关键词: Envenomation Epidemiology Scorpion sting Scorpionism Traditional medicine

Mesh : Animals Humans Adolescent Young Adult Adult Middle Aged Scorpion Stings / epidemiology therapy Pakistan / epidemiology Antivenins Scorpions Pain / complications

来  源:   DOI:10.1016/j.toxicon.2023.107567

Abstract:
Scorpion envenomation is a widespread issue in tropical and subtropical countries. In the present study epidemiology of scorpion sting cases and potential treatment options in district Hafizabad, Pakistan are documented. Hafizabad city and the adjacent villages were selected for the data collection. Age, gender, time, site of scorpion sting on the body, scorpion sting symptoms, number of patients obtaining medical attention and the number of fatalities (if any) were noted. Data showed that scorpion envenomation often occurs in people between the ages of 16-47 years. There were more female victims (55%) and most of the scorpion sting incidences (55.49%) occurred between 07 PM and 02 AM Among body parts, both the hands (41.71%) and feet (48.57%) were more vulnerable to scorpion stings. In rural areas, the incidences of scorpion stings were higher (68.57%). The reported symptoms of scorpion stings include pain, hypertension, nausea and allergy. Out of all the victims, only 56.05% sought treatment from health care units as well as traditional medicine practitioners. However, others (43.94%) fully healed on their own without any treatment. People were using different types of plant-based materials and dead scorpions with mustard oil as a potent remedy against scorpion stings. Moreover, in the health care units there was no antivenom available and medical staff usually used common pain killers such as Xylocain and Lignocain for the treatment of scorpion sting.
摘要:
蝎毒在热带和亚热带国家是一个普遍的问题。在本研究中,Hafizabad地区蝎子叮咬病例的流行病学和潜在的治疗选择,巴基斯坦有据可查。选择了哈菲扎巴德市和邻近的村庄进行数据收集。年龄,性别,时间,蝎子刺痛身体的部位,蝎子刺痛症状,记录获得医疗护理的患者人数和死亡人数(如果有).数据显示,蝎子毒害通常发生在16-47岁之间的人群中。有更多的女性受害者(55%),大多数蝎子咬伤发生率(55.49%)发生在晚上7点至凌晨2点之间。手(41.71%)和脚(48.57%)更容易受到蝎子刺伤。在农村地区,蝎子咬伤的发生率较高(68.57%)。报告的蝎子咬伤症状包括疼痛,高血压,恶心和过敏。在所有受害者中,只有56.05%的人寻求保健单位和传统医生的治疗。然而,其他人(43.94%)在没有任何治疗的情况下自行完全治愈。人们正在使用不同类型的植物性材料和死蝎子与芥子油作为对抗蝎子刺伤的有效补救措施。此外,在卫生保健单位没有可用的抗蛇毒血清和医务人员通常使用常见的止痛药,如Xylocain和Lignocain治疗蝎子咬伤。
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