Snakebites in Northeastern Brazil: accessing clinical-epidemiological profile as a strategy to deal with Neglected Tropical Diseases
ABSTRACT Background: Brazil ranks first in the number of snakebites in South America. A detailed analysis of these cases is required to improve the public health planning. In this study, we retrospectively examined the clinical and epidemiological profiles of snakebites in Maranhão between January 2...
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Sociedade Brasileira de Medicina Tropical (SBMT)
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ftdoajarticles:oai:doaj.org/article:11370f4f20084fbbab30ebf94655cc70 2023-11-12T04:13:40+01:00 Snakebites in Northeastern Brazil: accessing clinical-epidemiological profile as a strategy to deal with Neglected Tropical Diseases Sâmia Caroline Melo Araújo Joseneide Teixeira Câmara Thaís B. Guedes 2023-10-01T00:00:00Z https://doi.org/10.1590/0037-8682-0224-2023 https://doaj.org/article/11370f4f20084fbbab30ebf94655cc70 EN eng Sociedade Brasileira de Medicina Tropical (SBMT) http://www.scielo.br/scielo.php?script=sci_arttext&pid=S0037-86822023000100328&tlng=en https://doaj.org/toc/1678-9849 1678-9849 doi:10.1590/0037-8682-0224-2023 https://doaj.org/article/11370f4f20084fbbab30ebf94655cc70 Revista da Sociedade Brasileira de Medicina Tropical, Vol 56 (2023) Bothrops Public Health Maranhão Snake antivenom Arctic medicine. Tropical medicine RC955-962 article 2023 ftdoajarticles https://doi.org/10.1590/0037-8682-0224-2023 2023-10-15T00:38:30Z ABSTRACT Background: Brazil ranks first in the number of snakebites in South America. A detailed analysis of these cases is required to improve the public health planning. In this study, we retrospectively examined the clinical and epidemiological profiles of snakebites in Maranhão between January 2009 and December 2019. Methods: Data were obtained from the compulsory notification forms provided by the Health Department of Maranhão. Results: A total of 17,658 cases were recorded during the study period. Most of the bites were from snakes belonging to the genus Bothrops. Medical care was mostly within three hours after the bite. Most cases were classified as mild and most victims recovered; however, 139 deaths were recorded. Most bites occurred among people aged 20-39 years, mainly among rural workers. The most frequent local clinical manifestations were pain, edema, and ecchymosis. The most common systemic clinical manifestations include neuroparalysis, vagal syndrome, and myolysis. Most snakebites occurred between January and March. The municipalities with the highest number of notifications were Buriticupu (936 cases), Arame (705 cases), and Grajaú (627 cases). Conclusions: The clinical profile of snakebites in Maranhão is similar to that observed in other states of Northeast Brazil. However, we found that some systemic manifestations are not compatible with the etiology of snakebites, which leads us to believe that the problem could be the lack of knowledge of the health professionals at the site of envenomation, who may not be ready for attendance, and an important lack of health centers with snake antivenom to treat snakebites. Article in Journal/Newspaper Arctic Directory of Open Access Journals: DOAJ Articles Arctic Revista da Sociedade Brasileira de Medicina Tropical 56 |
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Directory of Open Access Journals: DOAJ Articles |
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ftdoajarticles |
language |
English |
topic |
Bothrops Public Health Maranhão Snake antivenom Arctic medicine. Tropical medicine RC955-962 |
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Bothrops Public Health Maranhão Snake antivenom Arctic medicine. Tropical medicine RC955-962 Sâmia Caroline Melo Araújo Joseneide Teixeira Câmara Thaís B. Guedes Snakebites in Northeastern Brazil: accessing clinical-epidemiological profile as a strategy to deal with Neglected Tropical Diseases |
topic_facet |
Bothrops Public Health Maranhão Snake antivenom Arctic medicine. Tropical medicine RC955-962 |
description |
ABSTRACT Background: Brazil ranks first in the number of snakebites in South America. A detailed analysis of these cases is required to improve the public health planning. In this study, we retrospectively examined the clinical and epidemiological profiles of snakebites in Maranhão between January 2009 and December 2019. Methods: Data were obtained from the compulsory notification forms provided by the Health Department of Maranhão. Results: A total of 17,658 cases were recorded during the study period. Most of the bites were from snakes belonging to the genus Bothrops. Medical care was mostly within three hours after the bite. Most cases were classified as mild and most victims recovered; however, 139 deaths were recorded. Most bites occurred among people aged 20-39 years, mainly among rural workers. The most frequent local clinical manifestations were pain, edema, and ecchymosis. The most common systemic clinical manifestations include neuroparalysis, vagal syndrome, and myolysis. Most snakebites occurred between January and March. The municipalities with the highest number of notifications were Buriticupu (936 cases), Arame (705 cases), and Grajaú (627 cases). Conclusions: The clinical profile of snakebites in Maranhão is similar to that observed in other states of Northeast Brazil. However, we found that some systemic manifestations are not compatible with the etiology of snakebites, which leads us to believe that the problem could be the lack of knowledge of the health professionals at the site of envenomation, who may not be ready for attendance, and an important lack of health centers with snake antivenom to treat snakebites. |
format |
Article in Journal/Newspaper |
author |
Sâmia Caroline Melo Araújo Joseneide Teixeira Câmara Thaís B. Guedes |
author_facet |
Sâmia Caroline Melo Araújo Joseneide Teixeira Câmara Thaís B. Guedes |
author_sort |
Sâmia Caroline Melo Araújo |
title |
Snakebites in Northeastern Brazil: accessing clinical-epidemiological profile as a strategy to deal with Neglected Tropical Diseases |
title_short |
Snakebites in Northeastern Brazil: accessing clinical-epidemiological profile as a strategy to deal with Neglected Tropical Diseases |
title_full |
Snakebites in Northeastern Brazil: accessing clinical-epidemiological profile as a strategy to deal with Neglected Tropical Diseases |
title_fullStr |
Snakebites in Northeastern Brazil: accessing clinical-epidemiological profile as a strategy to deal with Neglected Tropical Diseases |
title_full_unstemmed |
Snakebites in Northeastern Brazil: accessing clinical-epidemiological profile as a strategy to deal with Neglected Tropical Diseases |
title_sort |
snakebites in northeastern brazil: accessing clinical-epidemiological profile as a strategy to deal with neglected tropical diseases |
publisher |
Sociedade Brasileira de Medicina Tropical (SBMT) |
publishDate |
2023 |
url |
https://doi.org/10.1590/0037-8682-0224-2023 https://doaj.org/article/11370f4f20084fbbab30ebf94655cc70 |
geographic |
Arctic |
geographic_facet |
Arctic |
genre |
Arctic |
genre_facet |
Arctic |
op_source |
Revista da Sociedade Brasileira de Medicina Tropical, Vol 56 (2023) |
op_relation |
http://www.scielo.br/scielo.php?script=sci_arttext&pid=S0037-86822023000100328&tlng=en https://doaj.org/toc/1678-9849 1678-9849 doi:10.1590/0037-8682-0224-2023 https://doaj.org/article/11370f4f20084fbbab30ebf94655cc70 |
op_doi |
https://doi.org/10.1590/0037-8682-0224-2023 |
container_title |
Revista da Sociedade Brasileira de Medicina Tropical |
container_volume |
56 |
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