<?xml version="1.0" encoding="ISO-8859-1"?><article xmlns:mml="http://www.w3.org/1998/Math/MathML" xmlns:xlink="http://www.w3.org/1999/xlink" xmlns:xsi="http://www.w3.org/2001/XMLSchema-instance">
<front>
<journal-meta>
<journal-id>2307-3349</journal-id>
<journal-title><![CDATA[Revista de salud publica del Paraguay]]></journal-title>
<abbrev-journal-title><![CDATA[Rev. salud publica Parag.]]></abbrev-journal-title>
<issn>2307-3349</issn>
<publisher>
<publisher-name><![CDATA[INSTITUTO NACIONAL DE SALUD - MSP Y BS]]></publisher-name>
</publisher>
</journal-meta>
<article-meta>
<article-id>S2307-33492018000200040</article-id>
<article-id pub-id-type="doi">10.18004/rspp.2018.diciembre.40-44</article-id>
<title-group>
<article-title xml:lang="es"><![CDATA[Accidentes ofídicos notificados al Programa Nacional de Control de Zoonosis y Centro Antirrábico Nacional, Paraguay (2015)]]></article-title>
<article-title xml:lang="en"><![CDATA[Ophidic related accidents notified to the National Program of Control of Zoonosis and National Anti-rabies Center, Paraguay (2015)]]></article-title>
</title-group>
<contrib-group>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Alonso]]></surname>
<given-names><![CDATA[A]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Vera]]></surname>
<given-names><![CDATA[R]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Silva]]></surname>
<given-names><![CDATA[EO]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Portillo]]></surname>
<given-names><![CDATA[C]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Miret]]></surname>
<given-names><![CDATA[J]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Canese]]></surname>
<given-names><![CDATA[J]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Ramos]]></surname>
<given-names><![CDATA[P]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
</contrib-group>
<aff id="Af1">
<institution><![CDATA[,Universidad Nacional de Asunción Facultad de Ciencias Médicas Cátedra de Microbiología]]></institution>
<addr-line><![CDATA[San Lorenzo ]]></addr-line>
<country>Paraguay</country>
</aff>
<aff id="Af2">
<institution><![CDATA[,Universidad de la Integración de las Américas (UNIDA)  ]]></institution>
<addr-line><![CDATA[Asunción ]]></addr-line>
<country>Paraguay</country>
</aff>
<aff id="Af3">
<institution><![CDATA[,Ministerio de Salud Pública y Bienestar Social Programa Nacional de Control de Zoonosis Centro Antirrábico Nacional]]></institution>
<addr-line><![CDATA[San Lorenzo ]]></addr-line>
<country>Paraguay</country>
</aff>
<pub-date pub-type="pub">
<day>00</day>
<month>12</month>
<year>2018</year>
</pub-date>
<pub-date pub-type="epub">
<day>00</day>
<month>12</month>
<year>2018</year>
</pub-date>
<volume>8</volume>
<numero>2</numero>
<fpage>40</fpage>
<lpage>44</lpage>
<copyright-statement/>
<copyright-year/>
<self-uri xlink:href="http://scielo.iics.una.py/scielo.php?script=sci_arttext&amp;pid=S2307-33492018000200040&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://scielo.iics.una.py/scielo.php?script=sci_abstract&amp;pid=S2307-33492018000200040&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://scielo.iics.una.py/scielo.php?script=sci_pdf&amp;pid=S2307-33492018000200040&amp;lng=en&amp;nrm=iso"></self-uri><abstract abstract-type="short" xml:lang="es"><p><![CDATA[RESUMEN  Introducción: Las picaduras de serpientes constituyen un grave problema de Salud Pública.  Objetivo: Describir los casos de mordeduras de serpientes notificados al Programa Nacional de Control de Zoonosis y Centro Antirrábico Nacional, Paraguay durante el año 2015.  Método: Estudio observacional, descriptivo, retrospectivo y de corte transversal. Los criterios de inclusión fueron toda persona que haya sido mordida por alguna serpiente y que haya sido notificado al Programa Nacional de Control de Zoonosis y Centro Antirrábico Nacional durante el año 2015. Tipo de muestreo no probabilístico.  Resultados: Fueron notificados 169 casos de mordeduras de serpientes. De acuerdo con las características sociodemográficas, la mayoría de los afectados fueron varones, con una edad promedio de 26,39 ±1.36. Los lugares más frecuentes donde ocurrieron los accidentes ofídicos fueron las chacras, y en el Departamento de San Pedro. En la mayoría de las mordeduras no se pudo identificar a la serpiente agresora, y cuando fueron identificadas, fueron las del genero Bothrops, las más frecuentes. En cuanto a la localización de las picaduras, fueron más frecuentes en los miembros inferiores, siendo necesario la hospitalización para el tratamiento. No se reportaron fallecidos.  Conclusión: En el año 2015 fueron notificados 169 casos, los departamentos con mayor prevalencia fueron San Pedro, Itapúa y Caazapá. El perfil del afectado es un varón con promedio de edad de 26 años, trabajador rural. Las serpientes del género Bothrops causaron el 32,5% de las mordeduras.]]></p></abstract>
