Comparison of Bothropoides jararaca bites with and without envenoming treated at the Vital Brazil Hospital of the Butantan Institute, State of São Paulo, Brazil
This study analyses the cases of all bites (including dry bites) caused by Bothropoides jararaca attended at the Vital Brazil Hospital of the Butantan Institute, State of São Paulo, Brazil. A retrospective study was conducted of patients bitten by Bothropoides jararaca (n=792) from January 1990 to D...
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| Veröffentlicht in: | Revista da Sociedade Brasileira de Medicina Tropical 2010-11, Vol.43 (6), p.657-661 |
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| container_title | Revista da Sociedade Brasileira de Medicina Tropical |
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| creator | Nicoleti, Alessandra Furtado Medeiros, Carlos Roberto de Duarte, Marcelo Ribeiro França, Francisco Oscar de Siqueira |
| description | This study analyses the cases of all bites (including dry bites) caused by Bothropoides jararaca attended at the Vital Brazil Hospital of the Butantan Institute, State of São Paulo, Brazil.
A retrospective study was conducted of patients bitten by Bothropoides jararaca (n=792) from January 1990 to December 2004. The characteristics of the snake specimen, data related to the accident and clinical manifestations on admission were obtained from patient medical records.
The majority of the cases in this study were caused by female and juvenile snakes. No stomach contents were found in 93.4% of the snake specimens after dissection. No statistical difference was observed between the occurrence of dry bites and the maturity or sex of the snake. The median SVL of snakes in mild and moderate cases was 40.5 cm and in severe cases, SVL increased to 99 cm. Necrosis was more common in the digits of the feet and hands (4.8%) compared to the other body regions (1.8%). A significant difference was verified between severity and a time interval greater than six hours from the bite to hospital admission. A significant association was verified between gingival bleeding and abnormal blood coagulability. In accidents caused by adult snakes, necrosis was more frequent (7.2%) compared to accidents caused by juvenile snakes (1%).
In this work, the association between certain epidemiological data and the evolution of biological parameters in the clinical course of Bothrops sensu latu accidents were highlighted, contributing to the improvement of snake bite assistance. |
| doi_str_mv | 10.1590/S0037-86822010000600011 |
| format | Article |
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A retrospective study was conducted of patients bitten by Bothropoides jararaca (n=792) from January 1990 to December 2004. The characteristics of the snake specimen, data related to the accident and clinical manifestations on admission were obtained from patient medical records.
The majority of the cases in this study were caused by female and juvenile snakes. No stomach contents were found in 93.4% of the snake specimens after dissection. No statistical difference was observed between the occurrence of dry bites and the maturity or sex of the snake. The median SVL of snakes in mild and moderate cases was 40.5 cm and in severe cases, SVL increased to 99 cm. Necrosis was more common in the digits of the feet and hands (4.8%) compared to the other body regions (1.8%). A significant difference was verified between severity and a time interval greater than six hours from the bite to hospital admission. A significant association was verified between gingival bleeding and abnormal blood coagulability. In accidents caused by adult snakes, necrosis was more frequent (7.2%) compared to accidents caused by juvenile snakes (1%).
In this work, the association between certain epidemiological data and the evolution of biological parameters in the clinical course of Bothrops sensu latu accidents were highlighted, contributing to the improvement of snake bite assistance.</description><identifier>ISSN: 0037-8682</identifier><identifier>ISSN: 1678-9849</identifier><identifier>EISSN: 1678-9849</identifier><identifier>EISSN: 0037-8682</identifier><identifier>DOI: 10.1590/S0037-86822010000600011</identifier><identifier>PMID: 21181018</identifier><language>eng</language><publisher>Brazil: Sociedade Brasileira de Medicina Tropical</publisher><subject>Adult ; Aged ; Animals ; Bothrops ; Brazil - epidemiology ; Child ; Female ; Humans ; Male ; Retrospective Studies ; Seasons ; Severity of Illness Index ; Snake bites ; Snake Bites - epidemiology ; Snake Bites - pathology ; Time Factors ; TROPICAL MEDICINE</subject><ispartof>Revista da Sociedade Brasileira de Medicina Tropical, 2010-11, Vol.43 (6), p.657-661</ispartof><rights>Copyright Sociedade Brasileira de Medicina Tropical Nov/Dec 2010</rights><rights>This work is licensed under a Creative Commons Attribution-NonCommercial 4.0 International License.</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c412t-83875bb8c5538fd497f3b80b2fe39d0e96922da17e6b84759cadc6d47258df3b3</citedby><cites>FETCH-LOGICAL-c412t-83875bb8c5538fd497f3b80b2fe39d0e96922da17e6b84759cadc6d47258df3b3</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><link.rule.ids>230,314,776,780,860,881,27901,27902</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/21181018$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Nicoleti, Alessandra Furtado</creatorcontrib><creatorcontrib>Medeiros, Carlos Roberto de</creatorcontrib><creatorcontrib>Duarte, Marcelo Ribeiro</creatorcontrib><creatorcontrib>França, Francisco Oscar de Siqueira</creatorcontrib><title>Comparison of Bothropoides jararaca bites with and without envenoming treated at the Vital Brazil Hospital of the Butantan Institute, State of São Paulo, Brazil</title><title>Revista da Sociedade Brasileira de Medicina Tropical</title><addtitle>Rev Soc Bras Med Trop</addtitle><description>This study analyses the cases of all bites (including dry bites) caused by Bothropoides jararaca attended at the Vital Brazil Hospital of the Butantan Institute, State of São Paulo, Brazil.
