Profile of arachnid accidents in the State of Goias, Brazil, between 2007 and 2011
DOI:
https://doi.org/10.15448/1980-6108.2014.4.17741Keywords:
ARACHNIDISM, ARANEISM, SPIDER ACCIDENTS, EPIDEMIOLOGY.Abstract
AIMS: To describe the epidemiological and clinical aspects of the spider accidents reported at the Center for Toxicological Information of the State of Goiás. To compare and contrast the data of description and evaluation of the clinical picture and use of specific serum with the recommendations of the Ministry of Health and the medical literature.
METHODS: The data were collected using the report notes of the Center for Toxicological Information of the State of Goiás. The data on the urban expansion were obtained at the Brazilian Institute of Geography and Statistics and through Landsat satellite images.
RESULTS: In the period of this study the spider accidents in the State of Goiás represented 15,91% of the accidents with venomous arthropods, with a total of 659 cases. The two micro regions with the highest occurrence of cases were Goiânia, with 305 cases (46,28%) and the surroundings of Brasília, with 69 cases (10,47%). There was a higher incidence in the 20 to 39 years age group. The most common region of accident was the foot. The time interval between accident and first medical care, in the majority of the cases, was between one and three hours. Pain was the prevailing symptom, which might be associated with edema, hyperemia and paresthesia, which together with vagal symptoms determine the gravity of the accident. In 214 cases serum therapy was used, and the type of serum was informed in 83.17%. There was use of excessive number of serum ampoules according to the Ministry of Health recommendations in 98,87% of the cases in which these data could be recovered. Among the notified cases, 89,37% evolved to cure. The data did not indicate the spider genus that caused the accidents.
CONCLUSION: These results indicate that the prevalence of spider accidents is linked to the urban expansion. In general the treatment was satisfactory, with high rate of cure and absence of deaths. There was an unnecessary use of serum and an incorrect number of ampoules in many cases. These data suggest a detachment from the recommendations of the Ministry of Health, which possess clear protocols, from identification of the spider to use of serum according to the gravity of the case.Downloads
References
Brazil TK, Leite CM, Pinto LMA, Silva RL, Brescovit A. Aranhas de importância médica do Estado da Bahia, Brasil. Gaz Med Bahia. 2009;1(79):32-7.
SINAN. Sistema de Informação de Agravo de Notificação. Acidentes por Animais Peçonhentos [Internet]. Brasília; 2013 [acesso em 15 jan 2013]. Disponível em: http://dtr2004.saude.gov.br/sinanweb/index.php
Fonseca GAB, Kent J, Mittermeier CG, Myers N. Biodiversity hotspots for conservation priorities. Nature. 2000;403:853-8.
Lobo J, Sastre P. Taxonomist survey biases and the unveiling of biodiversity patterns. Biol Conserv. 2009;142(2):462-7.
Castro AP, Silva TC, Silva JCR. Ocorrência, controle e prevenção de aranhas e escorpiões no nordeste brasileiro. 2009 [acesso em 20 mar 2014]. Disponível em: http:// http://www.eventosufrpe.com.br/jepex2009/cd/resumos/R0947-1.pdf
Fiszon JT, Bochner R. Subnotificação de acidentes por animais peçonhentos registrados pelo Sinan no Estado do Rio de Janeiro no período 2001 a 2005. Rio de Janeiro: Rev Bras Epidemiol. 2008;1(11):114-27.
ESRI. International User Conference Proceedings [Internet]. 2013 [acesso em 25 mar 2013]. Disponível em http://www.esri.com
IBGE. Instituto Brasileiro de Geografia e Estatísticas. Censo Demográfico [Internet]. 2014 [acesso em 15 fev 2014]. Disponível em: http://ces.ibge.gov.br/base-de-dados/metadados/ibge/censo-demografico
OPAS. Organização Pan-Americana da Saúde. Indicadores Básicos para a Saúde no Brasil: Conceitos e Aplicações. 2ª ed. Brasília; 2008.
Brasil. Ministério da Saúde. Guia de Vigilância Epidemiológica, Caderno 14 – Acidentes por Animais Peçonhentos. Brasília; 2009.
Chagas F, D’Agostini B, Betrame V. Aspectos Epidemiológicos dos Acidentes por Aranhas no Estado do Rio Grande do Sul. Joaçaba. Evidência. 2010;1-2(10):121-30.
Lucas SM. Aranhas de interesse médico no Brasil. 2ª ed. São Paulo: Sarvier; 2009.
Chenet DC, Wolfart SC, Ferruzi P, Quadros RM, Marques SMT. Incidência de Aranhas de Importância em Saúde Pública em Curitibanos, Santa Catarina. Porto Alegre: Ciên Saúde. 2009;1(2):25-9.
Coutinho SED, Garcia FRM, Lise F. Características Clínicas do Araneísmo em Crianças e Adolescentes no Município de Chapecó, Estado de Santa Catarina, Brasil. Maringá: Acta Sci Health Sci. 2006;1(28):13-6.
Andrade NS, Martins FJ, Vieira RCPA, Vieira AAP, Raposo NRB. Perfil dos acidentes causados por aranhas na área de abrangência sanitária do município de Juiz de Fora- MG. Rev APS. 2011;14(3):303-12.
Silva EM. Loxoscelismo no Estado do Paraná: análise epidemiológica dos acidentes causados por Loxosceles Heinecken & Lowe, 1832 no período de 1993 a 2000. Escola Nacional de Saúde Pública. Rio de Janeiro: Fundação Oswaldo Cruz; 2002.
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