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Epidemiological Study of Scorpion-sting in Patients Referred to Medical Centers of Shiraz, South-west of Iran

Document Type : Original Article

Authors

1 Department of Vector Biology and Control of Diseases, School of Health, Shiraz University of Medical Sciences, Shiraz, Iran

2 Research Center for Health, Institute of Health & Department of Vector Biology and Control of Diseases, School of Health, Shiraz University of Medical Sciences, Shiraz, Iran

Abstract

Background: Scorpion sting is one of the serious and major medical problems in the world. Shiraz is a tourist city and one of the high-risk areas where a number of scorpion sting occurs annually.
Objectives: The present research aimed to conduct an epidemiological study of scorpion sting in Shiraz County.
Methods: The is a cross-sectional study  performed using a checklists to collect data about scorpionism in Shiraz health center during 2014-2018.
Results: The results of the study showed that the total number of scorpion stings was 844 cases. generally, 336  cases (39.8%) were female and 508 s (59.3%) male. The results from the residential area revealed that 817 cases (96.8%) were urban and 27 (3.1%) were rural. The highest frequency of scorpionism happened in the 25-34 years old group (286,33.8%) and after that 15-24 year old (165,19.4%), 35-44 year old (157, 18.6%), 45-54 year old (108, 12.7%) groups, and the least  frequency awas seen in the 0-4 year old group. The time periods between the sting and injection of anti-venom were less than 6 hours for 822, (85.5%) of cases, 6–12 hours for 101, (11.9%) of cases and, more than 12 hours for 21 (2.4%)  cases. A total of 844 cases were recovered; 690 (81.7%) of them recovered with anti-venom and 154 (18.2%) injured individuals recovered without any anti-venom, the sting site was 27.6% in the foot, 57% in the hand, and 20% in the head and trunk.
Conclusion: Shiraz is a major tourist city, and most cases of scorpion-sting occur in summer and spring, when the tourist population is high, so health care providers must carry out an integrated program in those months.

