Abstract

FLORENCIANO, Alcide; BRITEZ, Lilian; MARTINEZ, Alicia  and  TOFFOLETTI, Paola. Evaluation of the response capacity and logistical management of antivenoms in the face of poisonous accidents in the health network of the Central Department, period 2025. Rev. Inst. Med. Trop. [online]. 2026, vol.21, n.1, pp.17-23.  Epub June 30, 2026. ISSN 1996-3696.  https://doi.org/10.18004/imt/2026.21.1.17.

Introduction: The optimization of the healthcare response to venomous animal accidents in the Central Department depends on an antivenom distribution logistics system capable of meeting actual epidemiological demand. Management of these critical supplies is vital to reduce morbidity and mortality, particularly in areas with increasing urban pressure. Objective: To evaluate the efficiency of resource management and the response capacity of the XI Health Region's care network regarding venomous accidents recorded during 2025. Methodology: An observational, descriptive, and retrospective design was applied with a focus on health management. Official antivenom stock records and the location of reference centers were analyzed in relation to patient origin (Weeks 1 to 47). The study focuses on identifying geographical and temporal gaps in biological supply. Results: 126 records were analyzed, with scorpion stings accounting for 56.3% of cases, followed by snakebites (34.9%). The overall mean response time was 2.4 hours, with an institutional time to administer the biological agent of only 0.6 hours. The National Hospital of Itauguá served as the main logistics hub, handling 31% of cases, while districts such as Capiatá and Luque demonstrated effective decentralization with high local capacity for resolving cases. Conclusion: The healthcare network of the XI Health Region exhibits efficient logistics management, achieving a zero mortality rate thanks to the strategic availability of stock in the most densely populated areas.

Keywords : Health Management; Public Health; Sanitary Logistics; Paraguay; Antivenoms.

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