Prevalência de injúria renal aguda (IRA) em pacientes vítimas de acidente ofídico em um hospital de referência no Amazonas

Abstract

To assess the prevalence of ARI in patients who were victims of snakebites treated at a referral hospital in Amazonas. Method: This is an epidemiological, retrospective, descriptive study linked to the doctoral research entitled “EVALUATION OF THE USE OF LOW-INTENSITY LASER ON LOCAL CHANGES IN PATIENTS BITED BY SNAKES OF THE GENUS BOTHROPS IN THE BRAZILIAN AMAZON: A CONTROLLED AND RANDOMIZED CLINICAL TRIAL”, carried out using the database of the larger study, where sociodemographic and clinical data were collected from 60 patients, organized in a Microsoft Excel 2016 spreadsheet and analyzed according to the values ​​of the Acute Kidney Injury Network (AKIN). Results: It was observed that 18% of the patients presented with AKI upon admission, of which 81% were classified as stage 1, 9% stage 2 and 9% stage 3, according to the AKIN values, with a hospital stay, in the majority, greater than 15 days, with no deaths; in addition, 82% of the patients were male, with the majority being over 40 years old, 55% came from rural areas and 82% classified as having a moderate accident at the time of admission. Conclusion: This research showed the importance of monitoring laboratory tests, especially creatinine in cases of Bothrops accident, since AKI is a delicate systemic reaction and one of the possible consequences of poisoning, presenting a considerable number of patients who presented this complication.