Curso de Doutorado em Desenvolvimento e Meio Ambiente, Universidade Federal do Rio Grande do Norte, Natal, Rio Grande do Norte, Brazil.
Programa Regional de Pós-Graduação em Desenvolvimento e Meio Ambiente, Universidade Federal do Rio Grande do Norte, Natal, Rio Grande do Norte, Brazil.
Trop Med Int Health. 2019 Apr;24(4):432-441. doi: 10.1111/tmi.13207. Epub 2019 Feb 10.
Brazil is home to large variety of snake species, of which about 17% are venomous. A large proportion of reported snakebite accidents in the country take place in northeast Brazil. We aimed to analyse the epidemiology of snakebites as a public health concern in Rio Grande do Norte state.
A retrospective epidemiologic analysis was performed using data from the Brazilian Case Registry Database pertaining to the period 2007-2016, and considering environmental climate characteristics as an influential factor.
A number of 3909 cases were reported in total. Among those cases, 58% involved venomous species and more than 80% of these were caused by Bothrops species. An association between environmental characteristics and the incidence of reported cases was found. The Borborema Potiguar region was the most affected area. Apart from that, deficiencies in managing the victims were described.
This study highlights snakebite accidents as a public health concern in Rio Grande do Norte state. Snake bites are most likely being influenced by climate change and human activities. Continuous training of involved medical personnel could help optimise patient care and avoid under reporting in the accident reporting system.
巴西拥有大量的蛇种，其中约 17%是有毒的。该国报告的大量蛇咬伤事故发生在东北部的巴西。我们旨在分析朗多尼亚州蛇咬伤作为公共卫生问题的流行病学。
使用巴西病例登记数据库中 2007 年至 2016 年的数据进行回顾性流行病学分析，并考虑环境气候特征作为一个影响因素。
共报告了 3909 例病例。在这些病例中，58%涉及有毒物种，其中超过 80%是由 Bothrops 物种引起的。发现环境特征与报告病例的发病率之间存在关联。博尔博雷马波蒂瓜尔地区是受影响最严重的地区。除此之外，还描述了对受害者管理的不足。
本研究强调了蛇咬伤作为朗多尼亚州公共卫生问题的关注。蛇咬伤可能受到气候变化和人类活动的影响。对相关医务人员的持续培训可以帮助优化患者护理，并避免事故报告系统中的漏报。
