Department of Pediatrics, Faculty of Medicine, Karadeniz Technical University, Trabzon, Turkey
Turk J Med Sci. 2021 Jun 28;51(3):1092-1097. doi: 10.3906/sag-2009-86.
BACKGROUND/AIM: Hymenoptera venom allergy is one of the leading causes of systemic allergic reactions in both adults and children. The present study was conducted to evaluate the prevalence and characteristics of Hymenoptera venom allergy in urban school children aged 6 to 18 years living in Trabzon.
In this cross-sectional, two-level survey study, children were recruited using random sampling of public primary and secondary schools. Firstly, parents were asked about their child’s age and sex and whether their child had ever been stung by any kind of bee. When they responded “yes” to the last question, they attended a face-to-face interview at the outpatient clinic for the second part of the survey, which included information about history of insect stings and the presence of atopic diseases.
Of 17,000 children, 7904 (46.5%; 3718 males, 47.0%) returned the first-level questionnaire. A total of 4312 (54.5%) were stung at least once in their lifetime. Males had a significantly higher risk of being stung (59.4%, odds ratio: 1.44, 95% confidence interval: 1.32–1.58, p < 0.0001). The second-level questionnaire was completed for 545 (12.6%) of the children. Of 950 stings reported in 545 children, 5.2% were large local reactions (LLRs), 1.9% were generalized cutaneous reactions (GCRs), and 1.3% were systemic reactions (SRs). The stinging insect was Apis mellifera and Vespula in 66.2% and 33.8% of stings, respectively (p < 0.001).
Hymenoptera stings are common in urban school children living in Trabzon. The most common type of allergic reaction is LLR and the most reported stinging insect is Apis mellifera.
背景/目的：蜂类毒液过敏是成人和儿童全身性过敏反应的主要原因之一。本研究旨在评估居住在特拉布宗的 6 至 18 岁城市学龄儿童的蜂类毒液过敏的患病率和特征。
在这项横断面、两级调查研究中，通过随机抽取公立小学和中学的方式招募儿童。首先，家长被问及孩子的年龄和性别，以及孩子是否曾被任何种类的蜜蜂蜇伤。当他们对最后一个问题回答“是”时，他们会在门诊参加第二部分调查的面对面访谈，其中包括昆虫蜇伤史和特应性疾病的存在。
在 17000 名儿童中，有 7904 名（46.5%；3718 名男性，47.0%）返回了第一级问卷。共有 4312 名（54.5%）一生中至少被蜇过一次。男性被蜇的风险显著更高（59.4%，优势比：1.44，95%置信区间：1.32-1.58，p<0.0001）。第二级问卷完成了 545 名儿童中的 545 名。在 545 名儿童报告的 950 次蜇伤中，5.2%为大局部反应（LLR），1.9%为全身性皮肤反应（GCR），1.3%为全身性反应（SR）。蜇伤的昆虫分别为 Apis mellifera 和 Vespula，占 66.2%和 33.8%（p<0.001）。
蜂蜇在居住在特拉布宗的城市学龄儿童中很常见。最常见的过敏反应类型是 LLR，最常见的蜇伤昆虫是 Apis mellifera。
