Examinando por Autor "Minchala Avecicha, José Andrés"
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- ÍtemAcceso AbiertoManejo clínico y abordaje terapéutico de la mordedura de serpiente en pacientes de edad avanzada(Universidad Católica de Cuenca., 2024) Minchala Avecicha, José Andrés; Arias Peláez, María Cristina; 0302163738Snakebites are common in tropical areas, affecting people of all ages, with elderly individuals being particularly at risk. Effective clinical management involves continuous monitoring and follow-up, as the prognosis for recovery depends on the patient's clinical condition. Objective: To describe the clinical management and therapeutic approach to snakebites in elderly patients. Methodology: This research is a descriptive and qualitative literature review. A comprehensive search was conducted on Elsevier, PubMed, UpToDate, Google Scholar, SciELO, ScienceDirect, Oxford Academy, and Research Gate databases. The 30 most relevant scientific articles published in the last five years, according to the eligibility criteria, were selected using the PRISMA 2020 guidelines. Results: Among the 30 selected papers, 90% of snakebites were caused by the Vipiridae family. The first-line treatment in 70% of cases involved antivenom serum, while 60% did not recommend prophylactic antibiotics. Conclusions: The physical examination is fundamental to distinguish the type of accident presented by the patient and the stage in which it is due to the effect of the venom of the Vipiridae family. The first choice treatment is based on using antiphonic serum, analgesia with Paracetamol, and avoiding prophylactic antibiotics. Keywords: snake bite, ophidian accident, treatment, management