{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,3,13]],"date-time":"2026-03-13T03:07:24Z","timestamp":1773371244534,"version":"3.50.1"},"reference-count":30,"publisher":"Instituto Nacional de Salud (Colombia)","issue":"1","license":[{"start":{"date-parts":[[2023,3,30]],"date-time":"2023-03-30T00:00:00Z","timestamp":1680134400000},"content-version":"unspecified","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0"},{"start":{"date-parts":[[2023,3,30]],"date-time":"2023-03-30T00:00:00Z","timestamp":1680134400000},"content-version":"unspecified","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0"}],"content-domain":{"domain":["revistabiomedica.org"],"crossmark-restriction":false},"short-container-title":["Biomed."],"abstract":"<jats:p>Introducci\u00f3n. En Ecuador, las mordeduras de serpientes venenosas son un problema de salud p\u00fablica. Sin embargo, no existe informaci\u00f3n hospitalaria reciente desde la Amazon\u00eda.Objetivo. Analizar retrospectivamente las caracter\u00edsticas cl\u00ednico-epidemiol\u00f3gicas de las mordeduras de serpientes en pacientes ingresados en un hospital de la Amazon\u00eda del Ecuador.Materiales y m\u00e9todos. Se llev\u00f3 a cabo un estudio transversal en el hospital provincial de Nueva Loja (Sucumb\u00edos), que colinda con Colombia, 2017-2021. La informaci\u00f3n sobre las variables demogr\u00e1ficas, epidemiol\u00f3gicas y cl\u00ednicas, y la condici\u00f3n al egreso hospitalario, se obtuvieron de la ficha epidemiol\u00f3gica del Ministerio de Salud P\u00fablica.Resultados. En cinco a\u00f1os se hospitalizaron 147 pacientes (29,4 por a\u00f1o), sin que se presentaran muertes. Corresponden a 26, 34, 32, 29 y 26 casos, en el 2017, 2018, 2019, 2020 y 2021, respectivamente. Seg\u00fan el sexo, los m\u00e1s afectados fueron los hombres (n=99; 67,3 %), seg\u00fan el grupo etario, los de 21 a 30 a\u00f1os (n=28; 19,0 %) y, seg\u00fan la raza, los de etnia mestiza (n=94; 63,9 %), estudiantes y agricultores. La mediana de edad fue de 28 a\u00f1os (rango: 4 a 81). Hubo mayor prevalencia en abril, junio y septiembre. Todos los accidentes fueron causados por serpientes Viperidae. Veinte (13,6 %) casos fueron leves, 90 (61,2 %), moderados, y 37 (25,2 %), graves. La mordedura fue m\u00e1s frecuente en los pies (45 casos). El 53,1 % recibi\u00f3 suero antiof\u00eddico antes de la hospitalizaci\u00f3n y en el 19,8 % de los pacientes se coloc\u00f3 un torniquete. La mediana de tiempo de llegada al hospital fue de 5 horas (rango: 1-192), y lo m\u00e1s frecuente fue entre 2 y 3 horas (41 casos). No se encontraron diferencias estad\u00edsticamente significativas seg\u00fan la gravedad del caso.Conclusiones. Se evidenci\u00f3 una gran prevalencia de mordeduras de serpientes en el norte de la regi\u00f3n amaz\u00f3nica-Ecuador, con mayor incidencia en la estaci\u00f3n lluviosa y todas causadas por Viperidae. Es importante resaltar la mortalidad nula. Las campa\u00f1as informativas sobre prevenci\u00f3n y primeros auxilios, como la desmotivaci\u00f3n del uso de torniquetes, ser\u00edan fundamentales para reducir los casos, especialmente, en los grupos vulnerables.<\/jats:p>","DOI":"10.7705\/biomedica.6587","type":"journal-article","created":{"date-parts":[[2023,4,27]],"date-time":"2023-04-27T15:34:40Z","timestamp":1682609680000},"page":"93-106","update-policy":"https:\/\/doi.org\/10.7705\/crossmark","source":"Crossref","is-referenced-by-count":4,"title":["Epidemiolog\u00eda y caracter\u00edsticas cl\u00ednicas de las mordeduras de serpientes venenosas en el norte de la Amazon\u00eda del Ecuador (2017-2021)","Epidemiology and clinical features of venomous snake bites in the Northern Amazon of Ecuador (2017-2021)"],"prefix":"10.7705","volume":"43","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-0286-0747","authenticated-orcid":false,"given":"Manuel","family":"Calvopi\u00f1a","sequence":"first","affiliation":[{"name":"One