Demographics of Scorpion Sting in Iran; a Cross Sectional Study
Archives of Academic Emergency Medicine,
Vol. 5 No. 1 (2017),
1 January 2017
,
Page e77
https://doi.org/10.22037/aaem.v5i1.202
Abstract
Introduction:Â Scorpion sting is an important public health problem in some countries, including Iran. This study aimed to describe the demographics of a large number of these victims in some endemic areas of Iran.
Methods:Â This cross-sectional study evaluated baseline characteristics, clinical findings, management, and disposition of scorpion stung cases in 26 cities of 4 provinces in the southwest quarter of Iran, during one year.
 Results: 3008 cases of scorpion sting with mean age of 27.07 ± 16.58 years were studied (51.3% female). The mean time from sting to hospital was 1.89 ± 1.04 hours. No first aid measures had been taken in 96.6% of cases. Lower (39.5%) and upper (35.7%) extremities were stung most frequently. Midnight to 6:00 am was the period of time most of stings occurred (34.2%). Local pain (77.2%) and erythema (63.5) were among the most common signs and symptoms. 2026 (67.3%) victims had been discharged; 326 (10.8%) were admitted or referred to other hospitals and 5 (0.2%) cases died.
Conclusion:Â It seems that demographic characteristics of scorpion sting in Iran are not so different from those reported from other sites of the world, as signs and symptoms of local and systemic envenomations. Victims, companions, and healthcare providers perform many futile and maybe harmful measures and there is a need to educate all about all of these details.
- Iran
- scorpion stings
- epidemiologic studies
- emergency service
- hospital
How to Cite
References
Chippaux J-P, Goyffon M. Epidemiology of scorpionism: a global appraisal. Acta tropica. 2008;107(2):71-9.
Rafizadeh S, Rafinejad J, Rassi Y. Epidemiology of scorpionism in Iran during 2009. Journal of arthropod-borne diseases. 2013;7(1):66.
Sedaghat M, SALEHI MA, Dehghani R. Mapping the distribution of some important scorpions collected in the past five decades in Iran. Annals of military and health sciences research 2012;9(4):285-96.
Jalali A, Rahim F. Epidemiological Review of Scorpion Envenomation in Iran. Iran J Pharm Res. 2014;13(3):743-56.
Kovarik F. Results of the Czech Biological Expedition to Iran. Part 2, Arachnida: scorpiones, with description of Iranobuthus krali gen. n. et sp. n. and Hottentotta zagrosensis sp. n.(Buthidae). Acta Soc Zool Bohem. 1997;61(12):39-52.
Nejati J, Mozafari E, Saghafipour A, Kiyani M. Scorpion fauna and epidemiological aspects of scorpionism in southeastern Iran. Asian Pac J Trop Biomed. 2014;4:S217-S21.
Manouchehrifar M, Khosravi S, Khavanin A, Derakhshandeh N. Report of 267 Cases of Scorpion Bite Referring to an Emergency Department during One Year. Emergency (Tehran, Iran). 2013;1(1):24-6.
Mozaffari E, Sedaghat MM, Dehkordi AS, Akbarzadeh K. Bidiversity and species composition of scorpions (Arachnida, Scorpiones) in Ilam County, Iran. J Appl Sci Res. 2013;9(9):5412-8.
Sari A, Hosseinie S. History of study and checklist of the scorpion fauna (Arachnida: Scorpiones) of Iran. Progress in Biological Sciences. 2011;1(2):16-23.
Labafgahsemi R. Status of scorpion stings in Iran and their prevention. Behvarz Journal. 1999;2(10):32-5.
Dehghani R, Dinparast Jadid N, Shahbazzadeh D, Bigdelli S. Surveying the scorpion sting agents at Khuzestan (a province of Iran) in 2004. KAUMS Journal (FEYZ). 2008;12(3):68-74.
Shahi M, Azizi K, Ansarian N. Study on scorpions fauna in high risk area of Hormozgan province, 2006-7. Bimonthly Journal of Hormozgan University of Medical Sciences. 2009;12(4):207-14.
