Evidence map›Paper›PMID 36795080›Full record

ReviewJournal of tropical pediatrics2023

Snakebite envenoming in Brazilian children: clinical aspects, management and outcomes.

Isadora S Oliveira, Manuela B Pucca, Felipe A Cerni, Samuel Vieira, Jacqueline Sachett, Altair Seabra de Farias, Marcus Lacerda, Felipe Murta, Djane Baia-da-Silva, Thiago Augusto Hernandes Rocha and 8 more

Open access · greenAbstract readReview
In one paragraph

Review in Journal of tropical pediatrics, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 12 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
12citing papers in PubMed, 2 pooled it
4.1field-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

12 citing papers in PubMed, 2 syntheses or guidelines pooled it, 13 citations in OpenAlex.

  1. Pooled it
  2. Pooled it
  3. Clinical characteristics and long-term disabilities in children followingThe journal of venomous animals and toxins including tropical diseases · 2026
    Article
  4. Article
  5. Toxins · 2025
    Article
  6. Vipera Snakebite in Children: A Focus on Europe.Children (Basel, Switzerland) · 2025
    Review
  7. Review
  8. Article
  9. Review
  10. Factors associated with mortality after snakebite envenoming in children: a scoping review.Transactions of the Royal Society of Tropical Medicine and Hygiene · 2023
    Article
  11. Article
  12. Article
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

18 authors at 11 institutions in 4 countries.

Isadora S OliveiraDepartment of BioMolecular Sciences, School of Pharmaceutical Sciences of Ribeirão Preto, University of São Paulo, São Paulo 14040-903, Brazil.
Manuela B PuccaMedical School, Federal University of Roraima, Boa Vista, Roraima 69310-000, Brazil.
Felipe A CerniHealth Sciences Postgraduate Program, Federal University of Roraima, Boa Vista, Roraima 69310-000, Brazil.
Samuel VieiraMedical School, Federal University of Roraima, Boa Vista, Roraima 69310-000, Brazil.
Jacqueline SachettSchool of Health Sciences, Amazonas State University, Manaus, Amazonas 69065-001, Brazil.
Altair Seabra de FariasSchool of Health Sciences, Amazonas State University, Manaus, Amazonas 69065-001, Brazil.
Marcus LacerdaInstituto Leônidas & Maria Deane, Fiocruz Amazônia, Manaus, Amazonas 69040-000, Brazil.ORCID 0000-0003-3374-9985
Felipe MurtaDepartment of Teaching and Research, Dr. Heitor Vieira Dourado Tropical Medicine Foundation, Manaus, Amazonas 69040-000, Brazil.
Djane Baia-da-SilvaSchool of Health Sciences, Amazonas State University, Manaus, Amazonas 69065-001, Brazil.
Thiago Augusto Hernandes RochaDuke Global Health Institute, Duke University, Durham, NC, USA.
Lincoln Luís SilvaGraduate Program in Biosciences and Physiopathology, State University of Maringá, Paraná, Brazil.
Quique BassatISGlobal, Hospital Clínic - Universitat de Barcelona, Barcelona, Spain.ORCID 0000-0003-0875-7596
João Ricardo Nickenig VissociDuke Global Health Institute, Duke University, Durham, NC, USA.
Charles J GerardoDuke Global Health Institute, Duke University, Durham, NC, USA.
Vanderson Souza SampaioSchool of Health Sciences, Amazonas State University, Manaus, Amazonas 69065-001, Brazil.
Fan Hui WenInstituto Butantan, São Paulo, Brazil.
Paulo S BernardeLaboratório de Herpetologia, Campus Floresta, Federal University of Acre, Cruzeiro do Sul CEP, Acre, Brazil.
Wuelton M MonteiroSchool of Health Sciences, Amazonas State University, Manaus, Amazonas 69065-001, Brazil.ORCID 0000-0002-0848-1940
Fundação de Medicina Tropical · BRUniversidade Estadual de Maringá · BRUniversidade Federal de Roraima · BRDermatology Foundation · USDuke University · USInstitució Catalana de Recerca i Estudis Avançats · ESInstituto Butantan · BRInstituto Nacional de Pesquisas da Amazônia · BRUniversidade de São Paulo · BRUniversidade do Estado do Amazonas · BRUniversidade Federal do Acre · 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 TW011944
6 · The paper itself

Abstract

Snakebite envenoming is currently considered a neglected tropical disease, which affects over 5 million people worldwide, and causes almost 150 000 deaths every year, as well as severe injuries, amputations and other sequelae. Snakebite envenoming in children, although proportionally less frequent, is generally more severe, and represents an important challenge for pediatric medicine, since they often result in worse outcomes. In Brazil, given its ecological, geographic and socioeconomic characteristics, snakebites are considered an important health problem, presenting approximately 30 000 victims per year, approximately 15% of them in children. Even with low snakebite incidence, children tend to have higher snakebite severity and complications due to the small body mass and same venom volume inoculated in comparison to adults, even though, due to the lack of epidemiological information about pediatric snakebites and induced injuries, it is difficult to measure the treatment effectiveness, outcomes and quality of emergency medical services for snakebites in children. In this review, we report how Brazilian children are affected by snakebites, describing the characteristics of this affected population, clinical aspects, management, outcomes and main challenges.

Indexed as

Emergency Medical ServicesSnake BitesAdultBrazilChildHumansIncidenceNeglected DiseasesSocioeconomic Factorschilddisabilitiesenvenomationinfantssnakebitevenom

Identifiers

PMID36795080
PMCPMC11494231
OpenAlexW4321004719

What OpenQuestion holds

Textmetadata
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.