ACCIDENTS WITH POISONOUS ANIMALS IN BRAZIL BY AGE AND SEX

Autores

  • Ageane Mota da Silva Instituto Federal de Educação Ciência e Tecnologia do Acre. Cruzeiro do Sul - Acre.
  • Paulo Sérgio Bernarde Universidade Federal do Acre, Campus Floresta, Laboratório de Hepetologia, Cruzeiro do Sul - Acre.
  • Luiz Carlos de Abreu Faculdade de Medicina do ABC - Departamento de Saúde Coletiva. São Paulo- SP.

DOI:

https://doi.org/10.7322/jhgd.96768

Palavras-chave:

snake bites, ophidism, scorpionism, araneism.

Resumo

Introduction: accidents with poisonous animals are a common clinical emergency in several tropical countries, mainly in the fields and rural areas, constituting a public health problem, including pediatric. Objective: The objective is to analyze the morbidity, mortality and lethality according to age and sex in cases of poisoning by snakes, scorpions and spiders in Brazil. Methods: data on poisoning by snakes, scorpions and spiders that occurred from 2009 to 2013 were collected in the online database of the Information System on Diseases of Compulsory Declaration (SINAN) of the Ministry of Health. Results: were recorded 28.812 cases of snake bites per year, 60.370,8 with scorpions and 25.786,4 with spiders. Most deaths were caused by snakes (119 per year) and also showed higher lethality (0.41%), followed by scorpions (79.6 deaths) with a lethality of 0.13% and spiders (13.2) and the lowest mortality (0.05%). In males individuals were most cases of snake bites, whereas in accidents scorpions and spiders was observed little difference in frequency between men and women. The age group with the largest number of poisonings records was 20-39 years. Conclusions: there is a progressive increase in cases of poisoning from the first year of age until the age range 20-39 years, and after this, begins a decrease in cases. Children, adolescents and elderly adults are most vulnerable because they have higher lethality rates, especially in the snake and scorpion accidents.

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Referências

Chippaux JP, Goyffon M. Epidemiology of scorpionism: A global appraisal. Acta Trop. 2008; 107(2): 71-9. Doi: http://dx.doi.org/10.1016/j.actatropica.2008.05.021

WHO - World Health Organization. List of neglected tropical diseases. 2014. [cited 2014 Nov 12] Available from: http://www.who.int/neglected_diseases/diseases/en/.

SINAN/SVS/MS. Sistema de Informação de Agravos de Notificação – Sinan, Ministério da Saúde, 2014. [cited 2014 Nov 07] Available from: http://www.saude.gov.br/.

Bernarde PS. Serpentes peçonhentas e acidentes ofídicos no Brasil. São Paulo: Anolis Books; 2014.

Bochner R, Struchner CJ. Epidemiologia dos acidentes ofídicos nos últimos 100 anos no Brasil: uma revisão. Cad Saúde Pública. 2003;19(1): 7-16. DOI: http://dx.doi.org/10.1590/S0102-311X2003000100002

Oliveira RC, Wen FH, Sifuentes DN. Epidemiologia dos acidentes por animais peçonhentos. In: Cardoso JLC, França FOS, Wen FH, Málaque CMS, Haddad Jr.V. Animais peçonhentos no Brasil – Biologia, clínica e terapêutica dos acidentes. 2a ed. São Paulo: Sarvier; 2009; p. 6-21.

Ribeiro LA, Albuquerque MJ, Pires-de-Campos VAF, Katz G, Takaoka NY, Lebrão ML, et al. Óbitos por serpentes peçonhentas no estado de São Paulo: avaliação de 43 casos, 1988/93. Rev Ass Med Bras. 1998; 44(4):312-318. Doi: http://dx.doi.org/10.1590/S0104-42301998000400010.

Ribeiro LA, Gadia R, Jorge MT. Comparação entre a epidemiologia do acidentes e a clínica do envenenamento por serpentes do gênero Bothrops em adultos idosos e não idosos. Rev Soc Bras Med Trop. 2008; 41(1): 46-49. Doi:

http://dx.doi.org/10.1590/S003786822008000100009.

Caiaffa WT, Vlahov D, Antunes CMF, Oliveira HR, Diniz CR. Snake bite and antivenom complications in Belo Horizonte, Brazil. Trans R Soc Trop Med Hyg. 1994; 88(1): 81-85. Doi: http://dx.doi. org/10.1016/0035-9203(94)90511-8

Bucaretchi F, Fernandes LCR, Fernandes CB, Branco MM, Prado CC, Vieira RJ, et al. Clinical consequences of Tityus bahiensis and Tityus serrulatus scorpion stings in the region of Campinas, southeastern Brazil. Toxicon. 2014; 89:17-25. Doi: http://dx.doi.org/10.1016/0035-9203(94)90511-8.

