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2017, Number 3

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Correo Científico Médico 2017; 21 (3)

Snake accident in patients of the Basic Hospital of Jipijapa (Manabí-Ecuador)

Valarezo-Sevilla D, Pazmiño-Martínez A, Sarzosa-Terán V, Morales-Mora N, Acuña-Santana P

Language: Spanish
References: 10
Page: 647-656
PDF size: 417.29 Kb.


ABSTRACT

Introduction: ophidian accident is the clinical picture caused by the bite of a venomous snake. Forty one species of poisonous snakes are described in Ecuador.
Objective: to describe clinically and epidemiologically the ophidian accident in patients of the Basic Hospital of Jipijapa (Manabí-Ecuador).
Methods: a retrospective observational, descriptive study, based on medical records of hospitalized patients with a diagnosis of snake bite in Internal Medicine Basic Hospital, Jipijapa (Manabí-Ecuador) during January 2008-April 2012 was done.
Results: of the total 78 patients, 61 (78.2%) received antivenin and 17 patients (21.8%) did not receive. There was no relationship between days of hospitalization and the fact of having or not received antivenin, p=Ns (0.8) nor between test positive or negative coagulation time found hospitalization p=Ns (0.7). A low correlation was found between the coagulation test variable and the degree of bite, being statistically significant (p = 0.04). An increase of bites in certain months, in relation to the migratory and reproductive habits of the snakes was observed.
Conclusions: there was difficulty in applying protocols of care for ophidian accidents and although this did not affect morbidity and mortality, it can affect the optimization of available resources.


REFERENCES

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