2010-2017 年巴西巴伊亚州南部的蝎子蛰伤：病例特征及严重程度相关因素。
Scorpionism in the far south of Bahia, Brazil, 2010-2017: case profile and factors associated with severity.
机构信息
Universidade Federal do Sul da Bahia, Programa de Pós-Graduação em Ciências e Tecnologias Ambientais, Porto Seguro, BA, Brasil.
Universidade Federal do Sul da Bahia, Instituto de Humanidades, Artes e Ciências Paulo Freire, Teixeira de Freitas, BA, Brasil.
出版信息
Epidemiol Serv Saude. 2020 Apr 9;29(2):e2019345. doi: 10.5123/S1679-49742020000200005. eCollection 2020.
OBJECTIVE
to describe the epidemiological profile of scorpionism and to investigate factors associated with case severity in the Far South of Bahia, Brazil.
METHODS
this was a descriptive study using data on scorpion accidents reported on the Notifiable Health Conditions Information System (SINAN) from 2010 to 2017; odds ratios (OR) were calculated to investigate factors associated with severe cases.
RESULTS
3,055 cases were reported, of which 411 (13.5%) were severe and included 10 deaths; highest incidence occurred in 2017 (1.3 per 1,000 inhabitants); cases predominated in rural areas (62.5%), among males (70.1%), those aged 20-49 years (51%), and Black people (84%); 22.7% of those stung received serotherapy; severe cases were more frequent among children under 15 years old (OR=3.26; 95%CI 2.55;4.74), and people stung in rural areas (OR=1.40; 95%CI 1.10;1.78).
CONCLUSION
scorpionism incidence increased; case severity was associated with younger people and occurrence in rural areas.
目的
描述巴西巴伊亚远南区蝎螫的流行病学特征，并调查与病例严重程度相关的因素。
方法
这是一项描述性研究，使用了 2010 年至 2017 年可报告疾病状况信息系统（SINAN）报告的蝎螫事故数据；计算了比值比（OR）来调查与严重病例相关的因素。
结果
报告了 3055 例病例，其中 411 例（13.5%）为严重病例，包括 10 例死亡；发病率最高的是 2017 年（每 1000 名居民中有 1.3 例）；病例主要发生在农村地区（62.5%），男性居多（70.1%），年龄在 20-49 岁（51%），黑人为主体（84%）；22.7%的螫伤者接受了血清治疗；15 岁以下儿童（OR=3.26；95%CI 2.55；4.74）和在农村地区被螫伤的人（OR=1.40；95%CI 1.10；1.78）更易发生严重病例。
结论
蝎螫发病率上升；病例严重程度与年轻人和农村地区的发生有关。
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