Characterization of patients treated for ophidian accidents at The Hospital Regional de la Orinoquía

Caracterización de los pacientes atendidos con accidente ofídico en el Hospital Regional de la Orinoquía

Published 2024-09-20

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Vol. 33 No. 3 (2024): Septiembre - Diciembre
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Research Article
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Mateus Fontecha, A. M., Rubiano Sánchez, C. J. ., Ríos Tinoco, I. P. ., Vacca Carvajal, B. F. ., Vargas Rodríguez, L. J. ., García Agudelo, L. ., & Noguera Fonseca, J. (2024). Characterization of patients treated for ophidian accidents at The Hospital Regional de la Orinoquía. Journal of Medicine and Surgery Repertoire, 33(3), 283-287. https://doi.org/10.31260/RepertMedCir.01217372.1355
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https://doi.org/10.31260/RepertMedCir.01217372.1355
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Ana Marcela Mateus Fontecha
University of Boyaca image/svg+xml
Roles:  
Claudia Juliana Rubiano Sánchez
University of Boyaca image/svg+xml
Roles:  
Ingrid Paola Ríos Tinoco
University of Boyaca image/svg+xml
Roles:  
Bryan Felipe Vacca Carvajal
University of Boyaca image/svg+xml
Roles:  
Ledmar Jovanny Vargas Rodríguez
Hospital Regional de la Orinoquía
Roles:  
https://orcid.org/0000-0001-6001-5720

Lorena García Agudelo
Hospital Regional de la Orinoquía
Roles:  
https://orcid.org/0000-0001-9557-0900

Juliana Noguera Fonseca
San Rafael University Hospital
Roles:  
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Claudia Juliana Rubiano Sánchez,

Estudiante de Medicina, Universidad de Boyacá, Tunja, Colombia.

Ingrid Paola Ríos Tinoco,

Estudiante de Medicina, Universidad de Boyacá, Tunja, Colombia.

Bryan Felipe Vacca Carvajal,

Medico Interno, Hospital Regional de la Orinoquia, Yopal, Colombia.

Ledmar Jovanny Vargas Rodríguez,

Epidemiólogo, Hospital Regional de la Orinoquia, Yopal, Colombia.

Juliana Noguera Fonseca,

 Médica interna, Hospital Universitario San Rafael de Tunja, Boyacá, Colombia.

Introduction: an ophidian accident is an intoxication due to snakebite venom inoculation. In Colombia, venomous snakes belong to the Viperidae, Elpidae and Colubridae genus. The bite causes tissue damage and characteristic clinical manifestations, including variable local and systemic pathophysiological alterations. Objective: to characterize patients with ophidian accidents treated at Hospital Regional de la Orinoquia (HORO) of Yopal, Colombia. Materials and methods: an observational, descriptive, cross-sectional, retrospective study, was conducted. All patients with snakebites who attended HORO between January 1, 2014, and May 30, 2020, were included. Results: 571 patients affected by an ophidian accident were identified; 70.1% were males; the minimum age at occurrence was 2 years and the maximum age, 89 years; most cases occurred in 2018 (19.5%). These accidents happened more often when walking along trails (31.2%) and in agricultural activities (29.6%). Bites predominantly involve the lower limbs (70.2%). Conclusions: ophidian accidents are a major public health problem, due to their frequency and outcomes. They are featured by tissue lesions and pathophysiological alterations, which can lead to critical illness and death.

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