Monitoring of patients suffering from snake bites in the Amazon state
State University of Amazonia(UEA)
Tropical Medicine Foundation Dr. Heitor Vieira Dourado –Department of Graduation of University of the State of Amazonas - Av. Pedro Teixeira, nº 25 - Dom Pedro CEP 69.040-000 - Manaus - Amazonas - Brasil
Cleinaldo de Almeida Costa
Jacqueline de Almeida Gonçalves Sachett
English, Portuguese, Spanish
4 weeks
Cities/Months Jan Feb Mar Apr May Jun Jul Augt Sep Oct Nov Dec
No No Yes Yes No No No No No No No No
Type of Research Project
- Clinical Project without Laboratory work
What is the background of the project?
The snake bites are common in the Amazon and it is a neglected public health problem. Thus, these accidents need to be understood and studied to improve the handling and more appropriate treatment. Moreover, it is known that the different species of snakes and their bites, because of the venom composition, cause different manifestations like pain, bleeding, nausea, vomiting, sweating, hypotension and in some cases even shock and death in the patients. In the Brazilian Amazon region the predominance is the Bothrops Atrox species, that still have gaps to respond.
What is the aim of the project?
To evaluate the clinical and laboratory signs of patients with snake bites in the state of Amazonas.
What techniques and methods are used?
Clinical evaluation of patients with suspicion of local and systemic signs of snake bites poisoning. Monitoring patients with laboratory tests, like hemogram, liver function, renal function, among others, during the hospitalization. Evaluation of complications from snake bites. Patients will be recruited at the admission and followed until hospital discharge.
What is the role of the student?
- The student will observe the practical experiments but will be highly involved in the analysis of the results
- The tasks will be done under supervision
What are the tasks expected to be accomplished by the student?
Medical record data collection in electronic and manual system. - Clinical evaluation of the patient - physical examination of lesion site and focus on the signs of poisoning like nausea, vomiting and hypotension. - Interview with the patient to collect the history of accidents and diseases, under supervision. - Filling of database with a statistical program. - Expose to the tutor all the important observations in each day of work; - The student should be able to follow graduate students in a broad discussion about the project;
Will there be any theoretical teaching provided (preliminary readings, lectures, courses, seminars etc)
Yes, preliminary readings. Chapter of “Venomous animals Manual of Infectious and Parasitic Diseases of the Ministry of Health”. Available in: itaria_guia_bolso.pdf
What is expected from the student at the end of the research exchange? What will be the general outcome of the student?
- The student will prepare a poster
- The student will have the opportunity to present the results together with the supervisor at a conference
What skills are required of the student? Is there any special knowledge or a certain level of studies needed?
Responsibility, Organization and Semiology techniques. Subjects passed: Semiology or equivalent  Previous experience with: anamnesis, physical examination and clinical skills
Are there any legal limitations in the student’s involvement
Unsupervised patient examinations and observation if the student does not know how to communicate with the patient in their local language, making it difficult to collect important information for the research.
Type of students accepted
This project accepts:
- Medical students
- Graduated students (less than 6 months)
- Pre-Medical students from the American-British system
- Students in biomedical fields
- Dental medicine students (IADS members)
- Feitosa E; Sampaio V; Salinas J; Queiroz A; da Silva I; Gomes A; et al. Older age and time to medical assistance are associated with severity and mortality of snakebites in the Brazilian Amazon: A Case- Control Study. PLoS One. 2015;10(7):1–15.
- Wen F; Monteiro W; Moura da Silva A; Tambourgi D; Mendonça da Silva I; Sampaio V; et al. Snakebites and Scorpion Stings in the Brazilian Amazon: Identifying Research Priorities for a Largely Neglected Problem. PLoS Negl Trop Dis [Internet]. 2015;9(5):1–11. Available from:
- Feitosa E; Sampaio V; Sachett J; Castro D; Noronha M; Lozano J; et al. Snakebites as a largely negleted problem in the Brazilian Amazon: highlights of the epidemiological trends in the State of Amazonas. Rev Soc Bras Med Trop. 2015;48(Suppl I):34–41.