Istanbul University, Istanbul Faculty of Medicine, Department of Pediatrics, Division of Pediatric Allergy and Immunology, Istanbul, Turkey.
Istanbul University, Istanbul Faculty of Medicine, Department of Pediatrics, Division of Pediatric Allergy and Immunology, Istanbul, Turkey; Istanbul University, Institute of Child Health, Department of Pediatric Basic Sciences, Istanbul, Turkey.
Allergol Immunopathol (Madr). 2020 Nov-Dec;48(6):640-645. doi: 10.1016/j.aller.2020.01.008. Epub 2020 May 24.
Beekeepers and their families are at an increased risk of life-threatening anaphylaxis due to recurrent bee-sting exposures.
The aim of this study is to evaluate the demographic features, previous history of anaphylaxis among beekeepers and their family members, and their knowledge about the symptoms and management of anaphylaxis.
A standardized questionnaire was administered to beekeepers during the 6th International Beekeeping and Pine Honey Congress held in 2018, in Mugla, Turkey. Additionally, food-service staff from restaurants were surveyed as an occupational control group about their knowledge about anaphylaxis.
Sixty-nine beekeepers (82.6% male, mean age 48.4±12.0 years) and 52 restaurant staff (46.2% male, mean age 40.5±10.0 years) completed the questionnaire. Awareness of the terms 'anaphylaxis' and 'epinephrine auto-injector' among the beekeepers were 55.1% and 30.4% and among the restaurant staff were 23.1% and 3.8%, respectively. Of the beekeepers, 74% were able to identify the potential symptoms of anaphylaxis among the given choices; 2.9% and 5.8% reported anaphylaxis related to bee-stings in themselves and in their family members, respectively. None of the restaurant staff had experienced or encountered anaphylaxis before but 3.8% of their family members had anaphylaxis and those reactions were induced by drugs.
It is essential that implementation of focused training programs about anaphylaxis symptoms and signs as well as practical instructions of when and how to use an epinephrine auto-injector will decrease preventable morbidities and mortalities due to bee-stings in this selected high-risk population of beekeepers and their family members, as well as other fieldworkers under risk.
养蜂人和他们的家人由于反复受到蜜蜂蜇伤，有发生危及生命的过敏反应的风险增加。
本研究旨在评估养蜂人和他们家庭成员的人口统计学特征、既往过敏反应史，以及他们对过敏反应症状和管理的了解。
在 2018 年于土耳其穆拉举行的第六届国际养蜂和松蜜大会期间，向养蜂人发放了一份标准化问卷。此外，还对餐馆的餐饮服务人员进行了调查，以了解他们对过敏反应的认识。
69 名养蜂人（82.6%为男性，平均年龄 48.4±12.0 岁）和 52 名餐馆工作人员（46.2%为男性，平均年龄 40.5±10.0 岁）完成了问卷。养蜂人对“过敏反应”和“肾上腺素自动注射器”这两个术语的知晓率分别为 55.1%和 30.4%，而餐馆工作人员的知晓率分别为 23.1%和 3.8%。在养蜂人中，74%的人能够从给定的选项中识别出过敏反应的潜在症状；2.9%和 5.8%的人报告自己和家人曾因蜜蜂蜇伤而发生过敏反应。没有一名餐馆工作人员以前有过或遇到过过敏反应，但他们的 3.8%的家庭成员有过敏反应，这些反应是由药物引起的。
在这个选定的养蜂人和他们家庭成员等高风险人群以及其他处于风险中的野外工作者中，实施关于过敏反应症状和体征的有针对性的培训计划，以及关于何时以及如何使用肾上腺素自动注射器的实用指导，将减少可预防的因蜜蜂蜇伤而导致的发病率和死亡率。
