Soulaymani-Bencheikh R, Soulaymani A, Semlali I, Tamim O K, Zemrour E, Eloufir R, Mokhtari A
Centre anti-poison du Maroc (CAPM).
Bull Soc Pathol Exot. 2005 Apr;98(1):36-40.
Poisonous stings caused by scorpion constitute a public health problem in Morocco because of their frequency severity and socio-economic consequences that they generate. The province of Khouribga surveyed for this study is situated in a zone of high incidence and high lethality caused by scorpion stings in Morocco. In order to analyze the epidemiological profile and the poisoning risk factors, we are presenting the results of a past study conducted from April to December 2001. It consisted in making an exhaustive follow up from admission to release of all patients stung by scorpion. These patients consulted a sanitary structure (dispensary health centre or hospital) in the province of Khouribga, Morocco. Within a total of 1212 cases of stings, 63% of them occurred at night (between 06 pm and 06 am) particularly during July and August. Youngsters under fifteen represented 36% of these cases. 3.4% of the people who got stung presented typical poisoning and envenomation. The delay expected from sting to transfer to a medical structure was 1.85 +/- 0.11 hours for the patients who recovered against 2.67 +/- 0.11 for those who did not recover. To be noticed as well that 1.3% of the subjects who got stung die. Variance analysis indicates that the type of sanitary structures receiving patients, admission classes, and age of patients influence significantly the recovery rate of people who are stung.
蝎子蜇伤造成的中毒是摩洛哥的一个公共卫生问题，因为其发生频率、严重程度以及所产生的社会经济后果。本研究调查的胡里卜加省位于摩洛哥蝎子蜇伤高发和高致死率区域。为了分析流行病学特征和中毒风险因素，我们展示了一项于2001年4月至12月进行的既往研究结果。该研究包括对所有蝎子蜇伤患者从入院到出院进行详尽随访。这些患者在摩洛哥胡里卜加省的一个卫生机构（诊疗所、健康中心或医院）就诊。在总共1212例蜇伤病例中，63%发生在夜间（下午6点至上午6点），尤其在7月和8月。15岁以下的青少年占这些病例的36%。3.4%的蜇伤患者出现典型中毒和毒液注入症状。康复患者从蜇伤到转至医疗机构的预期延迟时间为1.85 +/- 0.11小时，未康复患者则为2.67 +/- 0.11小时。还需注意的是，1.3%的蜇伤患者死亡。方差分析表明，接收患者的卫生机构类型、入院类别以及患者年龄对蜇伤患者的康复率有显著影响。
