Faculty of Medicine of Sfax, University of Sfax, Sfax, Tunisia.
Emergency Department, University Hospital of Gabes, Gabes, Tunisia.
Tunis Med. 2024 Sep 5;102(9):529-536. doi: 10.62438/tunismed.v102i9.4885.
Scorpion envenomation constitutes a major public health issue in Tunisia, especially in arid regions such as the Gulf of Gabes. It is necessary to understand the epidemiological and clinical characteristics of this condition and the importance of early management.
This study aims to assess the epidemiological and clinical profile of patients admitted to the emergency department of Gabes University Hospital for scorpion envenomation, as well as the timing of management and intra-hospital evolution.
A retrospective descriptive study of 60 patients admitted for scorpion envenomation to the Acute Assessement unit at the Emergency Department of the Gabes University Hospital from January 2020 to January 2023.
The average age was 35 years [1-85 years]. A slight male predominance (51.7%) was noted. Patients with chronic somatic diseases accounted for (25%) of our series. The predominant scorpion species was Androctonus australis (71.7%). The majority of incidents occurred during the nighttime (71.7%). Most patients were of rural origin (58.3%). The most common sting sites were the lower limbs (48.8%) and upper limbs (36.7%). Scorpion envenomation stages at admission were: Stage I (3.3%), Stage II (83.3%), and Stage III (8.33%). The average time to management was 2 hours. Patients classified as Stage II at admission or afterward were seen after an average of 3 hours. Patients initially classified as Stage III were seen after an average of 3 hours and 30 minutes, and those classified as Stage III during the hospitalization were seen after an average of 4 hours. The average time to management for patients transferred from the Emergency Department to the Intensive Care Unit was 4 hours.
This study highlights the importance of early management of scorpion envenomation.
在突尼斯，蝎子蜇伤是一个重大的公共卫生问题，尤其是在加贝斯湾等干旱地区。了解这种疾病的流行病学和临床特征以及早期管理的重要性是必要的。
本研究旨在评估加贝斯大学医院急诊科收治的蝎子蜇伤患者的流行病学和临床特征，以及管理和院内演变的时机。
这是一项回顾性描述性研究，纳入了 2020 年 1 月至 2023 年 1 月期间在加贝斯大学医院急诊科急性评估病房收治的 60 名蝎子蜇伤患者。
平均年龄为 35 岁[1-85 岁]。轻度男性优势（51.7%）。我们的系列中慢性躯体疾病患者占（25%）。主要的蝎子种类是安德罗克托努斯澳大利亚（71.7%）。大多数事件发生在夜间（71.7%）。大多数患者来自农村（58.3%）。最常见的蜇伤部位是下肢（48.8%）和上肢（36.7%）。入院时的蝎子蜇伤阶段为：I 期（3.3%）、II 期（83.3%）和 III 期（8.33%）。平均管理时间为 2 小时。入院时或之后被归类为 II 期的患者平均在 3 小时后就诊。入院时被归类为 III 期的患者平均在 3 小时 30 分钟后就诊，在住院期间被归类为 III 期的患者平均在 4 小时后就诊。从急诊科转至重症监护病房的患者平均在 4 小时后得到管理。
本研究强调了早期管理蝎子蜇伤的重要性。