<abstract abstract-type="short" xml:lang="en"><p><![CDATA[ABSTRACT  Introduction: Snake bites are a serious public health problem.  Objective: To describe the cases of snake bites reported to the National Zoonosis Control Program and National Anti-Rabies Center, Paraguay during 2015.  Method: Observational, descriptive, retrospective and cross-sectional study. The inclusion criteria were any person who has been bitten by a snake and it has been notified to the National Zoonosis Control Program and National Anti-Rabies Center during 2015. Type of non-probabilistic sampling.  Results: 169 cases of snake bites were reported. According to the sociodemographic characteristics, the majority of those affected were males, with an average age of 26.39 ± 1.36. The most frequent places where theophidic accidents occurred were the farms, and in the Department of San Pedro. In most of the bites the aggressor snake could not be identified, and when they were identified, they were those of the genus Bothrops, the most frequent. As for the location of the bites, they were more frequent in the lower limbs, requiring hospitalization for treatment. No deaths were reported.  Conclusion:  In the year 2015, 169 cases were notified, the departments with the highest prevalence were San Pedro, Itapua and Caazapá. The profile of the affected is a male with an average age of 26 years, a rural worker. The snakes of the genus Bothrops caused 32.5% of the bites.]]></p></abstract>
<kwd-group>
<kwd lng="es"><![CDATA[Mordeduras de serpiente]]></kwd>
<kwd lng="es"><![CDATA[Envenenamiento]]></kwd>
<kwd lng="es"><![CDATA[Epidemiología-]]></kwd>
<kwd lng="en"><![CDATA[Snake bites]]></kwd>
<kwd lng="en"><![CDATA[Poisoning]]></kwd>
<kwd lng="en"><![CDATA[Epidemiology]]></kwd>
</kwd-group>
</article-meta>
</front><back>
<ref-list>
<ref id="B1">
<label>1</label><nlm-citation citation-type="book">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Bernarde]]></surname>
<given-names><![CDATA[PS]]></given-names>
</name>
</person-group>
<source><![CDATA[Serpentes peçonhentas e acidentes ofídicos no Brasil]]></source>
<year>2014</year>
<publisher-loc><![CDATA[São Paulo ]]></publisher-loc>
<publisher-name><![CDATA[Anolis books]]></publisher-name>
</nlm-citation>
</ref>
<ref id="B2">
<label>2</label><nlm-citation citation-type="">
<collab>Organización Mundial de la Salud</collab>
<source><![CDATA[]]></source>
<year>2018</year>
</nlm-citation>
</ref>
<ref id="B3">
<label>3</label><nlm-citation citation-type="">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Uetz P]]></surname>
<given-names><![CDATA[JH]]></given-names>
</name>
<name>
<surname><![CDATA[Freed]]></surname>
<given-names><![CDATA[P]]></given-names>
</name>
</person-group>
<source><![CDATA[The Reptile Database]]></source>
<year>2018</year>
</nlm-citation>
</ref>
<ref id="B4">
<label>4</label><nlm-citation citation-type="">
<collab>FAUNA Paraguay</collab>
<source><![CDATA[]]></source>
<year>2018</year>
<publisher-loc><![CDATA[Asunción ]]></publisher-loc>
</nlm-citation>
</ref>
<ref id="B5">
<label>5</label><nlm-citation citation-type="book">
<collab>Instituto Butantan</collab>
<source><![CDATA[Animais venenosos: serpentes, anfíbios, aranhas, escorpiões e insetos]]></source>
<year>2013</year>
<publisher-loc><![CDATA[São Paulo ]]></publisher-loc>
<publisher-name><![CDATA[Instituto Butantan]]></publisher-name>
</nlm-citation>
</ref>
<ref id="B6">
<label>6</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Moreno]]></surname>
<given-names><![CDATA[C.]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[Epidemiologia clínica y laboral por mordeduras de serpientes en pacientes hospitalizados]]></article-title>
<source><![CDATA[Rev. Inst. Med. Trop]]></source>
<year>2011</year>
<page-range>23-7</page-range></nlm-citation>
</ref>
<ref id="B7">
<label>7</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Andrade]]></surname>
