Clinico-epidemiologic characteristics of ophidic accidents in a hospital of the amazonia of Peru
Keywords:
snake bites, tropical climate, bothrops, Peru.Abstract
Introduction: In Peru, ophidian accidents are an important public health problem due to a wide territorial distribution of different types of snakes.Objective: To describe the clinical-epidemiological characteristics and the management of ophidian accidents registered in a hospital in Peru.
Methods: Case series study carried out between January 2011 to December 2015 at the Santa Rosa Hospital in Puerto Maldonado, 256 medical records of patients with a definitive diagnosis of ophidism were reviewed. Sociodemographic and clinical variables and the evolution of the patients were analyzed.
Results: A total of 78.5% of patients were men, the age group most affected were adults. Most of the accidents occurred in March (12.5%). 39% of the patients were engaged in agricultural work. Between 4:00 p.m. and 7:59 p.m., 35,2% of the accidents occurred. 71,1% reported the Bothrops atrox snake as the cause of the accident. 71,5% of the bites occurred on the lower limbs. Most patients received specific treatment with polyvalent anti-botropic (90,6%).
Conclusions: In the studied population, the most affected sex is the male with an age between 27 and 59 years. The most frequent snake causing the accidents was theBothrops atrox, better known among the inhabitants as "jergón". In most cases, antivenom was administered as a specific treatment.
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3. Bhaumik S, Jagadesh S, Lassi Z. Quality of WHO guidelines on snakebite: the neglect continues. BMJ Glob Health 2018 [acceso: 09/09/2020];3(2): e000783. Disponible en: https://gh.bmj.com/content/3/2/e000783
4. Centro Nacional de Epidemiología, Prevención y Control de Enfermedades (CDC). Boletín Epidemiológico del Perú Report No: 29. p. 1-32. Perú; 2020. [acceso: 09/09/2020]. Disponible en: https://www.dge.gob.pe/portal/docs/vigilancia/boletines/2020/04.pdf
5. Herrada IG. Casos de ofidismo registrados en el portal del Centro Nacional de Epidemiología, Prevención y Control de Enfermedades (CDC-PERÚ) durante el período 2010-2019 [Tesis para optar por Título Profesional]. Lima: Universidad Peruana Cayetano Heredia; 2020. [acceso: 09/09/2020]. Disponible en: https://repositorio.upch.edu.pe/bitstream/handle/upch/7877/Casos_Her-radaCastillo_Isolina.pdf?sequence=1&isAllowed=y
6. Instituto Nacional de Salud. Centro Nacional de Productos Biológicos. Diagnóstico y tratamiento de los accidentes por animales ponzoñosos. Lima: Ministerio de Salud, Instituto Nacional de Salud; 2004. [acceso: 09/09/2020]. Disponible en: https://repositorio.ins.gob.pe/bitstream/handle/INS/118/CNPB-0003.pdf?sequence=3&isAllowed=y
7. Feitosa ES, Sampaio V, Sachett J, Castro DB de, Noronha M das DN, Lozano JLL, et al. Snakebites as a largely neglected problem in the Brazilian Amazon: highlights of the epidemiological trends in the State of Amazonas. Rev Soc Bras Med Trop. 2015 [acceso: 09/09/2020]; 48(1):34-41. Disponible en: https://www.scielo.br/scielo.php?script=sci_arttext&pid=S0037-86822015000800034
8.Magalhães SFV, Peixoto HM, Moura N, Monteiro WM, de Oliveira MRF. Snakebite envenomation in the Brazilian Amazon: a descriptive study. Trans R Soc Trop Med Hyg 2019 [acceso: 09/09/2020]; 113(3):143-51. Disponible en: https://academic.oup.com/trstmh/article-abstract/113/3/143/5204422?redirectedFrom=fulltext
9. Dirección General de Salud de las Personas, Dirección Ejecutiva de Atención Integral de Salud, Componente Especial de Zoonosis. Norma Técnica sobre Prevención y Tratamiento de Accidentes por Animales Ponzoñosos. Lima: Ministerio de Salud; 2005. [acceso: 09/09/2020] Disponible en: https://bvs.minsa.gob.pe/local/dgsp/123_NTPONZONOSOS.pdf
10. Tavares V, Araújo A, Marques M, Vieira A, Leite R. The epidemiology of snakebite in the Rio Grande do Norte State, Northeastern Brazil. Rev Inst Med trop S Paulo. 2017 [acceso: 09/09/2020]; 59: e52. Disponible en: https://www.scielo.br/scielo.php?script=sci_arttext&pid=S0036-46652017005000227&lng=en
11. Costa MKBD, Fonseca CSD, Navoni JA, Freire EMX. Snakebite accidents in Rio Grande do Norte state, Brazil: Epidemiology, health management and influence of the environmental scenario. Trop Med Int Health. 2019; 24(4):432-41. Disponible en: https://onlinelibrary.wiley.com/doi/pdf/10.1111/tmi.13207
12.Albuquerque PLMM, Silva GB, Jacinto CN, Lima CB, Lima JB, Veras M do SB, et al. Epidemiological profile of snakebite accidents in a metropolitan area of northeast Brazil. Rev Inst Med Trop São Paulo. 2013[acceso: 09/09/2020]; 55(5):347-51. Disponible en: https://www.scielo.br/pdf/rimtsp/v55n5/0036-4665-rimtsp-55-05-347.pdf
13.Pecchio M, Suárez JA, Hesse S, Hersh AM, Gundacker ND. Descriptive epidemiology of snakebites in the Veraguas province of Panama, 2007-2008. Trans R Soc Trop Med Hyg. 2018 [acceso: 09/09/2020]; 112(10):463-6. Disponible en: https://academic.oup.com/trstmh/article-abstract/112/10/463/5079240
14.Villanueva M, Maguiña C, Cabada MM, De Marini J, Alvarez H, Gotuzzo E. Ofidismo en la provincia de Chanchamayo, Junín: revisión de 170 casos consecutivos en el Hospital de Apoyo de La Merced. Rev Medica Hered. 2004 [acceso: 09/09/2020]; 15(2):82-7. Disponible en: https://www.scielo.org.pe/pdf/rmh/v15n2/v15n2ao4.pdf
15.Harmon KJ, Haskell MG, Mann CH, Waller AE. Snakebites Treated in North Carolina Emergency Departments, October 2013-September 2015. Wilderness Environ Med. 2018 [acceso: 09/09/2020]; 29(2):176-84. Disponible en: https://www.wemjournal.org/action/showPdf?pii=S1080-6032%2818%2930004-8
16.Ruha AM, Kleinschmidt KC, Greene S, Spyres M, Brent J, Wax P, et al. The Epidemiology, Clinical Course, and Management of Snakebites in the North American Snakebite Registry. J Med Toxicol. 2017 [acceso: 09/09/2020]; 13(4):309-20. Disponible: https://link.springer.com/article/10.1007%2Fs13181-017-0633-5
Published
2021-02-27
How to Cite
1.
Pareja R, Flores-Lovon K, Ticona D, Gutierrez EL. Clinico-epidemiologic characteristics of ophidic accidents in a hospital of the amazonia of Peru. Rev Cubana Med Milit [Internet]. 2021 Feb. 27 [cited 2025 Apr. 2];50(1):e0210975. Available from: https://revmedmilitar.sld.cu/index.php/mil/article/view/975
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