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Master's Dissertation
DOI
https://doi.org/10.11606/D.5.2006.tde-17102014-150345
Document
Author
Full name
Marília Miranda Franco
E-mail
Institute/School/College
Knowledge Area
Date of Defense
Published
São Paulo, 2006
Supervisor
Committee
França, Francisco Oscar de Siqueira (President)
Marques, Marisa Mazzoncini de Azevedo
Waldman, Eliseu Alves
Title in Portuguese
Idade com fator de risco para gravidade e complicações nos acidentes botrópicos atendidos no Hospital Vital Brazil do Instituto Butantan/SP
Keywords in Portuguese
Acidente ofídico/complicações
Criança
Imunização passiva
Mordeduras de cobra
Registros médicos
Abstract in Portuguese
Alguns estudos têm proposto que os acidente ofídicos em crianças estão associados a maior gravidade e ao maior risco de desenvolvimento de complicações comparados aos acidentes em adultos. Este estudo retrospectivo descreve as características de acidentes causados por serpentes do gênero Bothrops admitidos no Hospital Vital Brazil/Instituto Butantan/SP (HVB/IB) e compara a gravidade, e necessidade de soroterapia antiveneno e o risco para o desenvolvimento de complicações entre crianças (menores de 13 anos) e adultos. Trata-se de uma coorte histórica que utilizou dados de prontuários do arquivo do HVB/IB de dezembro de 1999 a junho de 2003. Foram incluídos no estudo pacientes que trouxeram a serpente ou apresentavam manifestações clínicas ou laboratoriais compatíveis com envenenamento botrópico. Não foi observada diferença estatisticamente significante na freqüência da gravidade dos envenenamentos, no número de ampolas administradas e na freqüência de complicações entre os dois grupos estudados. O estudo sugere que os acidentes ofídicos causados por serpentes do gênero Bothrops apresentam gravidade semelhante na avaliação admissional e evolução com a mesma proporção de complicações em crianças quando comparados aos acidentes em adultos
Title in English
Age as a predictor of severity and complication on snakebites accidents of the genus Bothrops, admitted at Hospital Vital Brazil/Instituto Butantan/SP
Keywords in English
Children
Medical records
Ofidic acident/complications
Passive immunization
Snake bite
Abstract in English
Some studies propose that the level of severity of the accidents caused by snakes in children can be associated with a stronger envenoming and a higher risk of later complication if compared to the same accidents in adults. This retrospective study aim to describe the caracteristics of snakebites acidents of the genus Bothrops, and compare their severities, necessity of antivenom, and the risk of developing later complications between children (less than 13 years) and adults, all the accidents where admitted at Hospital Vital Brazil/Instituto Butantan/SP, Brazil (HVB). This retrospective cohort study was carried out by using HVB's records of snakebite victims, from December 1999 to June 2003. Patients included were those who brought the snake and/or have the clinical or laboratorial presence of abnormalities compatible with Bothrops envenoming. No statistic differences were found between the two groups of this study concerning the severity of envenoming, number of antivenom vials and the frequency of complications. This study suggests that snakebite accidents are similar between adults and children. Age is not supposed to be a predictor of complication in such accidents
 
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Publishing Date
2014-10-17
 
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