Health Research Group, Facultad de Medicina, Universidad de las Am\u00e9ricas, Quito, Ecuador"},{"name":"One Health Research Group, Facultad de Medicina, Universidad de las Am\u00e9ricas, Quito, Ecuador"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-7502-3758","authenticated-orcid":false,"given":"El\u00edas","family":"Guam\u00e1n-Charco","sequence":"additional","affiliation":[{"name":"One Health Research Group, Facultad de Medicina, Universidad de las Am\u00e9ricas, Quito, Ecuador; Centro de Salud Tipo A \u201cSanta Cecilia\u201d, Ministerio de Salud P\u00fablica, Nueva Loja, Sucumb\u00edos, Ecuador"},{"name":"One Health Research Group, Facultad de Medicina, Universidad de las Am\u00e9ricas, Quito, Ecuador; Centro de Salud Tipo A \u201cSanta Cecilia\u201d, Ministerio de Salud P\u00fablica, Nueva Loja, Sucumb\u00edos, Ecuador"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-8315-1119","authenticated-orcid":false,"given":"Karen","family":"Ram\u00edrez","sequence":"additional","affiliation":[{"name":"One Health Research Group, Facultad de Medicina, Universidad de las Am\u00e9ricas, Quito, Ecuador"},{"name":"One Health Research Group, Facultad de Medicina, Universidad de las Am\u00e9ricas, Quito, Ecuador"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-5710-2791","authenticated-orcid":false,"given":"Felipe","family":"D\u00e1valos","sequence":"additional","affiliation":[{"name":"One Health Research Group, Facultad de Medicina, Universidad de las Am\u00e9ricas, Quito, Ecuador"},{"name":"One Health Research Group, Facultad de Medicina, Universidad de las Am\u00e9ricas, Quito, Ecuador"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-2988-6672","authenticated-orcid":false,"given":"Paola","family":"Chiliquinga","sequence":"additional","affiliation":[{"name":"One Health Research Group, Facultad de Medicina, Universidad de las Am\u00e9ricas, Quito, Ecuador"},{"name":"One Health Research Group, Facultad de Medicina, Universidad de las Am\u00e9ricas, Quito, Ecuador"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-5646-0239","authenticated-orcid":false,"given":"Sergio","family":"Villa-Soxo","sequence":"additional","affiliation":[{"name":"Hospital General \u201cMarco Vinicio Iza\u201d, Ministerio de Salud P\u00fablica, Nueva Loja, Sucumb\u00edos, Ecuador"},{"name":"Hospital General \u201cMarco Vinicio Iza\u201d, Ministerio de Salud P\u00fablica, Nueva Loja, Sucumb\u00edos, Ecuador"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-5841-8288","authenticated-orcid":false,"given":"Ren\u00e9","family":"O\u00f1a-Vistin","sequence":"additional","affiliation":[{"name":"Hospital General \u201cMarco Vinicio Iza\u201d, Ministerio de Salud P\u00fablica, Nueva Loja, Sucumb\u00edos, Ecuador"},{"name":"Hospital General \u201cMarco Vinicio Iza\u201d, Ministerio de Salud P\u00fablica, Nueva Loja, Sucumb\u00edos, Ecuador"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-6762-6046","authenticated-orcid":false,"given":"Daniel","family":"Romero-\u00c1lvarez","sequence":"additional","affiliation":[{"name":"One Health Research Group, Facultad de Medicina, Universidad de las Am\u00e9ricas, Quito, Ecuador; Biodiversity Institute and Department of Ecology & Evolutionary Biology, University of Kansas, Lawrence, KS, USA"},{"name":"One Health Research Group, Facultad de Medicina, Universidad de las Am\u00e9ricas, Quito, Ecuador; Biodiversity Institute and Department of Ecology & Evolutionary Biology, University of Kansas, Lawrence, KS, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"4444","published-online":{"date-parts":[[2023,3,30]]},"reference":[{"key":"117880","unstructured":"World Health Organization. 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