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[在墨西哥格雷罗州玉米采摘过程中使用手套作为预防蝎子蜇伤的保护因素]

[The use of gloves as protector factor against scorpion stings during corn picking in the state of Guerrero, Mexico].

作者信息

Villegas-Arrizón Ascencio, Garzón-Mayo Rufino, Flores-Moreno Miguel, Andersson Neil

机构信息

Centro de Investigación de Enfermedades Tropicales, Universidad Autónoma de Guerrero, Acapulco, Guerrero, México.

出版信息

Salud Publica Mex. 2009 Mar-Apr;51(2):126-33. doi: 10.1590/s0036-36342009000200008.

Abstract

OBJECTIVE

Identify factors associated with scorpion stings among farm workers who pick corn in the Mexican state of Guerrero.

MATERIAL AND METHODS

Cross-sectional survey in 14 randomly selected communities in the state of Guerrero.Simple frequencies were obtained and bivariate analysis was used to identify factors associated with scorpion stings while picking corn. Odds ratio was estimated to evaluate the magnitude of the effect.

RESULTS

The incidence of scorpion stings was 15% (500/3 294) in 2003. Use of gloves was associated with a dramatic reduction in risk of scorpion stings to the hands (OR = 0.11; IC95% 0.06-0.18). Scorpion stings are a frequent occupational health issue for farm workers. If the results of this survey were reproduced in an unbiased trial, the implication would be that gloves could prevent 133 stings per 1,000 farm workers who currently do not use gloves. The cost of medical attention, transportation and time away from work due to a scorpion sting totaled 505.90 pesos (46 US dollars).

CONCLUSIONS

The use of gloves by farmers who live in regions where scorpions are endemic should be promoted. The supply network for anti-scorpion serum should also be extended to all rural areas where very toxic species are predominant and farmers should be educated about the importance of seeking timely medical care at health clinics.

摘要

目的

确定在墨西哥格雷罗州采摘玉米的农场工人中与蝎子蜇伤相关的因素。

材料与方法

在格雷罗州随机选取的14个社区进行横断面调查。获取简单频率,并采用双变量分析来确定采摘玉米时与蝎子蜇伤相关的因素。估计优势比以评估效应大小。

结果

2003年蝎子蜇伤的发生率为15%(500/3294)。使用手套与手部蝎子蜇伤风险的显著降低相关(优势比 = 0.11;95%置信区间0.06 - 0.18)。蝎子蜇伤是农场工人常见的职业健康问题。如果本次调查结果在无偏倚试验中得到重现,这意味着每1000名目前不使用手套的农场工人中,手套可预防133次蜇伤。因蝎子蜇伤产生的医疗护理、交通以及误工时间的成本总计505.90比索(46美元)。

结论

应推广在蝎子为地方病的地区生活的农民使用手套。抗蝎毒血清的供应网络也应扩展到剧毒物种占主导的所有农村地区,并且应教育农民在健康诊所及时就医的重要性。

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