Keywords

References
1.            Rafizadeh S, Rafinejad J, Rassi Y. Epidemiology of scorpionism in Iran during 2009. Journal of arthropod-borne diseases. 2013;7(1):66.
2.            Kassiri H, Khodkar I, Yousefi M, Kasiri N, Lotfi M. Descriptive-Analytical Evaluation of Scorpion Sting Incidence in Mas-jed-Soleyman‎ County, Southwestern Iran‎. Entomology and Applied Science Letters. 2019;6(2):13-9.
3.            Chomaili B, Moghisi A, Zare-Mirakabadi A. Guide line in treatment of Scorpion bite. 1, editor. Tehran: Ministry of Health Publication Center. 2008.
4.            Ahmadi S, Knerr JM, Argemi L, Bordon KC, Pucca MB, Cerni FA, et al. Scorpion venom: detriments and benefits. Biomedicines. 2020;8(5):118.
5.            Quintero-Hernández V, Jiménez-Vargas J, Gurrola G, Valdivia H, Possani L. Scorpion venom components that affect ion-channels function. Toxicon. 2013;76:328-42.
6.            Luna-Ramirez K, Tonk M, Rahnamaeian M, Vilcinskas A. Bioactivity of Natural and Engineered Antimicrobial Peptides from Venom of the Scorpions Urodacus yaschenkoi and U. manicatus. Toxins. 2017;9(1):22.
7.            Chadha JS, Leviav A. Hemolysis, renal failure, and local necrosis following scorpion sting. JAMA. 1979;241(10):1038-.
8.            Meena KR, Bansal A, Dagal K. A STUDY ON THE CLINICAL PROFILE AND OUTCOME OF CHILDREN WITH SCORPION STING IN TERTIARY CARE HOSPITAL JHALAWAR, RAJASTHAN. International Journal of Medical and Biomedical Studies. 2020;4(5).
9.            Sanaei-Zadeh H, Marashi SM, Dehghani R. Epidemiological and clinical characteristics of scorpionism in Shiraz (2012-2016); development of a clinical severity grading for Iranian scorpion envenomation. Medical journal of the Islamic Republic of Iran. 2017;31:27.
10.          Kamali K. Identification of important scorpion in Khuzestan. Scientific Journal in Agriculture, Chamran University Ahvaz. 1984;1:34-5.
11.          Soleglad ME, Fet V. High-level systematics and phylogeny of the extant scorpions (Scorpiones: Orthosterni). Euscorpius. 2003;2003(11):1-56.
12.          Dehghani R, Arani MG. Scorpion sting prevention and treatment in ancient Iran. Journal of traditional and complementary medicine. 2015;5(2):75-80.
13.          Chippaux J-P. Emerging options for the management of scorpion stings. Drug design, development and therapy. 2012;6:165.
14.          Fatani AJ. Snake venoms and scorpion venom research in the Middle East: A Review. Clinical Toxinology: Clinical Toxinology. 2013:1-24.
15.          Prendini L. Further additions to the scorpion fauna of Trinidad and Tobago. The Journal of Arachnology. 2001;29(2):173-89.
16.          Dehghani R, Rafinejad J, Fathi B, Shahi MP, Jazayeri M, Hashemi A. A retrospective study on Scropionism in Iran (2002–2011). Journal of Arthropod-Borne Diseases. 2017;11(2):194.
17.          Dehghani R, Charkhloo E, Seyyedi-Bidgoli N, Chimehi E, Ghavami-Ghameshlo M. A Review on Scorpionism in Iran. Journal of arthropod-borne diseases. 2018;12(4):325.
18.          Hosseininasab A, Alidoosti K, Torabinejad M. Epidemiologic characteristic and predisposing factors of scorpion sting in the south of Kerman province. Journal of Medical Council of Islamic Republic of IRAN. 2009;27(3).
19.          Nejati J, Mozafari E, Saghafipour A, Kiyani M. Scorpion fauna and epidemiological aspects of scorpionism in southeastern Iran. Asian Pacific journal of tropical biomedicine. 2014;4:S217-S21.
20.          Moosavy SH, Shahi M, Rafinejad J, Zare S, Madani A, Navidpour S. Epidemiological aspect of scorpion sting in Bandar Abbas, Iran, during 2009–2011. Electronic physician. 2016;8(4):2286.
21.          Karataş A, Garkheloo MM, Uçak M. Contribution to the distribution of the scorpions of Iran: (Arachnida: Scorpiones). Zoology in the Middle East. 2012;55(1):111-20.
22.          Ebrahimi M, Azizi K, Moemenbellah-Fard MD, Fakoorziba MR, Soltani A. Morphometry Indices of the Black Fat-tailed Scorpion Androctonus crassicauda (Scorpiones Buthidae), from Fars Province, Southern Iran. Journal of Entomology. 2015;12(1):39-47.
23.          Kassiri H, Kasiri N, Dianat A. Species composition, sex ratio, geographical distribution, seasonal and monthly activity of scorpions and epidemiological features of scorpionism in Zarrin-dasht County, Fars Province, Southern Iran. Asian Pacific Journal of Tropical Disease. 2015;5:S99-S103.
