Profile of bothropic accident records in children under 15 years in Brazil
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Abstract
Introduction: Snakebite accidents are neglected health hazards throughout the world. Objective: To describe bothropic accidents in children under 15 years. Methods: The records of snake accidents of the Bothrops group registered in the Information System of Notifiable Diseases from 2007 to 2016 were evaluated. Results: 48,089 snake accidents were registered, of which 33,859 were from Bothrops group. The average annual number of records was 3,386. The geographical distribution identified 3,735 (67.1%) cities with at least one case. The region with the highest number of records was North (16,361; 48.3%), followed by Southeast (6,052; 17.9%), Northeast (5,465; 16.1%), Central West (3,320; 9.8%) and South (2,661; 7.9%). Male sex was more affected (23,565; 69.6%). Accidents occurred predominantly in the rural area (27,572; 81.4%). Of the total number of accidents that occurred in the urban area, 2,294 (45.3%) arrived at the place of care within one hour after the accident. The most common bite site were feet (22,703; 67.1%), legs (5,700; 16.8%) and hands (3,372; 10.0%). The predominant manifestations were pain (30,249; 89.3%), oedema (27,160; 80.2%) and ecchymosis (6,269; 18.5%). The blood clotting time was normal in 10,120 (29.9%) of the cases, altered in 6,714 (19.8%), was not evaluated in 11,755 (34.7%), and in 5,270 (15.6%) of the notifications this information was unavailable. Accidents were mild in 16,868 (49.8%). Conclusions: Male children and those living in rural areas are more affected where precocity in care directly affects the clinical evolution of these accidents.
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