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dc.creatorHansson, Erik
dc.creatorSasa Marín, Mahmood
dc.creatorMattisson, Kristoffer
dc.creatorRobles Soto, Arodys
dc.creatorGutiérrez, José María
dc.date.accessioned2017-06-08T18:18:16Z
dc.date.available2017-06-08T18:18:16Z
dc.date.issued2013-01-31
dc.identifier.citationhttp://journals.plos.org/plosntds/article?id=10.1371/journal.pntd.0002009es_ES
dc.identifier.issn1935-2735
dc.identifier.urihttps://hdl.handle.net/10669/30068
dc.description.abstractINTRODUCTION: Snakebite accidents are an important health problem in rural areas of tropical countries worldwide, including Costa Rica, where most bites are caused by the pit-viper Bothrops asper. The treatment of these potentially fatal accidents is based on the timely administration of specific antivenom. In many regions of the world, insufficient health care systems and lack of antivenom in remote and poor areas where snakebites are common, means that efficient treatment is unavailable for many snakebite victims, leading to unnecessary mortality and morbidity. In this study, geographical information systems (GIS) were used to identify populations in Costa Rica with a need of improved access to antivenom treatment: those living in areas with a high risk of snakebites and long time to reach antivenom treatment. METHOD/PRINCIPAL FINDINGS: Populations living in areas with high risk of snakebites were identified using two approaches: one based on the district-level reported incidence, and another based on mapping environmental factors favoring B. asper presence. Time to reach treatment using ambulance was estimated using cost surface analysis, thereby enabling adjustment of transportation speed by road availability and quality, topography and land use. By mapping populations in high risk of snakebites and the estimated time to treatment, populations with need of improved treatment access were identified. CONCLUSION/SIGNIFICANCE: This study demonstrates the usefulness of GIS for improving treatment of snakebites. By mapping reported incidence, risk factors, location of existing treatment resources, and the time estimated to reach these for at-risk populations, rational allocation of treatment resources is facilitated.es_ES
dc.language.isoen_USes_ES
dc.sourcePLOS Neglected Tropical Diseases; Volumen 7, Número 1. 2013es_ES
dc.subjectAdolescentes_ES
dc.subjectAdultes_ES
dc.subjectAnimalses_ES
dc.subjectAntiveninses_ES
dc.subjectChild, Preschooles_ES
dc.subjectCosta Ricaes_ES
dc.subjectFemalees_ES
dc.subjectGeographic Information Systemses_ES
dc.subjectHumanses_ES
dc.subjectIncidencees_ES
dc.subjectMalees_ES
dc.subjectMiddle Agedes_ES
dc.subjectRisk Factorses_ES
dc.subjectSnake Biteses_ES
dc.subjectTopography, Medicales_ES
dc.subjectYoung Adultes_ES
dc.subjectSnake venomes_ES
dc.titleUsing Geographical Information Systems to Identify Populations in Need of Improved Accessibility to Antivenom Treatment for Snakebite Envenoming in Costa Ricaes_ES
dc.typeartículo científicoes_ES
dc.identifier.doi10.1371/journal.pntd.0002009
dc.description.procedenceUCR::Vicerrectoría de Investigación::Unidades de Investigación::Ciencias de la Salud::Instituto Clodomiro Picado (ICP)es_ES
dc.identifier.pmid23383352


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