EXOGENOUS INTOXICATION: VICTIMS’ EPIDEMIOLOGICALPROFILE IN THE EXTREME NORTH OF BRAZIL

Ano: 2018 | Volume: 2 | Número: Especial

Autores: Geovanna Ferreira Silva, Larissa Soares Cardoso, Kim Tavares Mesquita, Ramos, Juliana Larissa Lauriano Ramos, Raquel Pereira Lima

Palavras-chave: intoxication, exogenous intoxication,suicide

Resumo Inglês:

Introduction:Nervous pathophysiological changes by toxicagents are common in emergency services. Cases of exogenous intoxication should be suspected in pesticides exposure, drug use, household products, among others with characteristic clinical or laboratory alterations. The lethality associated with exogenous poisoning is, for instance, significant in suicide attempts. According to 2010 data from the National Toxic Information System, 17% of intoxications were associated with suicide attempts, one of the3 main causes of death among teenagers and adults, about 64% of deaths due medications and 70% related to pesticides.
Objectives:Characterize the epidemiological profile of exogenous intoxications in Roraima.
Methods:This is a retrospective, descriptive, quantitative ecological study that used theDATASUS health information system as the main data source.
Results and discussion:Data research was conducted from 2014 to 2017 with 1487 reported cases obtained, with an average of 31 cases/month. 2015 was the year with the lowest number, 276 cases, and 2016 with the highest, 481 cases. About 60%of the cases were confirmed by clinical criteria (66.9%). Only in 2016 the laboratory clinical criteria was preeminent, and from the 125 confirmed cases during 2014to 2017, 113 belonged to 2016. Regarding gender, there was a female predominance with 52.7% and concerningethnicity the mestizos were more affected (63 , 8%), followedby indigenous (13.1%). However, of the 195 reported cases in the indigenous population, 184 were restricted to 2016. The most affected age groups were 1 to 9 years (40.9%), followed by 20 to 59 years (35%). Regarding toxic agents, despite differences according to the year, the drugs were expressive during the 4 years, except in 2015 when food stood out. Regarding intoxication circumstances, accidents andsuicides were the main causes, respectively, in all years, except in 2017, when food intake exceeded the rates of self-extermination.
Conclusion: The quantitative fluctuation of notification between theyears analyzed may demonstrate underreporting by those responsible. For example, there is a significant increase in indigenous cases in 2016, with assessments of underreporting being required. Thus, it was possible to identify the main variables related to thedisease, providing information and subsidies for control decisions in Roraima