Delayed healthcare and secondary infections following freshwater stingray injuries: Risk factors for a poorly understood health issue in the Amazon

• Autor(a) principal: Sachett, Jacqueline Almeida Gonçalves
• Data de Publicação: 2018
• Outros Autores: 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
• Tipo de documento: Artigo
• Idioma: eng
• Título da fonte: Repositório Institucional do INPA
• Texto Completo: https://repositorio.inpa.gov.br/handle/1/15168
• topic: 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; Brasil; Complication; Infant; Newborn; Child, Preschool; Risk Factor; Season; Skate (fish); Young Adult; Adolescent; Adult; Animal; Bacterial Infections; Bites And Stings; Brasil; Child; Child, Preschool; Cross-sectional Studies; Female; Fresh Water; Humans; Incidence; Infant; Infant, Newborn; Male; Middle Aged; Risk Factors; Seasons; Skates (fish); Young Adult

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.