Perfil epidemiológico dos acidentes por lepidópteros, do gênero Lonomia, atendidos no Ciatox/PR

• Autor(a) principal: Luz, Jéssica Beatriz Oliveira da
• Data de Publicação: 2021
• Outros Autores: Lima, José Henrique Figueiredo, Mendes, Luana Bacellar, Nascimento, Luiz Vinícius Andraus Marcondes do, Dariva Junior, Nilton Marcos
• Tipo de documento: Trabalho de conclusão de curso
• Idioma: por
• Título da fonte: Repositório do Centro Universitário Braz Cubas
• Texto Completo: https://repositorio.cruzeirodosul.edu.br/handle/123456789/3836
• topic: Lepidópteros; Acidentes; Animais venenosos; Epidemiologia; Centro de Controle de Intoxicações; CNPQ::CIENCIAS DA SAUDE::MEDICINA

The objective of this study was to analise the epidemiological profile of lonomic accidents in Paraná. It is a retrospective secondary-based study carried out in the Information and Toxicologic Assistance Center of Paraná (CIATox/PR), in Curitiba, during the years of 2015 to 2019. Descriptive statistical analyses were performed using the Chi-square test(p<0,05). The sample consisted of 84 accidents with Lonomia sp, showing greater occurrences among adults (45,2%) of the male gender (59,5%) and injuries in the upper limbs (84,5%). Contact with the worm occurred mostly in the patient’s usual residence (72,6%), in the rural area (64,27%) and in Paraná’s west macrorregion (38,1%). Photographic record was present in 58,3% of the accidents. Most cases were registered in the summer (71,4%), followed by spring and autumn (14,3%) and no accidents were registered in winter. The most frequent clinical manifestations were: local pain (62,3%), ecchymosis (34,1%), swelling and erythema (17,6% each). The median for seeking care was: 19 hours for women and 16 hours for men, with no difference between genders (p=0,724). Initial rating was mostly moderate(39,3%) and severe (9,5%), and 16,5% of the patients evolved to macroscopic hematuria. Five ampoules of antilonomic serum were required in 56% of patients and ten ampoules in 16.7%.The light classification showed a reduction between the initial and the final phase of the process, as opposed to moderate and severe classifications which showed significative increase of percentage (p=0,006). The INR was incoagulable in 16,7% of patients. Two cases showed progressive worsening, one of them being a young patient who evolved with a hemorrhagic stroke and the other an elderly patient who had a fatal outcome. The epidemiological profile found was of accidents happening in summer, in adult males of the rural area with moderate severity. These findings reveal the importance of early diagnosis and treatment in view of these accidents’ different possibilities of clinical evolution. It is essential to encourage strategies for identifying the caterpillar, reporting cases and implementing permanent preventive measures to reduce risks and complications.