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Injuries caused by freshwater stingrays in the Tapajós River Basin: a clinical and sociodemographic study.

Abstract Freshwater stingray envenomations are an important cause of morbidity in riverine populations living in various regions of Brazil. The sequelae include temporary or permanent disability. This study aimed to identify sociodemographic, clinical, and therapeutic aspects related to stingray injuries in such populations.
PMID
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Authors

Mayor MeshTerms

Rivers

Skates (Fish)

Keywords
Journal Title revista da sociedade brasileira de medicina tropical
Publication Year Start




PMID- 28700056
OWN - NLM
STAT- MEDLINE
DA  - 20170712
DCOM- 20170731
LR  - 20170731
IS  - 1678-9849 (Electronic)
IS  - 0037-8682 (Linking)
VI  - 50
IP  - 3
DP  - 2017 May-Jun
TI  - Injuries caused by freshwater stingrays in the Tapajos River Basin: a clinical
      and sociodemographic study.
PG  - 374-378
LID - S0037-86822017002300374 [pii]
LID - 10.1590/0037-8682-0016-2017 [doi]
AB  - INTRODUCTION: Freshwater stingray envenomations are an important cause of
      morbidity in riverine populations living in various regions of Brazil. The
      sequelae include temporary or permanent disability. This study aimed to identify 
      sociodemographic, clinical, and therapeutic aspects related to stingray injuries 
      in such populations. METHODS: This cross-sectional study was conducted in the
      Extractive Reserve of Tapajos-Arapiuns, located in the municipalities of Santarem
      and Aveiro (Para State). A convenience sample comprising 300 local adults was
      used to obtain data by means of a questionnaire/ interview. RESULTS: Overall, 19 
      (6.3%) participants reported having sustained a stingray injury in the 12 months 
      prior to the study. All 19 were injured either while fishing (n=13 [68.4%]) or
      engaging in other riverine activities. Most injuries [n=14 (73.7%)] occurred from
      September through November, and most injured respondents [n=15 (78.9%)] reported 
      seeing stingrays at beaches. Severe pain and the appearance of ulcers in the
      later stages of envenomation were described by 18 (94.7%) and 12 (63.2%)
      participants, respectively. CONCLUSIONS: Freshwater stingray injuries, which
      should be considered occupational injuries, are common in the study area,
      especially in places like beaches or in the lakes that form during the dry
      season, when stingrays are routinely observed. A significant proportion of
      respondents was unaware of the correct first aid measures and had insufficient
      resources to treat the complications of these injuries in the locality where they
      reside. Interactive activities involving local residents - such as lectures and
      the distribution of simple pamphlets providing information about stingray
      injuries - are needed.
FAU - Abati, Paulo Afonso Martins
AU  - Abati PAM
AD  - Departamento de Molestias Infecciosas e Parasitarias, Nucleo de Medicina
      Tropical, Faculdade de Medicina, Universidade de Sao Paulo, Sao Paulo, Brasil.
FAU - Torrez, Pasesa Pascuala Quispe
AU  - Torrez PPQ
AD  - Departamento de Molestias Infecciosas e Parasitarias, Nucleo de Medicina
      Tropical, Faculdade de Medicina, Universidade de Sao Paulo, Sao Paulo, Brasil.
FAU - Franca, Francisco Oscar de Siqueira
AU  - Franca FOS
AD  - Departamento de Molestias Infecciosas e Parasitarias, Nucleo de Medicina
      Tropical, Faculdade de Medicina, Universidade de Sao Paulo, Sao Paulo, Brasil.
FAU - Tozzi, Fabio Lambertini
AU  - Tozzi FL
AD  - Faculdade de Medicina, Universidade Estadual do Para, Para, Brasil.
FAU - Guerreiro, Flavio Mileo Bacelar
AU  - Guerreiro FMB
AD  - Faculdade de Medicina, Universidade Estadual do Para, Para, Brasil.
FAU - Santos, Suellen Aline Torres Dos
AU  - Santos SATD
AD  - Faculdade de Medicina, Universidade Estadual do Para, Para, Brasil.
FAU - Oliveira, Sheyla Mara Silva de
AU  - Oliveira SMS
AD  - Faculdade de Medicina, Universidade Estadual do Para, Para, Brasil.
FAU - Haddad, Vidal Junior
AU  - Haddad V Junior
AD  - Departamento de Dermatologia e Radioterapia, Faculdade de Medicina de Botucatu,
      Universidade Estadual Paulista, Botucatu, Sao Paulo, Brasil.
LA  - eng
PT  - Journal Article
PL  - Brazil
TA  - Rev Soc Bras Med Trop
JT  - Revista da Sociedade Brasileira de Medicina Tropical
JID - 7507456
SB  - IM
MH  - Accidents/*statistics & numerical data
MH  - Adolescent
MH  - Adult
MH  - Aged
MH  - Animals
MH  - Bites and Stings/*complications/epidemiology
MH  - Brazil/epidemiology
MH  - Cross-Sectional Studies
MH  - Female
MH  - Humans
MH  - Male
MH  - Middle Aged
MH  - *Rivers
MH  - Seasons
MH  - *Skates (Fish)
MH  - Socioeconomic Factors
MH  - Young Adult
EDAT- 2017/07/13 06:00
MHDA- 2017/08/02 06:00
CRDT- 2017/07/13 06:00
PHST- 2017/02/02 [received]
PHST- 2017/05/17 [accepted]
AID - S0037-86822017002300374 [pii]
AID - 10.1590/0037-8682-0016-2017 [doi]
PST - ppublish
SO  - Rev Soc Bras Med Trop. 2017 May-Jun;50(3):374-378. doi:
      10.1590/0037-8682-0016-2017.