Evidence map›Paper›PMID 35737037›Full record

ArticleToxins2022

Validation of a Culturally Relevant Snakebite Envenomation Clinical Practice Guideline in Brazil.

Gisele Dos Santos Rocha, Altair Seabra Farias, João Arthur Alcântara, Vinícius Azevedo Machado, Felipe Murta, Fernando Val, Joseir Saturnino Cristino, Alícia Cacau Santos, Mena Bianca Ferreira, Leonardo Marques and 16 more

Open access · goldAbstract read
In one paragraph

Article in Toxins, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 20 papers.

0numbers the graph read from it
0cells of the map it votes in
20citing papers in PubMed
3.7field-weighted citation impact, top 6% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

20 citing papers in PubMed, 20 citations in OpenAlex.

  1. Article
  2. Article
  3. Article
  4. Snakebite Envenomations In The Brazilian Amazon: A Little Less Neglected.Revista da Sociedade Brasileira de Medicina Tropical · 2026
    Review
  5. Clinical characteristics and long-term disabilities in children followingThe journal of venomous animals and toxins including tropical diseases · 2026
    Article
  6. Article
  7. Treatment and treatment outcomes of snakebite envenoming in Uganda: a retrospective analysis.Transactions of the Royal Society of Tropical Medicine and Hygiene · 2025
    Article
  8. Article
  9. Review
  10. SERPENT-Brasil: a technological tool for snakebite management.Revista panamericana de salud publica = Pan American journal of public health · 2025
    Article
  11. Article
  12. Review
  13. Article
  14. Article
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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

26 authors at 4 institutions in 2 countries.

Gisele Dos Santos RochaEscola Superior de Ciências da Saúde, Universidade do Estado do Amazonas, Manaus 69065-001, Brazil.ORCID 0000-0002-8047-3005
Altair Seabra FariasEscola Superior de Ciências da Saúde, Universidade do Estado do Amazonas, Manaus 69065-001, Brazil.
João Arthur AlcântaraEscola Superior de Ciências da Saúde, Universidade do Estado do Amazonas, Manaus 69065-001, Brazil.ORCID 0000-0001-7765-7391
Vinícius Azevedo MachadoEscola Superior de Ciências da Saúde, Universidade do Estado do Amazonas, Manaus 69065-001, Brazil.
Felipe MurtaEscola Superior de Ciências da Saúde, Universidade do Estado do Amazonas, Manaus 69065-001, Brazil.
Fernando ValEscola Superior de Ciências da Saúde, Universidade do Estado do Amazonas, Manaus 69065-001, Brazil.ORCID 0000-0001-9995-0249
Joseir Saturnino CristinoEscola Superior de Ciências da Saúde, Universidade do Estado do Amazonas, Manaus 69065-001, Brazil.
Alícia Cacau SantosEscola Superior de Ciências da Saúde, Universidade do Estado do Amazonas, Manaus 69065-001, Brazil.
Mena Bianca FerreiraEscola Superior de Ciências da Saúde, Universidade do Estado do Amazonas, Manaus 69065-001, Brazil.
Leonardo MarquesEscola Superior de Ciências da Saúde, Universidade do Estado do Amazonas, Manaus 69065-001, Brazil.ORCID 0000-0002-6739-2315
Yasmim Vieira RochaEscola Superior de Ciências da Saúde, Universidade do Estado do Amazonas, Manaus 69065-001, Brazil.
André SachettEscola Superior de Ciências da Saúde, Universidade do Estado do Amazonas, Manaus 69065-001, Brazil.ORCID 0000-0001-6078-4941
Mailma Costa AlmeidaEscola Superior de Ciências da Saúde, Universidade do Estado do Amazonas, Manaus 69065-001, Brazil.
Aline AlencarEscola Superior de Ciências da Saúde, Universidade do Estado do Amazonas, Manaus 69065-001, Brazil.
Lisele BrasileiroEscola Superior de Ciências da Saúde, Universidade do Estado do Amazonas, Manaus 69065-001, Brazil.
Érica da Silva CarvalhoEscola Superior de Ciências da Saúde, Universidade do Estado do Amazonas, Manaus 69065-001, Brazil.
Pedro Ferreira BisnetoEscola Superior de Ciências da Saúde, Universidade do Estado do Amazonas, Manaus 69065-001, Brazil.
Marcus LacerdaEscola Superior de Ciências da Saúde, Universidade do Estado do Amazonas, Manaus 69065-001, Brazil.
Anna TupetzDivision of Emergency Medicine, Duke University School of Medicine, Durham, NC 27708, USA.
Catherine A StatonDivision of Emergency Medicine, Duke University School of Medicine, Durham, NC 27708, USA.
João R N VissociDivision of Emergency Medicine, Duke University School of Medicine, Durham, NC 27708, USA.
Elizabeth TeixeiraEscola Superior de Ciências da Saúde, Universidade do Estado do Amazonas, Manaus 69065-001, Brazil.
Charles J GerardoDivision of Emergency Medicine, Duke University School of Medicine, Durham, NC 27708, USA.
Fan Hui WenInstituto Butantan, São Paulo 05503-900, Brazil.ORCID 0000-0002-8191-559X
Jacqueline SachettEscola Superior de Ciências da Saúde, Universidade do Estado do Amazonas, Manaus 69065-001, Brazil.ORCID 0000-0001-5723-9977
Wuelton MonteiroEscola Superior de Ciências da Saúde, Universidade do Estado do Amazonas, Manaus 69065-001, Brazil.ORCID 0000-0002-0848-1940
Fundação de Medicina Tropical · BRDuke University · USEscola Superior de Ciências da Saúde · BRInstituto Butantan · BR

Funding

Using community health centers to mitigate the impact of snakebite envenoming in low resource areasR21TW011944 · FIC · DUKE UNIVERSITY · PI GERARDO, CHARLES JOHN · 2021 to 2022
$534k
FIC NIH HHS R21 TW011944NIH HHS Award Number R21TW011944
6 · The paper itself

Abstract

Snakebite envenoming (SBE) is a neglected tropical disease with significant global morbidity and mortality. Even when antivenom is available in low-resource areas, health workers do not receive adequate training to manage SBEs. This study aims to develop and validate a clinical practice guideline (CPG) for SBE management across Brazil. A panel of expert judges with academic and/or technical expertise in SBE management performed content validation. The content validity index (CVI) score was 90% for CPG objectives, 89% for structure and presentation and 92% for relevance and classified the CPG as valid. A semantic validation was performed by analyzing focus group discussions with doctors and nurses from three municipalities of the Brazilian Amazon, after a 5-day meeting during which the CPG was presented. Two central themes emerged: knowledge acquired during the meeting and recommendations for improving the CPG. Based on these results, the CPG was revised into a final version. This study presents the successful development and validation process of a CPG for SBE management, which is targeted to a specific low-resource, high-burden setting. This development and validation process can be adapted to other settings and/or other neglected tropical diseases.

Indexed as

Snake BitesAntiveninsBrazilHealth PersonnelHumansPractice Guidelines as TopicAntiveninsantivenomclinical practice guidelinehealth educationsnakebitevalidation

Identifiers

PMID35737037
PMCPMC9229773
OpenAlexW4281938163

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.