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Delayed healthcare and secondary infections following freshwater stingray injuries: risk factors for a poorly understood health issue in the Amazon
Sachett, Jacqueline de Almeida Gonçalves; Sampaio, Vanderson Souza; Silva, Iran Mendonça; Shibuya, Akemi; Vale, Fábio Francesconi; Costa, Fabiano Peixoto; Pardal, Pedro Pereira de Oliveira; Lacerda, Marcus Vinícius Guimarães; Monteiro, Wuelton Marcelo.
Afiliación
  • Sachett, Jacqueline de Almeida Gonçalves; Fundação de Medicina Tropical Doutor Heitor Vieira Dourado. Diretoria de Ensino e Pesquisa. Manaus. BR
  • Sampaio, Vanderson Souza; Fundação de Medicina Tropical Doutor Heitor Vieira Dourado. Diretoria de Ensino e Pesquisa. Manaus. BR
  • Silva, Iran Mendonça; Fundação de Medicina Tropical Doutor Heitor Vieira Dourado. Diretoria de Ensino e Pesquisa. Manaus. BR
  • Shibuya, Akemi; Instituto Nacional de Pesquisas da Amazônia. Coordenação de Biodiversidade. Manaus. BR
  • Vale, Fábio Francesconi; Fundação de Medicina Tropical Doutor Heitor Vieira Dourado. Diretoria de Ensino e Pesquisa. Manaus. BR
  • Costa, Fabiano Peixoto; Universidade do Estado do Amazonas. Escola Superior de Ciências da Saúde. Manaus. BR
  • Pardal, Pedro Pereira de Oliveira; Universidade Federal do Pará. Centro de Ciências da Saúde. Belém. BR
  • Lacerda, Marcus Vinícius Guimarães; Fundação de Medicina Tropical Doutor Heitor Vieira Dourado. Diretoria de Ensino e Pesquisa. Manaus. BR
  • Monteiro, Wuelton Marcelo; Fundação de Medicina Tropical Doutor Heitor Vieira Dourado. Diretoria de Ensino e Pesquisa. Manaus. BR
Rev. Soc. Bras. Med. Trop ; 51(5): 651-659, Sept.-Oct. 2018. tab, graf
Article en En | LILACS | ID: biblio-957465
Biblioteca responsable: BR1.1
ABSTRACT
Abstract INTRODUCTION This study aimed to describe the profile of freshwater stingray injuries in the State of Amazonas, Brazilian Amazon, and to identify the associated risk factors for secondary infections. METHODS This cross-sectional study used surveillance data from 2007 to 2014 to identify factors associated with secondary infections from stingray injuries. RESULTS A total of 476 freshwater stingray injuries were recorded, with an incidence rate of 1.7 cases/100,000 person/year. The majority of injuries were reported from rural areas (73.8%) and 26.1% were related to work activities. A total of 74.5% of patients received medical assistance within the first 3 hours of injury. Secondary infections and necrosis were observed in 8.9% and 3.8%, respectively. Work-related injuries [odds ratio (OR) 4.1, confidence interval (CI); 1.87-9.13] and >24 hours from a sting until receiving medical care (OR; 15.5, CI; 6.77-35.40) were independently associated with the risk of secondary bacterial infection.

CONCLUSIONS:

In this study, work-related injuries and >24 hours from being stung until receiving medical care were independently and significantly associated with the risk of secondary infection. The frequency of infection following sting injuries was 9%. The major factor associated with the risk of secondary bacterial infection was a time period of >24 hours from being stung until receiving medical care.
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Texto completo: 1 Colección: 01-internacional Base de datos: LILACS Asunto principal: Infecciones Bacterianas / Mordeduras y Picaduras / Rajidae Tipo de estudio: Etiology_studies / Incidence_studies / Observational_studies / Prevalence_studies / Prognostic_studies / Risk_factors_studies Límite: Animals / Female / Humans / Male País/Región como asunto: America do sul / Brasil Idioma: En Revista: Rev. Soc. Bras. Med. Trop Asunto de la revista: MEDICINA TROPICAL Año: 2018 Tipo del documento: Article País de afiliación: Brasil Pais de publicación: Brasil
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Texto completo: 1 Colección: 01-internacional Base de datos: LILACS Asunto principal: Infecciones Bacterianas / Mordeduras y Picaduras / Rajidae Tipo de estudio: Etiology_studies / Incidence_studies / Observational_studies / Prevalence_studies / Prognostic_studies / Risk_factors_studies Límite: Animals / Female / Humans / Male País/Región como asunto: America do sul / Brasil Idioma: En Revista: Rev. Soc. Bras. Med. Trop Asunto de la revista: MEDICINA TROPICAL Año: 2018 Tipo del documento: Article País de afiliación: Brasil Pais de publicación: Brasil