Use este identificador para citar ou linkar para este item: https://repositorio.inpa.gov.br/handle/1/15168
Título: Delayed healthcare and secondary infections following freshwater stingray injuries: Risk factors for a poorly understood health issue in the Amazon
Autor: Sachett, Jacqueline Almeida Gonçalves
S. Sampaio, Vanderson
Silva, Iran Mendonça
Shibuya, Akemi
Vale, Fábio Francesconi
Costa, Fabiano Peixoto
Pardal, Pedro Pereira de Oliveira
Lacerda, Marcus V. G.
Monteiro, Wuelton Marcelo
Palavras-chave: Antiinfective Agent
Fresh Water
Adolescent
Adult
Aged
Agricultural Worker
Bacterial Infection
Bleeding
Blurred Vision
Child
Cross-sectional Study
Disease Association
Dizziness
Ecchymosis
Edema
Erythema
Female
Fever
Fish Sting
Health Care
Human
Hyperemia
Incidence
Major Clinical Study
Male
Medical Care
Middle Aged
Necrosis
Occupational Accident
Pain
Risk Factor
Seasonal Variation
Secondary Infection
Vomiting
Animals
Bacterial Infection
Bites And Stings
Complication
Infant
Newborn
Child, Preschool
Risk Factor
Season
Skate (fish)
Young Adult
Adolescent
Adult
Animal
Bacterial Infections
Bites And Stings
Child
Child, Preschool
Cross-sectional Studies
Female
Fresh Water
Humans
Incidence
Infant
Infant, Newborn
Male
Middle Aged
Risk Factors
Seasons
Skates (fish)
Young Adult
Data do documento: 2018
Revista: Revista da Sociedade Brasileira de Medicina Tropical
É parte de: Volume 51, Número 5, Pags. 651-659
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. © 2018, Sociedade Brasileira de Medicina Tropical. All rights reserved.
DOI: 10.1590/0037-8682-0356-2017
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