Cesaretli Y, Ozkan O. Scorpion stings in Turkey: epidemiological and clinical aspects between the years 1995 and 2004. Rev Inst Med Trop Sao Paulo. 2010;52(4):215-20.
Al-Asmari AK, Al-Saif AA. Scorpion sting syndrome in a general hospital in Saudi Arabia. Saudi Med J. 2004;25(1):64-70.
Bosnak M, Ece A, Yolbas I, Bosnak V, Kaplan M, Gurkan F. Scorpion sting envenomation in children in southeast Turkey. Wilderness Environ Med. 2009;20(2):118-24.
Bawaskar HS, Bawaskar PH. Scorpion sting: update. J Assoc Physicians India. 2012;60(1):46-55.
Ozkan O, Adiguzel S, Yakistiran S, Cesaretli Y, Orman M, Karaer K. Androctonus crassicauda (Olivier 1807) scorpionism in the Sanliurfa provinces of Turkey. Turkiye Parazitol Derg. 2006;30(3):239-45.
Mortazavi Moghaddam Q. Clinical Study of Scorpion Sting With Emphasis on Hesitating Serotherapy. Journal of sabzevar university of medical sciences. 2004;10(4):70-5.
Abdolaeifard M, Emamghorishi F, Mosalaneghad M. Scorpion sting in Jahrom city during 2001–2003. Med J Jahrom Univ Med Sci. 2006;4(4):35-40.
Saghafipour A, Noroozi M, Karami Jooshin M. The Epidemiologic Status of Scorpion Stings in Qom Province, 2001-2011. Safety Promotion and Injury Prevention. 2013;1(2):95-101. [Persian]
Kassiri H, Mohammadzadeh Mahijan N, Hasanvand Z, Shemshad M, Shemshad K. Epidemiological Survey on Scorpion Sting Envenomation in South-West, Iran. Zahedan Journal of Research in Medical Sciences. 2012;14(8):80-3.
Dehghni R, Vazirianzadeh B, Rahimi Nasrabadi M, Moravvej SA. Study of scorpionism in Kashan in central of Iran. Pak J Med Sci. 2010;26(4):955-58.
Barros RM, Pasquino JA, Peixoto LR, Targino ITG, Sousa JAd, Leite RdS. Clinical and epidemiological aspects of scorpion stings in the northeast region of Brazil. Cien Saude Colet. 2014;19(4):1275-82.
Vazirianzadeh B, Farhadpour F, Hosseinzadeh M, Zarean M, Moravvej S. An epidemiological and clinical study on scorpionism in hospitalized children in Khuzestan, Iran. J Arthropod Borne Dis. 2012;6(1):62.
Yılmaz F, Arslan ED, Demir A, et al. Epidemiologic and clinical characteristics and outcomes of scorpion sting in the southeastern region of Turkey. Ulus Travma Acil Cerrahi Derg. 2013;19(5):417-22.
Jahan S, Al Saigul AM, Hamed SAR. Scorpion stings in Qassim, Saudi Arabia—A 5-year surveillance report. Toxicon. 2007;50(2):302-5.
Freire-Maia L, Campos J. Pathophysiology and treatment of scorpion poisoning. Natural toxins, characterization, pharmacology and therapeutics: Pergamon Press Oxford; 1989. p. 139-59.
Brown N, Landon J. Antivenom: The most cost-effective treatment in the world? Toxicon. 2010;55(7):1405-7.
Bouaziz M, Bahloul M, Kallel H, et al. Epidemiological, clinical characteristics and outcome of severe scorpion envenomation in South Tunisia: multivariate analysis of 951 cases. Toxicon. 2008;52(8):918-26.
Adiguzel S, Ozkan O, Inceoglu B. Epidemiological and clinical characteristics of scorpionism in children in Sanliurfa, Turkey. Toxicon. 2007;49(6):875-80.
Farnaghi F, Hassanian-Moghaddam H, Langroodi T. Fatal poisoning and its related factors among children admitted in Loghman Hospital, 1995-2004. Pejouhandeh. 2009;13(6):pe529-pe35, En11.
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