Bee Sting Injuries in Thailand’s High Apicultural Area: Outcome, Risk and Treatment Patterns

IF 2.7 4区医学 Q2 HEALTH CARE SCIENCES & SERVICES

Risk Management and Healthcare Policy Pub Date : 2024-07-17 DOI:10.2147/rmhp.s470007

Sirithanan Charoenwikkai, Premmika Intapun, Mongkol Lao-Araya

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Abstract

Objective: This study aims to assess the clinical outcomes and risk factors associated with severe systemic reactions following bee stings, focusing on patients treated at Pa-Sang Community Hospital, located in Lamphun Province, Thailand, which is recognized as one of the country’s largest apicultural areas.
Methods: A retrospective review was conducted, utilizing electronic medical records with ICD-10 coding, of patients treated for bee sting injuries at the Emergency Department of Pa-Sang Hospital from January 2015 to December 2019.
Results: This analysis included a total of 591 bee sting events involving 533 patients. The average incidence of bee sting injuries was 31.3 per 10,000 Emergency Department visits, with 55% being male. A significant majority (86%) of events occurred outside the patients’ home area. Notably, the head or extremities (49%) were the most common anatomical sites stung. Systemic reactions were observed in 44% of cases, with 96 visits (16%) diagnosed as anaphylaxis. Epinephrine injection was administered in 77% of these cases, and fortunately, no fatal anaphylactic reactions were recorded. Protective factors for anaphylaxis and severe systemic reactions after bee stings included age less than 15 years old and stings on extremities. Conversely, having more than ten bee stings and seeking Emergency Department treatment within 60 minutes of being stung were identified as significant risk factors.
Conclusion: Bee sting injuries were a common presentation at the hospital situated in the high apicultural area, and severe systemic reactions were observed. This study highlights the need for comprehensive interventions to mitigate the increased risk of bee-related accidents in communities with thriving apicultural industries.

Keywords: bee sting, venom, anaphylaxis, bee keeping, Thailand

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泰国养蜂业发达地区的蜂蜇伤：结果、风险和治疗模式

研究目的本研究旨在评估与蜜蜂蜇伤后严重全身反应相关的临床结果和风险因素，重点关注在泰国南奔府帕桑社区医院接受治疗的患者：利用ICD-10编码的电子病历，对2015年1月至2019年12月期间在帕桑医院急诊科接受治疗的蜂蜇伤患者进行了回顾性分析：本次分析共包括591起蜜蜂蜇伤事件，涉及533名患者。蜜蜂蜇伤的平均发病率为每万名急诊科就诊者中31.3人，其中55%为男性。绝大多数事件（86%）发生在患者居住地以外的地区。值得注意的是，头部或四肢（49%）是最常见的蛰伤部位。44%的病例出现了全身反应，其中96例（16%）被诊断为过敏性休克。其中77%的病例注射了肾上腺素，幸运的是，没有出现致命的过敏性反应。蜂螫后过敏性休克和严重全身反应的保护因素包括年龄小于 15 岁和螫伤部位在四肢。相反，被蜜蜂蜇伤超过 10 次以及在被蜇伤后 60 分钟内到急诊科就诊则是重要的危险因素：结论：蜜蜂蛰伤是位于养蜂业发达地区的医院的常见病，并可观察到严重的全身反应。这项研究强调，在养蜂业发达的社区，有必要采取综合干预措施，以降低蜜蜂相关事故增加的风险。关键词：蜜蜂蜇伤、毒液、过敏性休克、养蜂、泰国

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来源期刊

Risk Management and Healthcare Policy Medicine-Public Health, Environmental and Occupational Health

CiteScore

6.20

自引率

2.90%

发文量

242

审稿时长

16 weeks

期刊介绍： Risk Management and Healthcare Policy is an international, peer-reviewed, open access journal focusing on all aspects of public health, policy and preventative measures to promote good health and improve morbidity and mortality in the population. Specific topics covered in the journal include: Public and community health Policy and law Preventative and predictive healthcare Risk and hazard management Epidemiology, detection and screening Lifestyle and diet modification Vaccination and disease transmission/modification programs Health and safety and occupational health Healthcare services provision Health literacy and education Advertising and promotion of health issues Health economic evaluations and resource management Risk Management and Healthcare Policy focuses on human interventional and observational research. The journal welcomes submitted papers covering original research, clinical and epidemiological studies, reviews and evaluations, guidelines, expert opinion and commentary, and extended reports. Case reports will only be considered if they make a valuable and original contribution to the literature. The journal does not accept study protocols, animal-based or cell line-based studies.