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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
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
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.
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.
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