A painful journey to antivenom: the therapeutic itinerary of snakebite patients in the Brazilian Amazon (The QUALISnake Study)

Full metadata record
DC FieldValueLanguage
dc.contributorCentro Bioindustrialpt_BR
dc.contributor.authorCristino, Joseir Saturninopt_BR
dc.contributor.authorSalazar, Guilherme Macielpt_BR
dc.contributor.authorMachado, Vinícius Azevedopt_BR
dc.contributor.authorHonorato, Eduardopt_BR
dc.contributor.authorFarias, Altair Seabrapt_BR
dc.contributor.authorVissoci, João Ricardo Nickenigpt_BR
dc.contributor.authorSilva Neto, Alexandre Vilhenapt_BR
dc.contributor.authorLacerda, Marcuspt_BR
dc.contributor.authorFan, Hui Wenpt_BR
dc.contributor.authorMonteiro, Wuelton Marcelopt_BR
dc.contributor.authorSachett, Jacqueline Almeida Gonçalvespt_BR
dc.date.accessioned2021-03-16T19:04:19Z-
dc.date.available2021-03-16T19:04:19Z-
dc.date.issued2021pt_BR
dc.identifier.citationCristino JS, Salazar GM, Machado VA, Honorato E, Farias AS, Vissoci JRN, et al. A painful journey to antivenom: the therapeutic itinerary of snakebite patients in the Brazilian Amazon (The QUALISnake Study). Plos Negl. Trop. Dis.. 2021 Mar;15(3):e0009245. doi:10.1371/journal.pntd.0009245.pt_BR
dc.identifier.urihttps://repositorio.butantan.gov.br/handle/butantan/3626-
dc.description.abstractAccess to antivenoms is not guarranteed for vulnerable populations that inhabit remote areas in the Amazon. The study of therapeutic itineraries (TI) for treatment of snakebites would support strategies to provide timely access to users. A TI is the set of processes by which individuals adhere to certain forms of treatment, and includes the path traveled in the search for healthcare, and practices to solve their health problems. This study aims to describe TIs of snakebite patients in the Brazilian Amazon. This study was carried out at the Fundação de Medicina Tropical Doutor Heitor Vieira Dourado, in Manaus, state of Amazonas, Brazil. The itinerary from the moment of the bite to the patient’s admission to the reference unit was analyzed. Sample size was defined by saturation. After an exploratory survey to collect epidemiological variables, in-depth interviews were conducted following a semi-structured guide. Patients originated from rural areas of 11 different municipalities, including ones located >500 kilometers from Manaus. A great fragmentation was observed in the itineraries, marked by several changes of means of transport along the route. Four themes emerged from the analysis: exposure to snakebite during day-to-day activities, use of traditional therapeutic practices, and personal perception of the severity, as well as the route taken and its contingencies. Access to healthcare requires considerable effort on the part of snakebite patients. Major barriers were identified, such as the low number of hospitals that offer antivenom treatment, poor access to healthcare due to long distances and geographic barriers, low acceptability of healthcare offered in countryside, lack of use of personal protective equipment, common use of ineffective or deleterious self-care practices, late recognition of serious clinical signs and resistance to seeking medical assistance. Health education, promotion of immediate transport to health centers and decentralization of antivenom from reference hospitals to community healthcare centers in the Brazilian Amazon are more effective strategies that would to maximize access to antivenom treatment.pt_BR
dc.description.sponsorshipFundação de Amparo à Pesquisa do Estado do Amazonas (FAPEAM)pt_BR
dc.description.sponsorshipMinistério da Saúdept_BR
dc.description.sponsorshipConselho Nacional de Desenvolvimento Científico e Tecnológico (CNPq)pt_BR
dc.format.extente0009245pt_BR
dc.language.isoEnglishpt_BR
dc.relation.ispartofPlos Neglected Tropical Diseasespt_BR
dc.rightsOpen Accesspt_BR
dc.titleA painful journey to antivenom: the therapeutic itinerary of snakebite patients in the Brazilian Amazon (The QUALISnake Study)pt_BR
