Aspectos clínicos na abordagem terapêutica de acidentes provocados por animais peçonhentos do gênero Bothrops: revisão integrativa.

Abstract

Human occupation has been accompanied by major changes in ecosystems. One of the consequences is an increase in accidents by venomous snakes, featuring a large public health problem. Despite having a high frequency and high mortality this issue has been neglected. This study aims to identify the most suitable for accidents caused by Bothrops and how the patient's clinical treatment is approached from scientific productions. We opted for the method of integrative literature review, using descriptors snakebites, Bothrops jararaca, clinical treatment, ophidian accident, genus Bothropic and clinical treatment; the databases consulted were PubMed, LILACS and SciELo, from 1990 to August 2014. The results were obtained by selecting 06 items, through thorough, critical and reflective reading of the texts, then the organization of summary tables of data. Evidence was gathered and synthesized, pointing to a set of measurements in the initial approach to the victim, proper soroterápica standardization, rapid aid in victim care, monitoring of clinical and laboratory evolution and disuse of inappropriate measures such as use of the tourniquet, as measures determinants for a favorable prognosis of the event. The methodological designs of the studies analyzed were strong evidence for evidence- based practice. However, the findings can be questioned, since there streamline the reporting system and improve vocational training. However, the findings can be questioned, since there is low quality information in notification systems, pointing out the need to improve vocational training and assistance to victims.