Validation of a Culturally Relevant Snakebite Envenomation Clinical Practice Guideline in Brazil

Author:

Rocha Gisele dos SantosORCID,Farias Altair Seabra,Alcântara João ArthurORCID,Machado Vinícius Azevedo,Murta Felipe,Val FernandoORCID,Cristino Joseir Saturnino,Santos Alícia Cacau,Ferreira Mena Bianca,Marques LeonardoORCID,Rocha Yasmim Vieira,Sachett AndréORCID,Almeida Mailma Costa,Alencar Aline,Brasileiro Lisele,Carvalho Érica da Silva,Bisneto Pedro Ferreira,Lacerda Marcus,Tupetz Anna,Staton Catherine A.,Vissoci João R.N.,Teixeira Elizabeth,Gerardo Charles J.,Wen Fan HuiORCID,Sachett JacquelineORCID,Monteiro WueltonORCID

Abstract

Snakebite envenoming (SBE) is a neglected tropical disease with significant global morbidity and mortality. Even when antivenom is available in low-resource areas, health workers do not receive adequate training to manage SBEs. This study aims to develop and validate a clinical practice guideline (CPG) for SBE management across Brazil. A panel of expert judges with academic and/or technical expertise in SBE management performed content validation. The content validity index (CVI) score was 90% for CPG objectives, 89% for structure and presentation and 92% for relevance and classified the CPG as valid. A semantic validation was performed by analyzing focus group discussions with doctors and nurses from three municipalities of the Brazilian Amazon, after a 5-day meeting during which the CPG was presented. Two central themes emerged: knowledge acquired during the meeting and recommendations for improving the CPG. Based on these results, the CPG was revised into a final version. This study presents the successful development and validation process of a CPG for SBE management, which is targeted to a specific low-resource, high-burden setting. This development and validation process can be adapted to other settings and/or other neglected tropical diseases.

Publisher

MDPI AG

Subject

Health, Toxicology and Mutagenesis,Toxicology

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