Portal de Periódicos da CAPES

Revisão Produção Nacional Revisado por pares

BIBTEX RIS

Perspectives and recommendations towards evidence-based health care for scorpion sting envenoming in the Brazilian Amazon: A comprehensive review

2019; Elsevier BV; Volume: 169; Linguagem: Inglês

10.1016/j.toxicon.2019.09.003

1879-3150

Wuelton Marcelo Monteiro, Jacimara Vasques Gomes, Nelson Ferreira Fé, Iran Mendonça da Silva, Marcus Lacerda, Aristóteles Alencar, Altair Seabra de Farias, Fernando Val, Vanderson de Souza Sampaio, Gisely Cardoso de Melo, Pedro Pereira de Oliveira Pardal, Ageane Mota da Silva, Paulo Sérgio Bernarde, Luíz Carlos de Lima Ferreira, José Marı́a Gutiérrez, Jacqueline de Almeida Gonçalves Sachett, Fan Hui Wen,

Rabies epidemiology and control

Although underreported across the Amazon region, scorpion stings are very prevalent in some areas and can be potentially life-threatening, especially in children. The most vulnerable populations are those living in locations far from the capitals, hence having limited access to the health system where the appropriate structure for the treatment of severe cases is found. An abundant and diverse fauna of scorpions is found in the region, but few studies have been conducted to decipher the clinical characteristics and therapeutic response of the available antivenoms in envenomings caused by the various species. Antivenom underdosage as well as delayed medical assistance are common among indigenous populations, resulting in poor outcome rates. An in depth understanding of the epidemiological, clinical and therapeutic aspects of scorpion sting envenomings in the Amazon is necessary to improve the outcome of these cases.