Banca de DEFESA: ANA CAROLINE CALDAS DE ALMEIDA

Uma banca de DEFESA de MESTRADO foi cadastrada pelo programa.
DISCENTE : ANA CAROLINE CALDAS DE ALMEIDA
DATA : 09/03/2020
HORA: 09:00
LOCAL: Sala 5 do Instituto de Saúde Coletiva
TÍTULO:

RISK FACTORS FOR FATAL SCORPIONISM IN BRAZILIAN CHILDREN

PALAVRAS-CHAVES:

Scorpion stings; Fatal evolution; Risk factors; Infant; Child, preschool; Child.

PÁGINAS: 67
GRANDE ÁREA: Ciências da Saúde
ÁREA: Saúde Coletiva
RESUMO:

Introduction. Scorpionism is scorpion poisoning. Fatal outcomes of scorpionism is associated to scorpion taxon, patient's younger age, late arrival to the health service, and the quality of serotherapeutic treatment. Objective. This study sought to identify risk factors for fatal scorpionism in Brazilian children. Methods. A case-control study with cases of scorpionism (ICD X-22) notified to the Disease Notification Information System (SINAN) in Brazil, from January 1, 2007 to July 18, 2016, of children up to 10 years of age. The cases corresponded to all deaths due to scorpionism that occurred in the period; the controls were randomly selected from those that did not died, in proportion of four controls for each case. The predictors investigated were: sex, age, ethnic group, area of occurrence, time elapsed between the accident and the arrival to the health service, unit of care and serotherapeutic treatment (variable that combined whether the type of serum was adequate or inadequate with the number of ampoules used). Only cases and controls with complete sets of information for all variables investigated were included. Factors associated with fatal scorpionism were identified by bivariate and multivariate logistic regression techniques, using the STATA 12.0 statistical program. Results. We investigated 254 cases of fatal scorpionism and 1,083 controls. After adjusting the final model, the risk factors for fatal scorpionism in children were: age ≤5 years (OR = 1.6), occurrence in non-urban area (OR = 2.0), time between the accident and the arrival to the health service ≥3 hours ( OR = 3.0), serotherapeutic treatment with adequate serum and excessive number of ampoules (OR = 2.2), adequate serum and insufficient number of ampoules (OR = 6.9), inadequate serum (OR = 5.7) and no use of serum (OR = 5.3). Serotherapy was not used in 9.4% of the 254 patients who died. The effectiveness of serotherapy treatment in preventing death was 70.0%, increasing to 77.0% when the patient arrived to the health service less than 3 hours since the scorpion sting. The effectiveness of the treatment was 66.0% in patients aged 0 to 2 years, 67.0% in those aged 3 to 5 years, 74.0% in those aged 6 to 8 years and 75.0% in those aged 9 to 10 years. Conclusion. Fatal scorpionism in children was associated with risk factors that reveal problems in accessing the health service, such as occurrence in non-urban area, late arrival to the health service after scorpion sting, low quality of serotherapeutic treatment provided and child's younger age. The effectiveness of serotherapy treatment was higher in older children and among those who arrived early to the health service.

MEMBROS DA BANCA:
Interno - 2187819 - FEDERICO COSTA
Presidente - 085.266.135-53 - FERNANDO MARTINS CARVALHO - UBC
Externo à Instituição - REJANE MARIA LIRA DA SILVA
Externo ao Programa - 2863971 - YUKARI FIGUEROA MISE