Bibliographic citations
Pezo, J., (2017). Características epidemiológicas, clínica y tratamiento de pacientes atendidos por accidente ofídico bothrópico. Hospital II-2 Tarapoto - MINSA. 2013-2015 [Tesis, Universidad Nacional de San Martín. Fondo Editorial]. http://hdl.handle.net/11458/2562
Pezo, J., Características epidemiológicas, clínica y tratamiento de pacientes atendidos por accidente ofídico bothrópico. Hospital II-2 Tarapoto - MINSA. 2013-2015 [Tesis]. PE: Universidad Nacional de San Martín. Fondo Editorial; 2017. http://hdl.handle.net/11458/2562
@misc{renati/1056711,
title = "Características epidemiológicas, clínica y tratamiento de pacientes atendidos por accidente ofídico bothrópico. Hospital II-2 Tarapoto - MINSA. 2013-2015",
author = "Pezo Saavedra, Juan Martín",
publisher = "Universidad Nacional de San Martín. Fondo Editorial",
year = "2017"
}
The objective of this descriptive, analytical, cross-sectional and retrospective study was to identify the epidemiological, clinical, and treatment characteristics; to determine if there is a relationship between local and systemic complications with risk factors according to dependent variables; the sample consisted of 61 cases of bothropic ophidic accident that met the inclusion and exclusion criteria. Univariate analysis was used with percentage and frequency, for the bivariate analysis the chi square was used. The results were: Male sex predominated in 72%, the average age was 27 years, with a high frequency in the month of January 23%, feet were the most frequent anatomical place of the bite in 20%, the 18 % received initial or empirical attention, 66% walked without immobilization of the affected member. Regarding the manifestations, the pain was found in 85%, 84% edema, 25% headache, 18% fever, 15% vomiting, 59% ecchymosis, 8% gingivorrhagia, 5% hematemesis; only 16% had local complications of which 7% was compartment syndrome, 5% abscess, only 18% developed systemic complications, of which 7% acute anemia, 5% coagulation disorder. Regarding the treatment, 93% received antivenin serum, 4 cases did not receive that represent 7%, the time between the bite and the administration of the serum was 62% less than 6 hours, with a mean of 6.75 hours, the most frequent dose of serum used was 20 ml in 36.1% and 40 ml in 21.3%. 88.5% used antibiotics, as monotherapy was metronidazole in 26.2%; as a double therapy was ciprofloxacin and metronidazole in 9.9%. Regarding the factors associated with complications related to dependent variables, no significant significance or relationship was found. As dependent variables we had (sex, average age, use of antivenin serum, time between bite and serum administration, serum dose, empirical initial attention, related to local complications (cellulitis, abscess, necrosis, compartment syndrome) and complications systemic (anemia, IRA, Sepsis).
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