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Dettagli Bibliografici
Autore principale:	María Esther Pedrozo
Natura:	Artículo científico
Lingua:	es
Pubblicazione:	Instituto Nacional de Salud 2017
Soggetti:	Medicina vómitos Paraguay Plaguicidas informes de casos contaminación del agua
Accesso online:	https://www.redalyc.org/articulo.oa?id=84350981005 https://www.redalyc.org/journal/843/84350981005/ https://www.redalyc.org/journal/843/84350981005/html/ https://www.redalyc.org/journal/843/84350981005/84350981005.epub https://www.redalyc.org/journal/843/84350981005/movil
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Casos de intoxicación aguda por plaguicidas en la colonia Puerto Pirapó, Itapúa, Paraguay, febrero de 2014 María Esther Pedrozo Sandra Ocampos Rosa Galeano Andrea Ojeda Agueda Cabello Dalva De Assis Medicina vómitos Paraguay Plaguicidas informes de casos contaminación del agua En Paraguay, los plaguicidas, principalmente los compuestos organofosforados, son el agente causal del 13,7 % de las intoxicaciones reportadas. Las intoxicaciones con estos compuestos inhiben la enzima acetilcolinesterasa y pueden generar tres cuadros clínicos: la intoxicación aguda, el síndrome intermedio y una neurotoxicidad tardía. Se presentan 15 casos de intoxicación aguda en diez mujeres y cinco hombres entre los 5 y los 67 años de edad, procedentes de una comunidad rural, cuyos síntomas se iniciaron después de haber utilizado el agua contaminada con plaguicidas de la red comunitaria. Los síntomas más frecuentes fueron náuseas y vómito, seguidos de dolor abdominal, cefalea, fiebre, prurito, hiperemia conjuntival y sudoración. En cinco de los pacientes se hizo el hemograma y se midieron los valores de las funciones renal y hepática, así como de la colinesterasa sérica, con resultados dentro de los valores de referencia; solo uno de los afectados presentó alteración de las enzimas hepáticas. En dos muestras de agua de la red comunitaria, se detectó un compuesto organofosforado cuyo ingrediente activo era el profenofos. Es fundamental que el personal de atención primaria en salud, sobre todo en las zonas rurales, sea capaz de detectar los casos de intoxicaciones agudas por plaguicidas de manera oportuna, con el fin de brindar el tratamiento adecuado. Además, es necesario que las instituciones responsables supervisen el cumplimiento de las leyes ambientales en estas zonas, con el fin de evitar este tipo de incidentes. 2017 artículo científico 0120-4157 https://www.redalyc.org/articulo.oa?id=84350981005 https://www.redalyc.org/journal/843/84350981005/ https://www.redalyc.org/journal/843/84350981005/html/ https://www.redalyc.org/journal/843/84350981005/84350981005.epub https://www.redalyc.org/journal/843/84350981005/movil es http://www.redalyc.org/revista.oa?id=843 Biomédica application/pdf Instituto Nacional de Salud Biomédica (Colombia) Num.2 Vol.37

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