Dehghankhalili Maryam, Mobaraki Hossein, Akbarzadeh Armin, Yazdani Reza, Nazemi Abdolmajid, Ghaffarpasand Fariborz, Mohammadi Zahra, Shahrzad Mohammad Esmaeil, Mohmudi Forugh, Taghavi Mohsen, Dehghankhalili Saeed
From the *Health Policy Research Center, Shiraz University of Medical Sciences, Shiraz; †Department of Epidemiology, Tehran University of Medical Sciences, Tehran; ‡Trauma Research Center, §Student Research Committee, Shiraz University of Medical Sciences, Shiraz; ¶Trauma Research Center, #Pediatric Research Center, Hormozgan University of Medical Sciences, Bandar Abbas; **Neuroscience Research Center, Shiraz University of Medical Sciences, Shiraz; and ††Student Research Committee, Hormozgan University of Medical Sciences, Bandar Abbas, Iran.
Pediatr Emerg Care. 2017 Jun;33(6):405-408. doi: 10.1097/PEC.0000000000000559.
Scorpion stings are a major public health problem in many countries, particularly in pediatrics. Children are more susceptible to severe clinical manifestations of envenomation. The aim of this study is to determine the epidemiological and clinical characteristics of pediatric scorpionism in Hormozgan province of Iran during 2012.
This was a cross-sectional study being conducted during 2010 in Hormozgan, the southern province of Iran. We included 350 patients admitted to emergency unit of the hospitals of 8 cities of Hormozgan with impression of scorpion envenomation. The clinical and epidemiological characteristics as well as the treatment and outcome were recorded.
The prevalence rate of pediatric scorpion stings in the province was 1.8 in 1000 children. The mean age of the patients was 5.75 ± 4.54 (range, 1-18) years. There were 208 (59.5%) boys and 142 (40.5%) girls among the patients. The most common site of sting was sole to knee in 94 (26.8%) followed by hand in 61 (17.4%) and fingers in 47 (13.4%). The most common presenting symptom was vomiting in 236 (67.4%) followed by localized pain in 131 (37.3%), erythema in 120 (34.2%), and edema in 119 (33.9%). The highest and lowest frequency occurred in July (17.7%) and January (3.2%), respectively. Nocturnal envenomations (53.7%) were more common than diurnal (46.3%). Most of scorpionism were mild (83.4%) that all evolved to cure, without any deaths.
The results demonstrate the pediatric scorpionism is a public health problem in Hormozgan province of Iran, and special attention should be paid to prevention and treatment.
蝎子蜇伤在许多国家，尤其是儿科领域，是一个重大的公共卫生问题。儿童更容易出现中毒的严重临床表现。本研究的目的是确定2012年伊朗霍尔木兹甘省儿童蝎子蜇伤的流行病学和临床特征。
这是一项2010年在伊朗南部省份霍尔木兹甘进行的横断面研究。我们纳入了霍尔木兹甘8个城市医院急诊科收治的350例有蝎子蜇伤印象的患者。记录了临床和流行病学特征以及治疗情况和结果。
该省儿童蝎子蜇伤的患病率为千分之1.8。患者的平均年龄为5.75±4.54岁（范围1 - 18岁）。患者中男孩208例（59.5%），女孩142例（40.5%）。最常见的蜇伤部位是从脚底到膝盖，共94例（26.8%），其次是手部61例（17.4%）和手指47例（13.4%）。最常见的症状是呕吐，共236例（67.4%），其次是局部疼痛131例（37.3%）、红斑120例（34.2%）和水肿119例（33.9%）。最高和最低发生率分别出现在7月（17.7%）和1月（3.2%）。夜间中毒（53.7%）比白天中毒（46.3%）更常见。大多数蝎子蜇伤为轻度（83.4%），所有患者均康复，无死亡病例。
结果表明儿童蝎子蜇伤是伊朗霍尔木兹甘省的一个公共卫生问题，应特别关注预防和治疗。
