Gravidade das intoxicações por inseticidas inibidores das colinesterases no noroeste do estado do Paraná, Brasil

Oliveira, Mágda Lúcia Félix de; Buriola, Aline Aparecida

doi:10.1590/s1983-14472009000400010

Cited by 22 publications

(28 citation statements)

References 11 publications

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“…The deaths occurred, above all, in men (53.9%) and the main circumstance was suicide (57.2%) 7 . The suicide attempts using medications and agrotoxins were the most serious events in the poisonings, probably due to the greater exposure to large quantities of the agent, causing an increase in the duration of hospitalization as well as the need for treatment in ITU 14 , which was also observed in the present study.…”

Section: Men's Health: Hospitalizations From Poisoningsupporting

confidence: 80%

“…This fact may be associated with the population's knowledge about these substances' high toxicity, and to the easy access to these products, making them a dangerous weapon for those individuals who attempt suicide. The large number of cases of poisoning involving suicide attempts in men is related to men's greater involvement in occupational activities and, consequently, to their easy access to these products 14 . There were, however, 24 cases of children being hospitalized with diagnoses of poisoning by agrotoxins, implying exposure to the substance in contaminated environments or negligence in storage, making it possible for the children to access these substances.…”

Section: Men's Health: Hospitalizations From Poisoningmentioning

confidence: 99%

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Saude do homem: internacoes hospitalares por intoxicacao registradas em um centro de assistencia toxicolo

et al. 2013

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Objective: the study aims to characterize hospitalization among men with diagnoses of poisoning in a toxicology information and treatment center in the Brazilian state of Paraná. Methods: Descriptive research, with a quantitative approach, on records in the Monthly Listing of Hospitalized Patients, in the period 2006 -2010 RESUMENObjetivo: Caracterizar las internaciones hospitalarias de hombres con diagnóstico de intoxicación registradas en un centro de información y asistencia toxicológica del Paraná. Métodos: Estudio descriptivo con enfoque cuantitativo de los listados mensuales de registros de pacientes hospitalizados en el período de 2006 a 2010. Resultados: Fueron analizadas 2448 internaciones masculinas (60,9%). Los hombres tenían una edad media de 36,5 años, 1610 (65,8%) eran adultos y la mayoría (77,8%) fue ingresada con el diagnóstico de intoxicación por abuso de drogas. De los 505 (20,5%) ingresos procedentes de accidentes individuales, 252 (49,9%) envolvían niños. El intento de suicidio fue responsable por 440 (18,0%) hospitalizaciones, siendo 110 (25,0%) en adolescentes. Conclusión: En razón de las hospitalizaciones por intoxicación entre los sexos, se puede inferir mayor gravedad en los casos de envenenamiento en hombres de todas las edades.Salud del Hombre; Envenenamiento; Hospitalización.

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Section: Men's Health: Hospitalizations From Poisoningsupporting

confidence: 80%

Section: Men's Health: Hospitalizations From Poisoningmentioning

confidence: 99%

Saude do homem: internacoes hospitalares por intoxicacao registradas em um centro de assistencia toxicolo

et al. 2013

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“…A Organização Mundial de Saúde (OMS) estima que ocorram aproximadamente três milhões de envenenamentos humanos por pesticidas em todo o mundo ao longo de um ano, com relatos de mais de 220.000 mortes (KORBES et al, 2010). No entanto, são poucos os estudos existentes sobre o uso desses produtos em ambientes domésticos (MELO et al, 2008;BURIOLA, 2009). Na presente pesquisa realizada com visitas domiciliares, foram entrevistados 700 indivíduos, dos quais a maioria foi representada por mulheres (527 entrevistas, 75%).…”

