Mordeduras por serpiente. Panorama epidemiológico de la zona de Córdoba, Veracruz

Abstract

OBJECTIVE: TO FIGURE OUT THE FREQUENCY OF SERPENT BITES AND EPIDEMIOLOGICAL ASPECTS, STUDY CARRIED OUT IN A TROPICAL REGION FROM 1995 TO 2001, IN A 2ND LEVEL INSTITUTION. METHOD: A CROSS-SECTIONAL STUDY WHIT 151 PATIENTS POINTING OUT MONTH OF THE YEAR, AREA, GENDER, AGE, TIME OF EVOLUTION, HOUR OF THE DAY, SNAKE TYPE, POISONING DEGREE, SIGNS, SYMPTOMS AND COMPLICATIONS. RESULTS: THE AREA MOST AFFECTED WAS COSOLAPA WITH 39.7% OF THE CASES. MEN PREDOMINATED AS VICTIMS 6.9:1, AGE AVERAGE 10-44 YEARS, ACCIDENTS OCCUR IN THE MORNING 44.4%.BOTHROPS SNAKES WERE RECOGNIZED IN 69% OF CASES, 50 TO 99CM LONG. IN 12.6% OF CASES THERE WERE NO POISONOUS SNAKES. THE AREA OF THE BODY MOST AFFECTED WAS THE LEFT HAND POISONING DEGREE LL FOUND IN 47% OF CASES WITH: PAIN AND EDEMA WITHOUT SEVERE COMPLICATIONS. TWO PATIENTS DIED. OUT OF 151 CASES, 127 WERE RELEASED FOR IMPROVEMENT AND 14% WERE TRANSLATED TO OTHER INSTITUTION FOR LACK OF SERUM. AVERAGE STAY 2.99 DAYS.