Reckziegel Guilherme Carneiro, Dourado Flávio Santos, Garrone Neto Domingos, Haddad Junior Vidal
Programa Nacional de Controle de Acidentes por Animais Peçonhentos, Coordenação-Geral de Doenças Transmissíveis, Ministério da Saúde, Brasília, Distrito Federal, BR.
Curso de Graduação em Engenharia de Pesca, Universidade Estadual Paulista, Registro, São Paulo, BR.
Rev Soc Bras Med Trop. 2015 Jul-Aug;48(4):460-7. doi: 10.1590/0037-8682-0133-2015.
We present a review of injuries in humans caused by aquatic animals in Brazil using the Information System for Notifiable Diseases [ Sistema de Informação de Agravos de Notificação (SINAN)] database.
A descriptive and retrospective epidemiological study was conducted from 2007 to 2013.
A total of 4,118 accidents were recorded. Of these accidents, 88.7% (3,651) were caused by venomous species, and 11.3% (467) were caused by poisonous, traumatic or unidentified aquatic animals. Most of the events were injuries by stingrays (69%) and jellyfish (13.1%). The North region was responsible for the majority of reports (66.2%), with a significant emphasis on accidents caused by freshwater stingrays (92.2% or 2,317 cases). In the South region, the region with the second highest number of records (15.7%), jellyfish caused the majority of accidents (83.7% or 452 cases). The Northeastern region, with 12.5% of the records, was notable because almost all accidents were caused by toadfish (95.6% or 174 cases).
Although a comparison of different databases has not been performed, the data presented in this study, compared to local and regional surveys, raises the hypothesis of underreporting of accidents. As the SINAN is the official system for the notification of accidents by venomous animals in Brazil, it is imperative that its operation be reviewed and improved, given that effective measures to prevent accidents by venomous animals depend on a reliable database and the ability to accurately report the true conditions.
我们利用法定传染病信息系统[Sistema de Informação de Agravos de Notificação (SINAN)]数据库，对巴西水生动物致人伤害情况进行了综述。
开展了一项2007年至2013年的描述性回顾性流行病学研究。
共记录了4118起事故。在这些事故中，88.7%（3651起）由有毒物种导致，11.3%（467起）由有毒、造成创伤或不明的水生动物导致。大多数事件是由黄貂鱼（69%）和水母（13.1%）造成的伤害。北部地区报告的事故占多数（66.2%），其中淡水黄貂鱼导致的事故占很大比例（92.2%或2317例）。在记录数量第二多的南部地区（15.7%），水母导致了多数事故（83.7%或452例）。东北地区占记录的12.5%，值得注意的是，几乎所有事故都是由蟾鱼造成的（95.6%或174例）。
尽管尚未对不同数据库进行比较，但与本地和区域调查相比，本研究中呈现的数据提出了事故报告不足的假设。由于SINAN是巴西有毒动物事故通报官方系统，鉴于预防有毒动物事故的有效措施依赖于可靠的数据库以及准确报告真实情况的能力，对其运行进行审查和改进势在必行。
