The epidemiology of scorpion stings in tropical areas of Kermanshah province, Iran, during 2008 and 2009

• Published in: Journal of Venomous Animals and Toxins including Tropical Diseases
• Main Authors: Alireza Khatony, Alireza Abdi, Tahereh Fatahpour, Farhad Towhidi
• Format: Article in Journal/Newspaper
• Language: English
• Published: SciELO 2015
• Subjects: Scorpion stings; Epidemiology; Tropical climate; Kermanshah; Incidence; Arctic medicine. Tropical medicine; RC955-962; Toxicology. Poisons; RA1190-1270; Zoology; QL1-991; Arctic
• Online Access: https://doi.org/10.1186/s40409-015-0045-4; https://doaj.org/article/9171f5aa9031416e949ba7d5b1781630

Abstract Background Scorpion stings are an acute health problem in tropical regions. Awareness of this problem is fundamental for establishing preventive interventions, thus prompting the present study to determine the scorpion-sting incidence in tropical areas of Kermanshah province during 2008 and 2009. Methods In a retrospective study, all records related to scorpion sting patients from the health centers of tropical areas of Kermanshah were studied by a census and checklist. Data were analyzed by the software SPSS-16 using descriptive and inferential tests. Results The incidence of scorpion stings was 334.37/100,000 inhabitants in 2008 and 339.07/100000 in 2009. Mean and standard deviation of age were 30.55 ± 16.99. Scorpion stings were more common in rural areas (59.6 %) and occurred more often in summer (52.9 %). Nearly 48 % of bites were to patients’ hands and 47.5 % of patients were injured between midnight and 6 a.m. While 92.9 % of patients had mild symptoms, scorpion antivenom was prescribed to 88.8 % of victims, 94.5 % of whom were discharged after outpatient treatment. The relationship between antivenom therapy and clinical symptoms was not significant. Conclusions Due to the relatively high incidence of scorpion stings in tropical areas of Kermanshah, it is recommended that the inhabitants be educated through the mass media about how to prevent the stings and apply preliminary treatment.