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印度蝎子蜇伤的流行病学及管理实践最新情况

An update on epidemiology and management practices of Scorpion envenomation in India.

作者信息

Kumar Rakesh

机构信息

Department of Community Medicine, Dhanalakshmi Srinivasan Medical College and Hospital, Perambalur, Tamil Nadu, India.

出版信息

J Family Med Prim Care. 2022 Sep;11(9):4932-4935. doi: 10.4103/jfmpc.jfmpc_2300_21. Epub 2022 Oct 14.

Abstract

INTRODUCTION

Scorpion envenomation is a life-threatening condition, particularly for children. Therefore, it is essential for primary care health providers to suspect, identify, and manage this condition early to prevent death and minimize morbidity.

OBJECTIVE

To identify the key epidemiological characteristics of scorpion envenomation and update the primary care health workers regarding the latest management practices of scorpion envenomation.

METHODOLOGY

A non-systematic review was performed by searching the key terms on databases such as PubMed, Medline, Scopus, Google Scholar, and ResearchGate.

RESULTS

Worldwide, over 2.5 billion people are living at risk of scorpion stings. Every year, over 1.2 million are stung by scorpions leading to the death of at least 3,250 people globally. The most vulnerable group includes farmers, laborers, and those living in rural areas. Adults are most frequently stung but envenomation is more severe among children. Prazosin is a key drug to prevent death due to cardiovascular complications.

CONCLUSION

Most of these stings and deaths could be preventable with proper awareness, safety precautions, and timely access to treatment. Government and local hospitals should ensure the availability of key drugs such as prazosin.

摘要

引言

蝎子蜇伤是一种危及生命的状况,对儿童而言尤其如此。因此,初级保健卫生工作者必须尽早怀疑、识别并处理这种情况,以防止死亡并将发病率降至最低。

目的

确定蝎子蜇伤的关键流行病学特征,并向初级保健卫生工作者介绍蝎子蜇伤的最新管理方法。

方法

通过在PubMed、Medline、Scopus、谷歌学术和ResearchGate等数据库中搜索关键词进行非系统综述。

结果

在全球范围内,超过25亿人面临蝎子蜇伤的风险。每年,超过120万人被蝎子蜇伤,导致全球至少3250人死亡。最脆弱的群体包括农民、劳动者和农村地区居民。成年人被蜇伤的情况最为常见,但儿童的中毒情况更为严重。哌唑嗪是预防心血管并发症导致死亡的关键药物。

结论

通过提高认识、采取安全预防措施以及及时获得治疗,大多数此类蜇伤和死亡是可以预防的。政府和当地医院应确保哌唑嗪等关键药物的供应。

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