Efficacy of the 20-minute whole blood clotting test (WBCT20) in the diagnosis of coagulation alteration related to snakebites in a Western Brazilian Amazon hospital

Abstract Introduction: The efficacy of 20-minute whole blood clotting (WBCT20) and the Lee-White clotting time (LWCT) tests in diagnosing coagulation alterations from snakebites were compared. Methods: We evaluated 89 snakebite cases treated at the Hospital Regional do Juruá em Cruzeiro do Sul, Ac...

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Main Authors: Tamires Nascimento da Costa, Ageane Mota da Silva, Rodrigo Medeiros de Souza, Wuelton Marcelo Monteiro, Paulo Sérgio Bernarde
Format: Article
Language:English
Published: Sociedade Brasileira de Medicina Tropical (SBMT) 2021-06-01
Series:Revista da Sociedade Brasileira de Medicina Tropical
Subjects:
Online Access:http://www.scielo.br/scielo.php?script=sci_arttext&pid=S0037-86822021000100640&tlng=en
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author Tamires Nascimento da Costa
Ageane Mota da Silva
Rodrigo Medeiros de Souza
Wuelton Marcelo Monteiro
Paulo Sérgio Bernarde
author_facet Tamires Nascimento da Costa
Ageane Mota da Silva
Rodrigo Medeiros de Souza
Wuelton Marcelo Monteiro
Paulo Sérgio Bernarde
author_sort Tamires Nascimento da Costa
collection DOAJ
description Abstract Introduction: The efficacy of 20-minute whole blood clotting (WBCT20) and the Lee-White clotting time (LWCT) tests in diagnosing coagulation alterations from snakebites were compared. Methods: We evaluated 89 snakebite cases treated at the Hospital Regional do Juruá em Cruzeiro do Sul, Acre, Brazil. Results: WBCT20 results were normal in 33.7% and unclottable in 66.3% of cases, while LWCT results were normal in 23.6% and altered (prolonged or unclottable) in 76.4% of cases, with no significant differences. Conclusions: The WBCT20 is important for rapidly diagnosing coagulation alterations from snakebites. Furthermore, it is efficient, inexpensive, and can be deployed in isolated hospitals.
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spelling doaj.art-0912a56f3aea44a6a456e86b986c3c872022-12-22T03:28:54ZengSociedade Brasileira de Medicina Tropical (SBMT)Revista da Sociedade Brasileira de Medicina Tropical1678-98492021-06-015410.1590/0037-8682-0091-2021Efficacy of the 20-minute whole blood clotting test (WBCT20) in the diagnosis of coagulation alteration related to snakebites in a Western Brazilian Amazon hospitalTamires Nascimento da Costahttps://orcid.org/0000-0001-7979-3872Ageane Mota da Silvahttps://orcid.org/0000-0002-3234-4663Rodrigo Medeiros de Souzahttps://orcid.org/0000-0002-7775-6901Wuelton Marcelo Monteirohttps://orcid.org/0000-0002-0848-1940Paulo Sérgio Bernardehttps://orcid.org/0000-0002-2191-7817Abstract Introduction: The efficacy of 20-minute whole blood clotting (WBCT20) and the Lee-White clotting time (LWCT) tests in diagnosing coagulation alterations from snakebites were compared. Methods: We evaluated 89 snakebite cases treated at the Hospital Regional do Juruá em Cruzeiro do Sul, Acre, Brazil. Results: WBCT20 results were normal in 33.7% and unclottable in 66.3% of cases, while LWCT results were normal in 23.6% and altered (prolonged or unclottable) in 76.4% of cases, with no significant differences. Conclusions: The WBCT20 is important for rapidly diagnosing coagulation alterations from snakebites. Furthermore, it is efficient, inexpensive, and can be deployed in isolated hospitals.http://www.scielo.br/scielo.php?script=sci_arttext&pid=S0037-86822021000100640&tlng=enSnake bitesBlood coagulation testsVenomsBothrops
spellingShingle Tamires Nascimento da Costa
Ageane Mota da Silva
Rodrigo Medeiros de Souza
Wuelton Marcelo Monteiro
Paulo Sérgio Bernarde
Efficacy of the 20-minute whole blood clotting test (WBCT20) in the diagnosis of coagulation alteration related to snakebites in a Western Brazilian Amazon hospital
Revista da Sociedade Brasileira de Medicina Tropical
Snake bites
Blood coagulation tests
Venoms
Bothrops
title Efficacy of the 20-minute whole blood clotting test (WBCT20) in the diagnosis of coagulation alteration related to snakebites in a Western Brazilian Amazon hospital
title_full Efficacy of the 20-minute whole blood clotting test (WBCT20) in the diagnosis of coagulation alteration related to snakebites in a Western Brazilian Amazon hospital
title_fullStr Efficacy of the 20-minute whole blood clotting test (WBCT20) in the diagnosis of coagulation alteration related to snakebites in a Western Brazilian Amazon hospital
title_full_unstemmed Efficacy of the 20-minute whole blood clotting test (WBCT20) in the diagnosis of coagulation alteration related to snakebites in a Western Brazilian Amazon hospital
title_short Efficacy of the 20-minute whole blood clotting test (WBCT20) in the diagnosis of coagulation alteration related to snakebites in a Western Brazilian Amazon hospital
title_sort efficacy of the 20 minute whole blood clotting test wbct20 in the diagnosis of coagulation alteration related to snakebites in a western brazilian amazon hospital
topic Snake bites
Blood coagulation tests
Venoms
Bothrops
url http://www.scielo.br/scielo.php?script=sci_arttext&pid=S0037-86822021000100640&tlng=en
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