Epidemiological and clinical aspects of snAkebite in Belo Horizonte, Southeast Brazil
Epidemiologic and clinical aspects of 310 hospitalized snakebite patients and 310 matched controls were described, over a seven years period, from an emergency hospital in Belo Horizonte, Southeast Brazil. The diagnosis was based upon clinical picture or actual snake identification. Fifty six percen...
Published in: | Revista do Instituto de Medicina Tropical de São Paulo |
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Universidade de São Paulo (USP)
1997
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ftdoajarticles:oai:doaj.org/article:6bc8a5ead974483dafb052f133e45e27 2024-09-09T19:28:30+00:00 Epidemiological and clinical aspects of snAkebite in Belo Horizonte, Southeast Brazil Waleska Teixeira CAIAFFA Carlos M. F. ANTUNES Helen Ramos de Oliveira Carlos Ribeiro DINIZ 1997-03-01T00:00:00Z https://doi.org/10.1590/S0036-46651997000200009 https://doaj.org/article/6bc8a5ead974483dafb052f133e45e27 EN eng Universidade de São Paulo (USP) http://www.scielo.br/scielo.php?script=sci_arttext&pid=S0036-46651997000200009 https://doaj.org/toc/0036-4665 https://doaj.org/toc/1678-9946 doi:10.1590/S0036-46651997000200009 0036-4665 1678-9946 https://doaj.org/article/6bc8a5ead974483dafb052f133e45e27 Revista do Instituto de Medicina Tropical de São Paulo, Vol 39, Iss 2, p 113 (1997) Snakebite Risk Factors Case-control study Epidemiological studies Arctic medicine. Tropical medicine RC955-962 Infectious and parasitic diseases RC109-216 article 1997 ftdoajarticles https://doi.org/10.1590/S0036-46651997000200009 2024-08-05T17:49:31Z Epidemiologic and clinical aspects of 310 hospitalized snakebite patients and 310 matched controls were described, over a seven years period, from an emergency hospital in Belo Horizonte, Southeast Brazil. The diagnosis was based upon clinical picture or actual snake identification. Fifty six percent of victims were bitten by the snakes of genus Bothrops, 32.0% by Crotalus, 1.0% by Lachesis and 10.0% undetermined. During the study period, stable number of cases and marked seasonal variation were noted. In comparing cases of snakebite and controls, those from a rural area or who were involved in agricultural labor activity were identified as a high risk group, with an odds ratio (OR) of 14.7 and 6.7, respectively, in favor of being bitten. Upon treatment, snakebite patients were 13.5 times more likely to have had early anaphylactic reactions than their controls, with a higher association in the age group ³ 20 years (OR = 30.3). Increased risks were also detected for pyrexia (OR = 11.7), with a marked association in the group under 19 years old (OR = 16.6). Severe cases of snakebite are an important treatable cause of morbidity in Brazil but therapy may be potentially life threatening. The higher case-fatality ratio encountered, compared to national statistics may be due the representativeness of the more severe cases who sought hospitalization. Preventing snakebite and early referral of those who are bitten is proposed Aspectos epidemiológicos e clínicos de acidentes ofídicos atendidos em hospital referência em Belo Horizonte, Minas Gerais, Brasil (1980-1986) Um estudo clínico-epidemiológico, comparando 310 pacientes hospitalizados por acidentes ofídicos (casos) e 310 pacientes hospitalizados por outras causas (controles), pareados por idade e sexo, durante um período de sete anos, foi conduzido em um hospital de emergências em Belo Horizonte, MG. O diagnóstico dos casos foi baseado no quadro clínico ou na identificação do ofídio. Destes, 56% foram vítimas de serpentes do gênero Bothrops, 36% de Crotalus, 1% de ... Article in Journal/Newspaper Arctic Directory of Open Access Journals: DOAJ Articles Arctic Revista do Instituto de Medicina Tropical de São Paulo 39 2 113 118 |
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English |
topic |
Snakebite Risk Factors Case-control study Epidemiological studies Arctic medicine. Tropical medicine RC955-962 Infectious and parasitic diseases RC109-216 |
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Snakebite Risk Factors Case-control study Epidemiological studies Arctic medicine. Tropical medicine RC955-962 Infectious and parasitic diseases RC109-216 Waleska Teixeira CAIAFFA Carlos M. F. ANTUNES Helen Ramos de Oliveira Carlos Ribeiro DINIZ Epidemiological and clinical aspects of snAkebite in Belo Horizonte, Southeast Brazil |