Section: Resultsunclassified

Perfil do uso populacional de inseticidas domésticos no combate a mosquitos

Oliveira

Nunes

Santana

et al. 2015

Semin. Cienc. Biol. Saude

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Esse trabalho descreve a utilização doméstica de inseticidas pela população de Picos (Piauí, Brasil), identifica quais são os tipos de inseticidas mais utilizados e descreve a incidência de intoxicação e a consciência ambiental da população. Após visitas domiciliares (n=700), notou-se que a maioria dos entrevistados foi representada por mulheres (75%), com idade entre 31-55 anos (49%), ensino fundamental incompleto (38,1%) e renda familiar entre 1-2 salários mínimos (64%). A maioria das residências tem entre 1-3 moradores (48%), 85% dos entrevistados usam inseticidas escolhidos principalmente em propagandas de TV e radio e apenas 54% leem o rótulo antes de aplicar o produto. A forma de apresentação mais usada é o aerossol (70,7%). A maioria (79%) reconhece que inseticidas são maléficos à saúde, mas 74% não usam nenhum Equipamento de Proteção Individual (EPI). Sintomas de toxicidade foram relatados por 27% dos entrevistados. Duas mulheres relataram irritação, tonturas e problemas respiratórios e necessidade de intervenção médica e internação hospitalar. Todos os entrevistados descartam as embalagens como lixo comum, uma vez que em Picos não há coleta seletiva. Em conclusão, a maioria das pessoas usam inseticidas, conhecem sobre os riscos individuais e coletivos aos quais estão expostos mas não usam EPI mesmo acreditando que sejam tóxicos. Notou-se que aquisição de conhecimentos não resulta, necessariamente, em mudanças de comportamento, uma vez que o conhecimento não se traduz em atitudes e práticas preventivas adequadas, ressaltando-se a necessidade de campanhas de conscientização quanto à toxicidade e aos riscos ambientais, capacitação de profissionais e política fiscalizatória contra a venda indiscriminada. ResumoPalavras-chave: Agrotóxicos domésticos. Práticas preventivas. Piretróides. Toxicidade.

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“…10,11,21 The administration of atropine ampoules and the use of activated charcoal were found to improve the overall clinical picture of these patients, with p <0.0001 for both atropine and activated charcoal. On the other hand, gastric lavage was not a statistically significant conduct (p=0.07), with regard to therapy.…”

Section: Figurementioning

confidence: 92%

“…8,9 Patients intoxicated by cholinesterase inhibitors show muscarinic, nicotinic and neurological signs and symptoms, which vary according to dose and the exposure route to the toxic agent. 10 It should be highlighted the appearance of bronchorrhea, sialorrhea, miosis, diarrhea, muscular fasciculation, seizures and cyanosis, which may evolve, in severe cases, to coma or death. 10,11 It is known that, depending on the severity of the case, hospitalization with variable duration may be needed to monitor the clinical picture and the patient outcomes.…”

Section: Introductionmentioning

confidence: 99%

Management of exogenous intoxication by carbamates and organophosphates at an emergency unit

Leão

Araújo

Silveira

et al. 2015

Rev. Assoc. Med. Bras.

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Conflict of interest: noneObjectives: to evaluate and indicate the procedure to be followed in the health unit, both for diagnosis and the treatment of acute exogenous intoxications by carbamates or organophosphates. Methods: a descriptive study based on retrospective analysis of the clinical history of patients diagnosed with intoxication by carbamates or organophosphates admitted at the emergency unit of the Hospital de Urgências de Sergipe Governador João Alves (HUSE) between January and December of 2012. Some criteria were evaluated, such as: intoxicating agent; patient's age and gender; place of event, cause, circumstances and severity of the intoxication; as well as signs and symptoms of the muscarinic, nicotinic and neurological effects. Results: seventy patients (average age: 25±19.97) formed the study's population. It was observed that 77.14% of them suffered carbamate intoxication. However, organophosphate intoxications were more severe, with 68.75% of patients presenting moderate to severe forms. Suicide attempt was the leading cause of poisoning, with 62 cases (88.57% of total). Atropine administration was an effective therapeutic approach for treating signs and symptoms, which included sialorrhea (p=0.0006), nausea (p=0. 0029) and emesis (p <0.0001). The use of activated charcoal was shown effective, both in combating the signs and symptoms presented by both patient groups (p <0.0001). Conclusion: it is concluded that the use of atropine and activated charcoal is highly effective to treat the signs and symptoms developed by patients presenting acute exogenous intoxication by carbamates or organophosphates.

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Gravidade das intoxicações por inseticidas inibidores das colinesterases no noroeste do estado do Paraná, Brasil

Cited by 22 publications

References 11 publications

Saude do homem: internacoes hospitalares por intoxicacao registradas em um centro de assistencia toxicolo

Saude do homem: internacoes hospitalares por intoxicacao registradas em um centro de assistencia toxicolo

Perfil do uso populacional de inseticidas domésticos no combate a mosquitos

Management of exogenous intoxication by carbamates and organophosphates at an emergency unit

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