Pardal PPO , Ishikawa EAY, Vieira JLF, Coelho JS, Dórea RCC, Abati PAM, et al. Clinical aspects of envenomation caused by Tityus obscurus (Gervais, 1843) in two distinct regions of Pará state, Brazilian Amazon basin: a prospective case series. J Venom Anim Toxins Incl Trop Dis. 2014; 20(1): 3. Doi: http://dx.doi.org/10.1186/1678-9199-20-3.

Lira-da-Silva RM, Matos GB, Sampaio RO, Nunes TB. Estudo retrospectivo de latrodectismo na Bahia, Brasil. Rev Soc Bras Med Trop. 1995; 28(3):205-210. Doi: http://dx.doi.org/10.1590/S0037-86821995000300007

Borges CC, Sadahiro M, Santos MC. Aspectos epidemiológicos e clínicos dos acidentes ofídicos ocorridos nos municípios do Estado do Amazonas. Rev Soc Bras Med Trop. 1999; 32(6): 637-646. Doi: http://dx.doi.org/10.1590/S0037- 86821999000600005.

Bernarde PS, Gomes JO. Serpentes peçonhentas e ofidismo em Cruzeiro do Sul, Alto Juruá, Estado do Acre, Brasil. Acta Amaz. 2012; 42(1): 65-72. Doi: http://dx.doi.org/10.1590/S0044-59672012000100008.

Mise YF, Lira-da-Silva RM, Carvalho FM. Envenenamento por serpentes do gênero Bothrops no estado da Bahia: aspectos epidemiológicos e clínicos. Rev Soc Bras Med Trop. 2007; 40(5): 569-573. Doi: http://dx.doi.org/10.1590/S0037-86822007000500015

Fisher ML, Vasconcellos-Neto J. Microhabitats Occupied by Loxosceles intermedia and Loxosceles laeta (Araneae: Sicariidae) in Curitiba, Paraná, Brazil. J Med Entomol. 2005; 42(5): 756-765. Doi: http://dx.doi.org/10.1093/jmedent/42.5.756.

Brazil TK, Pinto-Leite CM, Almeida-Silva LM, Lira-da-Silva RM, Brescovit AD. Aranhas de importância médica do estado da Bahia, Brasil. Gaz. Méd Bahia. 2009; 79(Supl. 1): 32-37.

Nunes CS, Bevilacqua PD, Jardim CCG. Aspectos demográficos e espaciais dos acidentes escorpiônicos no Distrito Sanitário Noroeste, município de Belo Horizonte, Minas Gerais, 1993 a 1996. Cad Saúde Pública. 2000; 16( 1): 213-223. Doi: http://dx.doi.org/10.1590/S0102- 311X2000000100022.

Soares MRM, Azevedo CS, Maria M. Escorpionismo em Belo Horizonte, MG: um estudo retrospectivo. Rev Soc Bras Med Trop. 2002; 35(4): 359-363. Doi: http://dx.doi.org/10.1590/S0037-86822002000400013.

França FOS, Málaque CMS. Acidente botrópico. Pp. 81-95 In: Cardoso JLC, França FOS, Wen FH, Málaque CMS, Haddad Jr. V. Animais peçonhentos no Brasil – Biologia, clínica e terapêutica dos acidentes. 2ª ed. São Paulo: Sarvier; 2009.

Cavazos MEO, Garza CR, Guajardo-Rodríguez G, Hernández-Montelongo BA Montes-Tapia FD. Snake bites in pediatric patients, a current view. Complementary Pediatrics. 2012; p. 123-136. Doi: http://dx.doi.org/10.5772/34749.

Langley RL. Snakebite during pregnancy: a literature review. Wilderness Environ Med. 2010; 21(1): 54-60. Doi: http://dx.doi.org/ 10.1016/j.wem.2009.12.025.

Pardal PPO, Mazzeo T, Pinheiro ACL. Snakebite in pregnancy: a preliminary study. J Venom Anim Toxins. 1997; 3(2): 280-286. Doi: http://dx.doi.org/10.1590/S0104-79301997000200004.

Guerra CMN, Carvalho LFA, Colosimo EA, Freire HBM. Análise de variáveis relacionadas à evolução letal do escorpionismo em crianças e adolescentes no estado de Minas Gerais no período de 2001 a 2005. J Pediatr. 2008; 84(6): 509: 515. Doi: http://dx.doi.org/10.1590/S0021-75572008000700007.

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Publicado

2015-04-07

Edição

v. 25 n. 1 (2015)

Seção

Pesquisa Original

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