Banca de DEFESA: THAIS BATISTA MARQUES

Uma banca de DEFESA de MESTRADO foi cadastrada pelo programa.
STUDENT : THAIS BATISTA MARQUES
DATE: 05/11/2024
TIME: 09:00
LOCAL: BLOCO DA PÓS GRADUAÇÃO
TITLE:

USE OF ANTIVENOUS SERUMS IN SNAKE ACCIDENTS
OCCURRING IN THE BORDER AREA OF THE STATES OF AMAPÁ AND PARÁ

KEY WORDS:

. Snakebite. Soroterapy. Amazon.

PAGES: 54
BIG AREA: Ciências da Saúde
AREA: Saúde Coletiva
SUMMARY:

.

Snakebites in Brazil occur with greater incidence in the Amazon region and primarily affect the
population in rural and forest areas. In Amapá, there are currently few studies that address the
case series of snakebites and the antivenoms used. The objective was to analyze the process of
using antivenoms to treat snakebites that occurred in the border region of the States of Amapá
and Pará. Descriptive documentary research was carried out, with a cross-sectional design and
quantitative approach. There were recorded 207 cases of snakebites on the border between the
States of Amapá and Pará, from january 2018 to december 2022. The cases occurred
predominantly in rural areas (87%), affecting men (71.5%), indigenous people (69%), in the
economically active age group, from 19 to 39 years old (35.7%). The genus Bothrops was the
main causative agent of accidents (83.6%); causing injuries to the lower limbs (78.3%), and
mild symptoms of poisoning (53.6%). Just over half of the cases were attended to between 0
and 6 hours post-accident; 87% were cured, and 3 cases (1.5%) died. Serotherapy with
antivenoms was indicated in 78.3% of cases. When analyzing the use of antivenoms, 76.3% of
prescriptions were not in accordance with the Ministry of Health's treatment protocols, 49.8%
below what was recommended and 26.6% above what was recommended. In Oiapoque, only
16.8% of treatments corresponded to current guidelines. According to the snake's gender,

bothropic treatments were effective in 24.9% and lachetic treatments in only 15.4%. Constatou-
se a baixa adesão aos protocolos preconizados, Underreporting of cases was found, based on

the analysis of serum consumption without proper registration in official information systems;
and the registration of untreated cases due to lack of antivenin serum. Demonstrating the real
need for training of all professionals involved in the process of distribution, treatment and
notification of victims of snake accidents.

Keywords: Snakebite. Soroterapy. Amazon.

COMMITTEE MEMBERS:
Presidente - 1372448 - CARLOS EDUARDO COSTA DE CAMPOS
Externa à Instituição - CECILIA RAFAELA SALLES FERREIRA
Interna - 3299691 - LETHICIA BARRETO BRANDÃO
Interno - 1017306 - RAIMUNDO NONATO PICANCO SOUTO