sua alta incidência, gravidade e seqüelas das lesões (Sgarbi et al 1995, Berrocal et al 1998, Pinho et al 2000, Sangiorgio et al 2008. Na América do Sul os gêneros Bothrops e Crotalus são responsáveis pela maioria dos acidentes ofídicos envolvendo seres humanos e animais (Dourado et al 1988, Kouyoumdjian 1990, Sorensen 1990, Barraviera 1991, Ribeiro 1991, Méndez & Riet-Correa 1995, Sgarbi et al 1995, Pinho et al 2000.…”

Section: Introductionunclassified

“…Na América do Sul os gêneros Bothrops e Crotalus são responsáveis pela maioria dos acidentes ofídicos envolvendo seres humanos e animais (Dourado et al 1988, Kouyoumdjian 1990, Sorensen 1990, Barraviera 1991, Ribeiro 1991, Méndez & Riet-Correa 1995, Sgarbi et al 1995, Pinho et al 2000. O gênero Crotalus da família Crotalidae e sua subespécie Crotalus durissus terrificus são a segunda mais importante causa de acidentes no Brasil (Nogueira et al 2007).…”

Section: Introductionunclassified

Perfil eletroforético das proteínas séricas de serpentes Crotalus durissus terrificus (cascavel) criadas em cativeiro

Fonteque

Kohayagawa²,

Takahira³

et al. 2009

Pesq. Vet. Bras.

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As serpentes peçonhentas dos gêneros Bothrops e Crotalus têm sido mantidas em cativeiro visando à extração de venenos para a produção de imunobiológicos. O conhecimento da fisiologia desses animais e as alterações na concentração de proteínas e suas frações séricas são importantes para a identificação precoce de importantes enfermidades que cursam com estados de hipoproteinemia e hiperproteinemia. O objetivo do trabalho foi determinar a concentração de proteína total e o perfil eletroforético das proteínas séricas de serpentes Crotalus durissus terrificus (cascavel) criadas em cativeiro. Foram colhidas amostras de sangue da veia coccígea ventral de 21 serpentes adultas e sadias, divididas em dois grupos: Grupo 1 de 12 machos com peso médio de 588,89±193,55g, e Grupo 2 de nove fêmeas com peso médio de 708,33±194,04g. A proteína total sérica foi determinada pelo método de refratometria e a eletroforese em gel de agarose. Obtiveram-se valores da proteína total sérica (g/dL) de 4,51±0,50 para machos e de 4,82±0,72 para fêmeas, e para machos e fêmeas de 4,64±0,61. Foram identificadas pela eletroforese quatro frações protéicas (g/dL): albumina, a, b, g-globulinas e calculada a relação albumina:globulina. As serpentes fêmeas apresentaram maiores valores para as variáveis, albumina e para a relação albumina/globulina (AG) diferindo significativamente (P<0,05) do grupo de machos, porém sem significado clínico.

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Human Envenomations Due to Snakebites in Marilia, State of São Paulo, Brazil. A Retrospective Epidemiological Study

Cited by 12 publications

References 5 publications

Snakebites in southwestern Goiás State, Brazil

Snakebites in southwestern Goiás State, Brazil

Epidemiological profile of snakebites in Morocco

Perfil eletroforético das proteínas séricas de serpentes Crotalus durissus terrificus (cascavel) criadas em cativeiro

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