dc.typeArticlept_BR
dc.identifier.doi10.1371/journal.pntd.0009245pt_BR
dc.identifier.urlhttps://doi.org/10.1371/journal.pntd.0009245pt_BR
dc.contributor.externalUniversidade do Estado do Amazonas (UEA)pt_BR
dc.contributor.externalFundação de Medicina Tropical Doutor Heitor Vieira Dourado (FMT-HVD)pt_BR
dc.contributor.externalDuke University School of Medicinept_BR
dc.contributor.externalInstituto Leônidas & Maria Deane (ILMD/Fiocruz Amazônia)pt_BR
dc.contributor.externalFundação Alfredo da Matta (FUAM)pt_BR
dc.identifier.citationvolume3pt_BR
dc.identifier.citationissue15pt_BR
dc.subject.keywordSnakebitept_BR
dc.subject.keywordBrazilpt_BR
dc.subject.keywordPainpt_BR
dc.subject.keywordRiverspt_BR
dc.subject.keywordUrban areaspt_BR
dc.subject.keywordHemorrhagept_BR
dc.subject.keywordRural areaspt_BR
dc.subject.keywordTransportationpt_BR
dc.relation.ispartofabbreviatedPlos Negl Trop Dispt_BR
dc.identifier.citationabntv. 15, n. 3, e0009245, mar. 2021pt_BR
dc.identifier.citationvancouver2021 Mar;15(3):e0009245pt_BR
dc.contributor.butantanFan, Hui Wen|:Pesquisador|:Centro Bioindustrialpt_BR
dc.sponsorship.butantanFundação de Amparo à Pesquisa do Estado do Amazonas (FAPEAM)¦¦005/2019pt_BR
dc.sponsorship.butantanMinistério da Saúde¦¦733781/19-035pt_BR
dc.sponsorship.butantanConselho Nacional de Desenvolvimento Científico e Tecnológico (CNPq)¦¦pt_BR
dc.identifier.bvsccBR78.1pt_BR
dc.identifier.bvsdbIBProdpt_BR
dc.description.dbindexedYespt_BR
item.openairetypeArticle-
item.fulltextCom Texto completo-
item.grantfulltextembargo_29990101-
item.languageiso639-1English-
crisitem.author.dept#PLACEHOLDER_PARENT_METADATA_VALUE#-
crisitem.author.dept#PLACEHOLDER_PARENT_METADATA_VALUE#-
crisitem.author.dept#PLACEHOLDER_PARENT_METADATA_VALUE#-
crisitem.author.dept#PLACEHOLDER_PARENT_METADATA_VALUE#-
crisitem.author.dept#PLACEHOLDER_PARENT_METADATA_VALUE#-
crisitem.author.dept#PLACEHOLDER_PARENT_METADATA_VALUE#-
crisitem.author.dept#PLACEHOLDER_PARENT_METADATA_VALUE#-
crisitem.author.dept#PLACEHOLDER_PARENT_METADATA_VALUE#-
crisitem.author.dept#PLACEHOLDER_PARENT_METADATA_VALUE#-
crisitem.author.dept#PLACEHOLDER_PARENT_METADATA_VALUE#-
crisitem.author.dept#PLACEHOLDER_PARENT_METADATA_VALUE#-
crisitem.author.orcid#PLACEHOLDER_PARENT_METADATA_VALUE#-
crisitem.author.orcid#PLACEHOLDER_PARENT_METADATA_VALUE#-
crisitem.author.orcid#PLACEHOLDER_PARENT_METADATA_VALUE#-
crisitem.author.orcid#PLACEHOLDER_PARENT_METADATA_VALUE#-
crisitem.author.orcid#PLACEHOLDER_PARENT_METADATA_VALUE#-
crisitem.author.orcid#PLACEHOLDER_PARENT_METADATA_VALUE#-
crisitem.author.orcid#PLACEHOLDER_PARENT_METADATA_VALUE#-
crisitem.author.orcid#PLACEHOLDER_PARENT_METADATA_VALUE#-
crisitem.author.orcid0000-0002-8191-559X-
crisitem.author.orcid#PLACEHOLDER_PARENT_METADATA_VALUE#-
crisitem.author.orcid#PLACEHOLDER_PARENT_METADATA_VALUE#-
crisitem.author.parentorg#PLACEHOLDER_PARENT_METADATA_VALUE#-
crisitem.author.parentorg#PLACEHOLDER_PARENT_METADATA_VALUE#-
crisitem.author.parentorg#PLACEHOLDER_PARENT_METADATA_VALUE#-
crisitem.author.parentorg#PLACEHOLDER_PARENT_METADATA_VALUE#-
crisitem.author.parentorg#PLACEHOLDER_PARENT_METADATA_VALUE#-
crisitem.author.parentorg#PLACEHOLDER_PARENT_METADATA_VALUE#-
crisitem.author.parentorg#PLACEHOLDER_PARENT_METADATA_VALUE#-
crisitem.author.parentorg#PLACEHOLDER_PARENT_METADATA_VALUE#-
crisitem.author.parentorg#PLACEHOLDER_PARENT_METADATA_VALUE#-
crisitem.author.parentorg#PLACEHOLDER_PARENT_METADATA_VALUE#-
crisitem.journal.journalissn#PLACEHOLDER_PARENT_METADATA_VALUE#-
crisitem.journal.journaleissn#PLACEHOLDER_PARENT_METADATA_VALUE#-
Appears in Collections:Artigos de periódicos


Files in This Item:

Existing users please Login
10.1371journal.pntd.0009245.pdf
Description:
Size: 2.6 MB
Format: Adobe PDF
Embargoed until January 1, 2999    Request a copy
Show simple item record

The access to the publications deposited in this repository respects the licenses from journals and publishers.