A retrospective study was conducted of patients bitten by Bothropoides jararaca (n=792) from January 1990 to December 2004. The characteristics of the snake specimen, data related to the accident and clinical manifestations on admission were obtained from patient medical records.
The majority of the cases in this study were caused by female and juvenile snakes. No stomach contents were found in 93.4% of the snake specimens after dissection. No statistical difference was observed between the occurrence of dry bites and the maturity or sex of the snake. The median SVL of snakes in mild and moderate cases was 40.5 cm and in severe cases, SVL increased to 99 cm. Necrosis was more common in the digits of the feet and hands (4.8%) compared to the other body regions (1.8%). A significant difference was verified between severity and a time interval greater than six hours from the bite to hospital admission. A significant association was verified between gingival bleeding and abnormal blood coagulability. In accidents caused by adult snakes, necrosis was more frequent (7.2%) compared to accidents caused by juvenile snakes (1%).
In this work, the association between certain epidemiological data and the evolution of biological parameters in the clinical course of Bothrops sensu latu accidents were highlighted, contributing to the improvement of snake bite assistance.</description><subject>Adult</subject><subject>Aged</subject><subject>Animals</subject><subject>Bothrops</subject><subject>Brazil - epidemiology</subject><subject>Child</subject><subject>Female</subject><subject>Humans</subject><subject>Male</subject><subject>Retrospective Studies</subject><subject>Seasons</subject><subject>Severity of Illness Index</subject><subject>Snake bites</subject><subject>Snake Bites - epidemiology</subject><subject>Snake Bites - pathology</subject><subject>Time Factors</subject><subject>TROPICAL MEDICINE</subject><issn>0037-8682</issn><issn>1678-9849</issn><issn>1678-9849</issn><issn>0037-8682</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2010</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><sourceid>8G5</sourceid><sourceid>BENPR</sourceid><sourceid>GUQSH</sourceid><sourceid>M2O</sourceid><recordid>eNp9kd1uFCEUx4nR2G31FZTEC286FZgP4LK7sbZJE01WvZ0wwxmXzQxMgamxb9P0Ufpish_uRZvIR-Dk_P5_yDkIvafkjJaSfFoSkvNMVIIxQkkaVdqUvkAzWnGRSVHIl2h2gI7QcQhrQhjPJXuNjhilghIqZuh-4YZReROcxa7DcxdX3o3OaAh4rXyarcKNiSn8beIKK6u3FzdFDPYWrBuM_YWjBxVBYxVxXAH-aaLq8dyrO9PjSxfGbZz8N8n5FJVNC1_ZEE2cIpziZUzyDbB8fHD4m5p6d7rXv0GvOtUHeLs_T9CPi8_fF5fZ9dcvV4vz66wtKIuZyAUvm0a0ZZmLTheSd3kjSMM6yKUmICvJmFaUQ9WIgpeyVbqtdMFZKXRC8xN0tvMNrYHe1Ws3eZserLe1rp_VOgk-7gSjdzcThFgPJrTQ98qCm0ItGGWEiIok8sMT8mBOi0KmlhFZJYrvqNa7EDx09ejNoPyfmpJ60_X__OTd3n9qBtAH3b82538BkOinKw</recordid><startdate>20101101</startdate><enddate>20101101</enddate><creator>Nicoleti, Alessandra Furtado</creator><creator>Medeiros, Carlos Roberto de</creator><creator>Duarte, Marcelo Ribeiro</creator><creator>França, Francisco Oscar de Siqueira</creator><general>Sociedade Brasileira de Medicina Tropical</general><general>Sociedade Brasileira de Medicina Tropical - 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A retrospective study was conducted of patients bitten by Bothropoides jararaca (n=792) from January 1990 to December 2004. The characteristics of the snake specimen, data related to the accident and clinical manifestations on admission were obtained from patient medical records.
The majority of the cases in this study were caused by female and juvenile snakes. No stomach contents were found in 93.4% of the snake specimens after dissection. No statistical difference was observed between the occurrence of dry bites and the maturity or sex of the snake. The median SVL of snakes in mild and moderate cases was 40.5 cm and in severe cases, SVL increased to 99 cm. Necrosis was more common in the digits of the feet and hands (4.8%) compared to the other body regions (1.8%). A significant difference was verified between severity and a time interval greater than six hours from the bite to hospital admission. A significant association was verified between gingival bleeding and abnormal blood coagulability. In accidents caused by adult snakes, necrosis was more frequent (7.2%) compared to accidents caused by juvenile snakes (1%).
In this work, the association between certain epidemiological data and the evolution of biological parameters in the clinical course of Bothrops sensu latu accidents were highlighted, contributing to the improvement of snake bite assistance.</abstract><cop>Brazil</cop><pub>Sociedade Brasileira de Medicina Tropical</pub><pmid>21181018</pmid><doi>10.1590/S0037-86822010000600011</doi><tpages>5</tpages><oa>free_for_read</oa></addata></record> |
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| ispartof | Revista da Sociedade Brasileira de Medicina Tropical, 2010-11, Vol.43 (6), p.657-661 |
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| language | eng |
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| source | MEDLINE; DOAJ Directory of Open Access Journals; Elektronische Zeitschriftenbibliothek - Frei zugängliche E-Journals |
| subjects | Adult Aged Animals Bothrops Brazil - epidemiology Child Female Humans Male Retrospective Studies Seasons Severity of Illness Index Snake bites Snake Bites - epidemiology Snake Bites - pathology Time Factors TROPICAL MEDICINE |
| title | Comparison of Bothropoides jararaca bites with and without envenoming treated at the Vital Brazil Hospital of the Butantan Institute, State of São Paulo, Brazil |
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