<given-names><![CDATA[JG]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[Estudo bacteriológico de abcessos causados por picada de serpentes do gênero Bothrops.]]></article-title>
<source><![CDATA[Rev. Inst. Med. Trop]]></source>
<year>1989</year>
<page-range>363-7</page-range></nlm-citation>
</ref>
<ref id="B8">
<label>8</label><nlm-citation citation-type="book">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Silva]]></surname>
<given-names><![CDATA[EO]]></given-names>
</name>
</person-group>
<source><![CDATA[Epidemiologia dos acidentes ofídicos ocorridos nos municipios pertencentes ao 7º Centro Regional de Saúde do Estado do Pará, Brasil (2011-2015)]]></source>
<year>2017</year>
<publisher-name><![CDATA[Universidad Columbia del Paraguay]]></publisher-name>
</nlm-citation>
</ref>
<ref id="B9">
<label>9</label><nlm-citation citation-type="">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Canese]]></surname>
<given-names><![CDATA[A]]></given-names>
</name>
<name>
<surname><![CDATA[Canese]]></surname>
<given-names><![CDATA[A]]></given-names>
</name>
</person-group>
<source><![CDATA[Manual de microbiología y parasitología médica]]></source>
<year>2012</year>
<edition>7</edition>
<publisher-loc><![CDATA[Asunción ]]></publisher-loc>
</nlm-citation>
</ref>
<ref id="B10">
<label>10</label><nlm-citation citation-type="">
<collab>Instituto de Medicina Tropical - Paraguay</collab>
<source><![CDATA[]]></source>
<year></year>
</nlm-citation>
</ref>
<ref id="B11">
<label>11</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Vera]]></surname>
<given-names><![CDATA[A]]></given-names>
</name>
<name>
<surname><![CDATA[Páez]]></surname>
<given-names><![CDATA[M]]></given-names>
</name>
<name>
<surname><![CDATA[Gamarra de Cáceres]]></surname>
<given-names><![CDATA[G.]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[Caracterización Epidemiológica de los accidentes ofídicos, Paraguay 2004]]></article-title>
<source><![CDATA[Mem. Inst. Investig. Cienc. Salud]]></source>
<year>2006</year>
<volume>4</volume>
</nlm-citation>
</ref>
<ref id="B12">
<label>12</label><nlm-citation citation-type="book">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Pardal]]></surname>
<given-names><![CDATA[PPO]]></given-names>
</name>
<name>
<surname><![CDATA[Gadelha]]></surname>
<given-names><![CDATA[MAC]]></given-names>
</name>
</person-group>
<source><![CDATA[Acidentes por animais peçonhentos: manual de rotinas Belém, PA]]></source>
<year>2010</year>
<publisher-name><![CDATA[SESPA: Secretaria de Estado de Saúde Pública do Pará]]></publisher-name>
</nlm-citation>
</ref>
<ref id="B13">
<label>13</label><nlm-citation citation-type="book">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Villamarín]]></surname>
<given-names><![CDATA[J.]]></given-names>
</name>
</person-group>
<source><![CDATA[Accidentes ofidios. Manifestación y Complicaciones clínicas en pacientes atendidos en el Hospital José María Velasco Ibarra Tena Agosto 2007- mayo 2009]]></source>
<year>2009</year>
<publisher-loc><![CDATA[Ecuador ]]></publisher-loc>
<publisher-name><![CDATA[Escuela Superior Politécnica de Chimborazo, Facultad de Salud Pública]]></publisher-name>
</nlm-citation>
</ref>
<ref id="B14">
<label>14</label><nlm-citation citation-type="book">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Santos]]></surname>
<given-names><![CDATA[MC]]></given-names>
</name>
<name>
<surname><![CDATA[Martins]]></surname>
<given-names><![CDATA[M]]></given-names>
</name>
<name>
<surname><![CDATA[Boechat]]></surname>
<given-names><![CDATA[AL]]></given-names>
</name>
<name>
<surname><![CDATA[de Sá Neto]]></surname>
<given-names><![CDATA[RP]]></given-names>
</name>
<name>
<surname><![CDATA[Oliveira]]></surname>
<given-names><![CDATA[ME]]></given-names>
</name>
</person-group>
<source><![CDATA[Serpentes de Interesse Médico da Amazônia: Biologia, Vevenos e Tratamento de Acidentes Manaus, AM]]></source>
<year>1995</year>
<publisher-name><![CDATA[Universidade do Amazonas]]></publisher-name>
</nlm-citation>
</ref>
<ref id="B15">
<label>15</label><nlm-citation citation-type="book">
<collab>Ministério da Saúde</collab>
<source><![CDATA[Guia de Vigilância em Saúde Brasília]]></source>
<year>2014</year>
<publisher-name><![CDATA[Secretaria de Vigilância em Saúde]]></publisher-name>
</nlm-citation>
</ref>
</ref-list>
</back>
</article>
