干旱区生态环境知识资源中心(Arid): The epidemiology and severity of scorpion envenoming in South Africa as managed by the Tygerberg Poisons Information Centre over a 10 year period

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DOI	10.1016/j.afjem.2018.12.003
	The epidemiology and severity of scorpion envenoming in South Africa as managed by the Tygerberg Poisons Information Centre over a 10 year period
	Marks, Carine J.; Muller, Gert J.; Sachno, Dmitrij; Reuter, Helmuth; Wium, Cherylynn A.; Du Plessis, Catharina E.; Van Hoving, Daniel J.
通讯作者	Marks, CJ (corresponding author), Stellenbosch Univ, Div Clin Pharmacol, Cape Town, South Africa. ; Marks, CJ (corresponding author), Stellenbosch Univ, Fac Med & Hlth Sci, Tygerberg Poison Informat Ctr, Stellenbosch, South Africa. ; Marks, CJ (corresponding author), Stellenbosch Univ, Fac Med & Hlth Sci, Dept Med, Div Clin Pharmacol, Stellenbosch, South Africa.
来源期刊	AFRICAN JOURNAL OF EMERGENCY MEDICINE
ISSN	2211-419X
EISSN	2211-4203
出版年	2019
卷号	9 期号:1 页码:21-24
英文摘要	Introduction: South Africa has a wide distribution of scorpion species, yet limited data are available regarding the incidence and severity of scorpion envenomation. The aim of this study was to analyse South African epidemiological data of scorpion stings and envenomation as reported to the Tygerberg Poisons Information Centre (TPIC). Methods: A retrospective analysis was conducted of scorpion-related telephonic consultations to the TPIC over a ten year period (1 January 2005 to 31 December 2014). Data were entered onto a Microsoft Excel (R) spreadsheet and descriptive statistics are presented for all variables. Associations with severity of envenomation are presented as odds ratios (OR) with 95% confidence intervals (95%CI). Results: During the study period 52,163 consultations were processed by the TPIC of which 740 (1.4%) cases involved scorpion stings. Of these, 146 (19.7%) cases were deemed serious envenomations. Antivenom was recommended to be administered in 131 (90%) of these cases. Healthcare professionals made most calls (63%), but were less likely to phone for non-serious cases (OR 0.16; 95%CI 0.09 to 0.29). The Western Cape Province had the highest incidence of calls (6.9 scorpion-related calls/100 000 people). Adults ( > 20 years) were victims in 71.4% of cases, and were more likely to experience less serious stings (OR 0.57; 95%CI 0.37 to 0.86). The TPIC was consulted within six hours of the sting occurring in 356 (48.1%) cases with a significant association to less severity (OR 3.51; 95%CI 1.9 to 6.3). Only 2% (15) of the scorpions were available for identification. Conclusion: The incidence of severe scorpionism to the TPIC was low. Care should be taken when children are involved and when calls are received more than six hours after the sting. TPIC consultants as well as healthcare professionals working in semi-arid regions should be aware of these high risk populations.
英文关键词	Scorpion sting Scorpionism Envenomation Epidemiology Poisons centre South Africa
类型	Article
语种	英语
开放获取类型	gold, Green Published
收录类别	SCI-E
WOS记录号	WOS:000460137900004
WOS类目	Emergency Medicine
WOS研究方向	Emergency Medicine
资源类型	期刊论文
条目标识符	http://119.78.100.177/qdio/handle/2XILL650/369298
作者单位	[Marks, Carine J.; Muller, Gert J.; Sachno, Dmitrij; Reuter, Helmuth; Wium, Cherylynn A.; Du Plessis, Catharina E.] Stellenbosch Univ, Div Clin Pharmacol, Cape Town, South Africa; [Van Hoving, Daniel J.] Stellenbosch Univ, Div Emergency Med, Cape Town, South Africa; [Marks, Carine J.] Stellenbosch Univ, Fac Med & Hlth Sci, Tygerberg Poison Informat Ctr, Stellenbosch, South Africa; [Marks, Carine J.] Stellenbosch Univ, Fac Med & Hlth Sci, Dept Med, Div Clin Pharmacol, Stellenbosch, South Africa
推荐引用方式 GB/T 7714	Marks, Carine J.,Muller, Gert J.,Sachno, Dmitrij,et al. The epidemiology and severity of scorpion envenoming in South Africa as managed by the Tygerberg Poisons Information Centre over a 10 year period[J],2019,9(1):21-24.
APA	Marks, Carine J..,Muller, Gert J..,Sachno, Dmitrij.,Reuter, Helmuth.,Wium, Cherylynn A..,...&Van Hoving, Daniel J..(2019).The epidemiology and severity of scorpion envenoming in South Africa as managed by the Tygerberg Poisons Information Centre over a 10 year period.AFRICAN JOURNAL OF EMERGENCY MEDICINE,9(1),21-24.
MLA	Marks, Carine J.,et al."The epidemiology and severity of scorpion envenoming in South Africa as managed by the Tygerberg Poisons Information Centre over a 10 year period".AFRICAN JOURNAL OF EMERGENCY MEDICINE 9.1(2019):21-24.