24.          Bijanzadeh E, Mokarram M, Naderi R. applying spatial geostatistical analysis models for evaluating variability of soil properties in eastern Shiraz, Iran. Iran Agricultural Research. 2015;33(2):35-46.
25.          Ozkan O, Kat I. Mesobuthus eupeus scorpionism in Sanliurfa region of Turkey. Journal of Venomous Animals and Toxins including Tropical Diseases. 2005;11(4):479-91.
26.          Al-Sadoon M, Jarrar B. Epidemiological study of scorpion stings in Saudi Arabia between 1993 and 1997. Journal of venomous animals and toxins including tropical diseases. 2003;9(1):54-64.
27.          Firooziyan S, Sadaghianifar A, Rafinejad J, Vatandoost H, Bavani MM. Epidemiological Characteristics of Scorpionism in West Azerbaijan Province, Northwest of Iran. Journal of Arthropod-Borne Diseases. 2020;14(2):193.
28.          Dehghani R, Vazirianzadeh B, Nasrabadi MR, Moravvej SA. Study of scorpionism in Kashan in central of Iran. Pak J Med Sci. 2010;26(4):955-8.
29.          Jarrar BM, Al-Rowaily MA. Epidemiological aspects of scorpion stings in Al-Jouf province, Saudi Arabia. Annals of Saudi medicine. 2008;28(3):183-7.
30.          Hussen FS, Ahmed ST. Epidemiological and Clinical Aspects of Scorpion Stings in Kurdistan Region of Iraq. Polish Journal of Environmental Studies. 2020;30(1):629-34.
31.          Shahi M, Habibi-Masour R, Salehi M, Ghasemi-Nang M, Rafizad E, Abbasi M, et al. Scorpions and Scorpionism in Roudan County, Southern Iran. Journal of Arthropod-Borne Diseases. 2019;13(4):353.
32.          Soleimani-Ahmadi M, Vatandoost H, Zare M, Alizadeh A, Salehi M. Community knowledge and practices regarding malaria and long-lasting insecticidal nets during malaria elimination programme in an endemic area in Iran. Malaria journal. 2014;13(1):1-7.
33.          Ebrahimi V, Hamdami E, Moemenbellah-Fard MD, Jahromi SE. Predictive determinants of scorpion stings in a tropical zone of south Iran: use of mixed seasonal autoregressive moving average model. Journal of venomous animals and toxins including tropical diseases. 2017;23.
34.          Kassiri H, Khodkar I, Yousefi M, Kasiri N, Lotfi M. Descriptive-Analytical Evaluation of Scorpion Sting Incidence in Masjed-Soleyman County, Southwestern Iran. Entomology and Applied Science Letters. 2019;6(2):13-9.
35.          Kassiri H, Kasiri A, Kasiri E, Abdian P, Matori F, Lotfi M. Epidemiological characteristics and incidence rate of definite scorpion stings in Mahshahr County, Iran: multivariate analysis of 1 635 cases. Asian Pacific Journal of Tropical Disease. 2015;5(1):80-4.
36.          Shahi M, Habibi-Masour R, Salehi M, Ghasemi-Nang M, Rafizad E, Abbasi M, et al. Scorpions and Scorpionism in Roudan County, Southern Iran. Journal of Arthropod-Borne Diseases. 2019.
37.          Kassiri H, Lotfi M, Ebrahimi A. Epidemiological, clinical charachterictics and outcome of scorpion envenomation in Abdanan County, Western Iran: An analysis of 780 cases. Indo American Journal of Pharmaceutical Sciences. 2017;4(8):2692-701.
38.          Talebian A, DOROUDGAR A. Epidemiologic study of scorpion sting in patients referring to Kashan medical centers during 1991-2002. 2006.
39.          Akbarzadeh K, Rafinejad J, Alipour H, Biglarian A. Human myiasis in Fars province, Iran. Southeast Asian Journal of Tropical Medicineand Public Health. 2012;43(5):1205.
40.          Karimian F, Vatandoost H, Rassi Y, Maleki-Ravasan N, Choubdar N, Koosha M, et al. wsp-based analysis of Wolbachia strains associated with Phlebotomus papatasi and P. sergenti (Diptera: Psychodidae) main cutaneous leishmaniasis vectors, introduction of a new subgroup wSerg. Pathogens and global health. 2018;112(3):152-60.
41.          Alipour H, Raz A, Zakeri S, Djadid ND. Molecular characterization of matrix metalloproteinase-1 (MMP-1) in Lucilia sericata larvae for potential therapeutic applications. Electronic Journal of Biotechnology. 2017;29:47-56.
42.          Isazadehfar K, Eslami L, Entezariasl M. Epidemiology of Scorpionism in southwest, Iran, 2008. Iranian Journal of Epidemiology. 2013;8(4):54-60.
Journal of Health Sciences & Surveillance System
Volume 9, Issue 2
April 2021
Pages 105-110
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