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J. Venom. Anim. Toxins incl. Trop. Dis.

V.21, 2015.

Original paper - ISSN 1678-9199.

 

The epidemiology of scorpion stings in tropical areas of Kermanshah province, Iran, during 2008 and 2009

 
Alireza Khatony1, Alireza Abdi1, Tahereh Fatahpour2, Farhad Towhidi3 

1 School of Nursing and Midwifery, Kermanshah University of Medical Sciences, Kermanshah, Iran

2 Abolfazl Hospital of Ghasre-shirin, Kermanshah University of Medical Sciences, Kermanshah, Iran

3 Imam Reza Hospital, Kermanshah University of Medical Sciences, Kermanshah, Iran

 

ABSTRACT

 
Background

Scorpion stings are an acute health problem in tropical regions. Awareness of this problem is fundamental for establishing preventive interventions, thus prompting the present study to determine the scorpion-sting incidence in tropical areas of Kermanshah province during 2008 and 2009.

 
Methods

In a retrospective study, all records related to scorpion sting patients from the health centers of tropical areas of Kermanshah were studied by a census and checklist. Data were analyzed by the software SPSS-16 using descriptive and inferential tests.

 
Results

The incidence of scorpion stings was 334.37/100,000 inhabitants in 2008 and 339.07/100000 in 2009. Mean and standard deviation of age were 30.55 ± 16.99. Scorpion stings were more common in rural areas (59.6 %) and occurred more often in summer (52.9 %). Nearly 48 % of bites were to patients’ hands and 47.5 % of patients were injured between midnight and 6 a.m. While 92.9 % of patients had mild symptoms, scorpion antivenom was prescribed to 88.8 % of victims, 94.5 % of whom were discharged after outpatient treatment. The relationship between antivenom therapy and clinical symptoms was not significant.

 

Conclusions

Due to the relatively high incidence of scorpion stings in tropical areas of Kermanshah, it is recommended that the inhabitants be educated through the mass media about how to prevent the stings and apply preliminary treatment.

 

Key words: Scorpion stings; Epidemiology; Tropical climate; Kermanshah; Incidence

 

Abbreviations

KUMS: Kermanshah University of Medical Sciences

ANOVA: Analysis of variance

CI: Confidence interval

SD: Standard deviation

 

Received: April 9, 2015; Revised: October 28, 2015; Accepted: November 5, 2015

 

Corresponding author: Alireza Abdi  a_abdi61@yahoo.com

 

Competing interests

The authors declare that they have no competing interests.

 

Authors’ contributions

AK and AA designed the research plan; AA and TF collected and entered the data into SPSS software; AK and AA analyzed the data. The paper was written and revised by AK and AA. FT contributed in the revision of the final draft. All authors read and approved the final manuscript.