Snakebite envenoming in Brazilian children: clinical aspects, management and outcomes

Isadora S Oliveira1, Manuela B Pucca2,3, Felipe A Cerni3

  • 1Department of BioMolecular Sciences, School of Pharmaceutical Sciences of Ribeirão Preto, University of São Paulo, São Paulo 14040-903, Brazil.

Insights

Snakebite envenoming is a neglected tropical disease affecting millions globally. Pediatric snakebites in Brazil are severe, posing challenges due to limited epidemiological data on treatment effectiveness and outcomes.

Area of Science:

  • * Tropical Medicine
  • * Pediatric Medicine
  • * Epidemiology

Background:

  • * Snakebite envenoming is a significant global health issue, classified as a neglected tropical disease, causing substantial mortality and morbidity worldwide.
  • * In Brazil, snakebites affect approximately 30,000 individuals annually, with children representing about 15% of cases and facing disproportionately severe outcomes.
  • * Pediatric snakebite envenoming presents unique challenges due to smaller body mass, leading to more severe complications compared to adults, despite lower incidence.

Approach:

  • * This review synthesizes current knowledge on pediatric snakebite envenoming in Brazil.
  • * It examines epidemiological data, clinical presentations, and management strategies specific to children.
  • * The study highlights the difficulties in assessing treatment effectiveness and emergency care quality due to data limitations.

Key Points:

  • * Children experience more severe outcomes from snakebite envenoming due to physiological differences.
  • * Lack of comprehensive epidemiological data hinders effective evaluation of pediatric snakebite management and outcomes in Brazil.
  • * Addressing these data gaps is crucial for improving emergency medical services for children affected by snakebites.

Conclusions:

  • * Pediatric snakebite envenoming in Brazil requires focused attention due to its severity and the challenges in managing affected children.
  • * Improved data collection and research are essential to enhance treatment protocols and outcomes for children suffering from snakebites.
  • * Further investigation into the specific characteristics, management, and long-term sequelae of snakebite envenoming in Brazilian children is warranted.

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