PDF(Pubmed)
Abstract：
OBJECTIVE: To describe accidents involving brown spider (genus Loxosceles) bites notified by the Pernambuco Poison Information and Care Center (CIATox-PE), Brazil, from January 2018 to December 2022.
METHODS: This was a case series study of brown spider bites notified by the CIATox-PE.
RESULTS: The study included 22 cases with median age of 35 years, the majority being female (13); the cases occurred in rural and urban areas (12 versus 10), at night (10); Petrolina was the municipality with the highest number of notifications (6); spider bites occurred mainly in the lower (11) and upper (9) limbs, almost exclusively inside households (21); specific serum therapy was not indicated for 8 cases because the time for its effectiveness had already elapsed.
CONCLUSIONS: Loxoscelism cases occurred more frequently in females, in both rural and urban areas and mainly at home, with delays in seeking medical care.
RESULTS: The 22 cases described represent an alert for the presence of a venomous species not reported in previous studies in Pernambuco. The severity of cases may be associated with delays in seeking medical care, especially due to the population\'s lack of information.
UNASSIGNED: Identify the presence of brown spiders in households in the region and the potential severity of poisonings. Alert health professionals to recognize the clinical picture with a view to appropriate early treatment.
CONCLUSIONS: Develop research on poisoning by venomous animals and educational actions alerting the population to prevent these accidents and updating health professionals on care.
METHODS: This was a case series study of brown spider bites notified by the CIATox-PE.
RESULTS: The study included 22 cases with median age of 35 years, the majority being female (13); the cases occurred in rural and urban areas (12 versus 10), at night (10); Petrolina was the municipality with the highest number of notifications (6); spider bites occurred mainly in the lower (11) and upper (9) limbs, almost exclusively inside households (21); specific serum therapy was not indicated for 8 cases because the time for its effectiveness had already elapsed.
CONCLUSIONS: Loxoscelism cases occurred more frequently in females, in both rural and urban areas and mainly at home, with delays in seeking medical care.
RESULTS: The 22 cases described represent an alert for the presence of a venomous species not reported in previous studies in Pernambuco. The severity of cases may be associated with delays in seeking medical care, especially due to the population\'s lack of information.
UNASSIGNED: Identify the presence of brown spiders in households in the region and the potential severity of poisonings. Alert health professionals to recognize the clinical picture with a view to appropriate early treatment.
CONCLUSIONS: Develop research on poisoning by venomous animals and educational actions alerting the population to prevent these accidents and updating health professionals on care.
摘要：
目的：描述伯南布哥州毒物信息和护理中心（CIATox-PE）通知的棕色蜘蛛（Loxosceles属）叮咬的事故，巴西,从2018年1月到2022年12月。
方法：这是CIATox-PE通知的棕色蜘蛛咬伤的案例系列研究。
结果：该研究包括22例患者，中位年龄为35岁，大多数是女性(13)；病例发生在农村和城市地区(12对10)，晚上(10);Petrolina是通知人数最多的城市(6);蜘蛛咬伤主要发生在下肢(11)和上肢(9),几乎完全在家庭内部(21);8例病例没有特定的血清治疗,因为其有效时间已经过去.
结论：Loxoscelism病例在女性中更常见，在农村和城市地区，主要是在家里，延误寻求医疗护理。
结果：所描述的22例病例代表了伯南布哥州先前研究中未报告的有毒物种存在的警报。病例的严重程度可能与就医延误有关,特别是由于人口缺乏信息。
■确定该地区家庭中棕色蜘蛛的存在以及中毒的潜在严重程度。提醒卫生专业人员认识到临床情况，以便进行适当的早期治疗。
结论：开展有毒动物中毒的研究和教育行动，提醒人们预防这些事故，并向卫生专业人员更新护理。
方法：这是CIATox-PE通知的棕色蜘蛛咬伤的案例系列研究。
结果：该研究包括22例患者，中位年龄为35岁，大多数是女性(13)；病例发生在农村和城市地区(12对10)，晚上(10);Petrolina是通知人数最多的城市(6);蜘蛛咬伤主要发生在下肢(11)和上肢(9),几乎完全在家庭内部(21);8例病例没有特定的血清治疗,因为其有效时间已经过去.
结论：Loxoscelism病例在女性中更常见，在农村和城市地区，主要是在家里，延误寻求医疗护理。
结果：所描述的22例病例代表了伯南布哥州先前研究中未报告的有毒物种存在的警报。病例的严重程度可能与就医延误有关,特别是由于人口缺乏信息。
■确定该地区家庭中棕色蜘蛛的存在以及中毒的潜在严重程度。提醒卫生专业人员认识到临床情况，以便进行适当的早期治疗。
结论：开展有毒动物中毒的研究和教育行动，提醒人们预防这些事故，并向卫生专业人员更新护理。
