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Clinical and epidemiological aspects of scorpionism in the interior of the state of Bahia, Brazil: retrospective epidemiological study

机译:巴西巴伊亚州内部蝎子病的临床和流行病学方面:回顾性流行病学研究

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BACKGROUND: Scorpion accidents have gained great visibility around the world because of the high frequency and severity with which they occur, and have become a global medical-sanitary problem. OBJECTIVE: The aim of this study was to describe the sociodemographic, clinical and epidemiological profile of scorpionism in the municipality of Jequié, Bahia, Brazil, from 2007 to 2015. DESIGN AND SETTING: Retrospective epidemiological study in the municipality of Jequié, Bahia, Brazil. METHODS: This study was based on data collected from the epidemiological investigation notification forms of the injury information system. RESULTS: There was an increase in the coefficient of incidence of scorpion accidents in Jequié from 23.4/100,000 in 2007 to 413.6/100,000 in 2015. There were 3565 cases: 54.9% were female, 58.8% were aged 20-59 years, 63.5% had brown skin color and 48.6% had incomplete primary education. Most accidents occurred in urban areas (93.1%). Homes were the main place of occurrence (84.5%) and upper limbs were the commonest sting sites (53.0%). Regarding clinical aspects, 66.4% of the cases received hospital assistance within one hour after the bite, 84.1% presented mild severity, 97.1% had local manifestations and 10.2% had systemic symptoms. Serum therapy was administered in 17.3% of the cases, and 99.9% evolved to cure. CONCLUSION: There was an increase in the incidence of scorpion accidents in the municipality, which demonstrates the need for investment in actions that reduce the morbidity and mortality caused by these accidents, such as educational campaigns and improvements in socioeconomic and health conditions.
机译:背景:蝎子事故因其发生的频率高和严重性而在世界范围内广为人知,并且已成为全球性的医疗卫生问题。目的:本研究的目的是描述2007年至2015年在巴西巴伊亚州耶基市的蝎子病的社会人口统计学,临床和流行病学概况。设计与地点:在巴西巴伊亚州耶基埃市的回顾性流行病学研究。 。方法:本研究基于从伤害信息系统的流行病学调查通知表收集的数据。结果:杰奎伊的蝎子事故发生率从2007年的23.4 / 100,000增加到2015年的413.6 / 100,000。3565例:女性54.9%,20-59岁年龄段的58.8%,63.5%肤色为棕色,小学教育程度为48.6%。大部分事故发生在城市地区(93.1%)。房屋是主要的发生地点(84.5%),上肢是最常见的刺痛部位(53.0%)。在临床方面,有66.4%的患者在被咬后一小时内得到了医院救助,有84.1%的患者表现为轻度严重,97.1%的患者为局部表现,10.2%的患者为全身症状。在17.3%的病例中进行了血清治疗,有99.9%的病例可以治愈。结论:该市蝎子事故的发生率有所增加,这表明需要投资于减少此类事故造成的发病率和死亡率的行动,例如开展教育运动以及改善社会经济和健康状况。

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