阿拉戈斯州海蓝藻事故的流行病学分析

Rafaella Rodrigues Santos das Neves, H. A. M. Tenório, H. J. V. Pereira
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引用次数: 0

摘要

由于水生有毒动物的生存环境,特别是漏报,水生有毒动物造成的事故发生率低于陆生有毒动物。在造成这些事故的动物中,巴西西北海岸,特别是阿拉戈斯州的海带鱼(Thalassophryne nattereri)尤为突出。由于其特殊的毒液接种装置,两个背侧和两个外侧的小管棘,这种毒素会引起疼痛,发烧,严重的局部炎症反应,形成红斑和肿胀,经常演变为坏死。所接受的治疗仅限于抗炎和抗生素药物的管理,后者是为了防止继发性细菌感染。许多受伤的人没有寻求医疗救助,最终使用家庭疗法。在此背景下,我们与阿拉戈斯州卫生秘书处一道,通过问卷调查和通过患者记录收集数据,开展了一项调查,以量化巴西阿拉戈斯州蒙道泻湖两个渔业社区这类事故的发生情况。所获得的结果表明,最常见的受伤者群体是以捕鱼为生存手段的工作年龄男子,他们的脚和手在这类事故中特别受伤。可以得出结论,在阿拉戈斯州的捕鱼活动期间,由海蓝藻引起的这些事故发生的频率很高。污染迫使渔民远离工作,给受伤者的生命和健康以及他们的经济活动带来其他并发症。这种类型的研究使这种事故引起了社会的注意,这种方法从未在阿拉戈斯州进行过,我们相信它可能会激发人们对深化毒素知识,开发更有效的医疗和事故预防的兴趣。
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Epidemiologic Profile of Accidents Involving Thalassophryne nattereri in Alagoas
Accidents caused by aquatic venomous animal’s present lower occurrence than those involving terrestrial ones due to their habitat and especially to underreporting. Among the animals which cause these accidents, the Thalassophryne nattereri fish is emphasized in the northwestern coast of Brazil, especially in the state of Alagoas. With its particular venom inoculation apparatus, two dorsal and two lateral canaliculated spines, this envenoming causes pain, fever, severe local inflammatory reaction, formation of erythema and swelling, often are evolving to necrosis. The treatment received is limited to the administration of anti-inflammatory and antibiotic medications, with the latter in order to prevent a secondary bacterial infection. Many of the injured do not seek medical attention and end up using home remedies. In this context, we carried out a survey to quantify the occurrence of this type of accidents in two fishing communities belonging to the Mundau lagoon, located in the state of Alagoas, Brazil, by applying questionnaires and collecting data through patient records along with the Secretariat of Health of the State of Alagoas. The results obtained indicate the most common group of injured persons: men at working age who use fishing as mean of survival and have especially their feet and hands injured in this type of accident. It is possible to conclude that these accidents caused by Thalassophryne nattereri occur with high frequency during fishing activities in the state of Alagoas. The envenoming drives the fishermen away from their work and leads to other complications to the life and health of the injured, as well as to their economic activity. This type of study makes this sort of accident noticeable for the society, such approach has never been conducted in the state of Alagoas and we believe that it might stimulate the interest in deepen the knowledge on toxins, the development of more efficient medical treatments and accident prevention.
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