topic_facet |
Snakebite Risk Factors Case-control study Epidemiological studies Arctic medicine. Tropical medicine RC955-962 Infectious and parasitic diseases RC109-216 |
description |
Epidemiologic and clinical aspects of 310 hospitalized snakebite patients and 310 matched controls were described, over a seven years period, from an emergency hospital in Belo Horizonte, Southeast Brazil. The diagnosis was based upon clinical picture or actual snake identification. Fifty six percent of victims were bitten by the snakes of genus Bothrops, 32.0% by Crotalus, 1.0% by Lachesis and 10.0% undetermined. During the study period, stable number of cases and marked seasonal variation were noted. In comparing cases of snakebite and controls, those from a rural area or who were involved in agricultural labor activity were identified as a high risk group, with an odds ratio (OR) of 14.7 and 6.7, respectively, in favor of being bitten. Upon treatment, snakebite patients were 13.5 times more likely to have had early anaphylactic reactions than their controls, with a higher association in the age group ³ 20 years (OR = 30.3). Increased risks were also detected for pyrexia (OR = 11.7), with a marked association in the group under 19 years old (OR = 16.6). Severe cases of snakebite are an important treatable cause of morbidity in Brazil but therapy may be potentially life threatening. The higher case-fatality ratio encountered, compared to national statistics may be due the representativeness of the more severe cases who sought hospitalization. Preventing snakebite and early referral of those who are bitten is proposed Aspectos epidemiológicos e clínicos de acidentes ofídicos atendidos em hospital referência em Belo Horizonte, Minas Gerais, Brasil (1980-1986) Um estudo clínico-epidemiológico, comparando 310 pacientes hospitalizados por acidentes ofídicos (casos) e 310 pacientes hospitalizados por outras causas (controles), pareados por idade e sexo, durante um período de sete anos, foi conduzido em um hospital de emergências em Belo Horizonte, MG. O diagnóstico dos casos foi baseado no quadro clínico ou na identificação do ofídio. Destes, 56% foram vítimas de serpentes do gênero Bothrops, 36% de Crotalus, 1% de ... |
format |
Article in Journal/Newspaper |
author |
Waleska Teixeira CAIAFFA Carlos M. F. ANTUNES Helen Ramos de Oliveira Carlos Ribeiro DINIZ |
author_facet |
Waleska Teixeira CAIAFFA Carlos M. F. ANTUNES Helen Ramos de Oliveira Carlos Ribeiro DINIZ |
author_sort |
Waleska Teixeira CAIAFFA |
title |
Epidemiological and clinical aspects of snAkebite in Belo Horizonte, Southeast Brazil |
title_short |
Epidemiological and clinical aspects of snAkebite in Belo Horizonte, Southeast Brazil |
title_full |
Epidemiological and clinical aspects of snAkebite in Belo Horizonte, Southeast Brazil |
title_fullStr |
Epidemiological and clinical aspects of snAkebite in Belo Horizonte, Southeast Brazil |
title_full_unstemmed |
Epidemiological and clinical aspects of snAkebite in Belo Horizonte, Southeast Brazil |
title_sort |
epidemiological and clinical aspects of snakebite in belo horizonte, southeast brazil |
publisher |
Universidade de São Paulo (USP) |
publishDate |
1997 |
url |
https://doi.org/10.1590/S0036-46651997000200009 https://doaj.org/article/6bc8a5ead974483dafb052f133e45e27 |
geographic |
Arctic |
geographic_facet |
Arctic |
genre |
Arctic |
genre_facet |
Arctic |
op_source |
Revista do Instituto de Medicina Tropical de São Paulo, Vol 39, Iss 2, p 113 (1997) |
op_relation |
http://www.scielo.br/scielo.php?script=sci_arttext&pid=S0036-46651997000200009 https://doaj.org/toc/0036-4665 https://doaj.org/toc/1678-9946 doi:10.1590/S0036-46651997000200009 0036-4665 1678-9946 https://doaj.org/article/6bc8a5ead974483dafb052f133e45e27 |
op_doi |
https://doi.org/10.1590/S0036-46651997000200009 |
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Revista do Instituto de Medicina Tropical de São Paulo |
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39 |
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113 |
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118 |
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