Amine Hamdaoui, Houcemeddine Turki, Taha Lassoued, Amal Samet, Imen Rejeb
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It is necessary to understand the epidemiological and clinical characteristics of this condition and the importance of early management.</p><p><strong>Aim: </strong>This study aims to assess the epidemiological and clinical profile of patients admitted to the emergency department of Gabes University Hospital for scorpion envenomation, as well as the timing of management and intra-hospital evolution.</p><p><strong>Methods: </strong>A retrospective descriptive study of 60 patients admitted for scorpion envenomation to the Acute Assessement unit at the Emergency Department of the Gabes University Hospital from January 2020 to January 2023.</p><p><strong>Results: </strong>The average age was 35 years [1-85 years]. A slight male predominance (51.7%) was noted. Patients with chronic somatic diseases accounted for (25%) of our series. The predominant scorpion species was Androctonus australis (71.7%). The majority of incidents occurred during the nighttime (71.7%). Most patients were of rural origin (58.3%). The most common sting sites were the lower limbs (48.8%) and upper limbs (36.7%). Scorpion envenomation stages at admission were: Stage I (3.3%), Stage II (83.3%), and Stage III (8.33%). The average time to management was 2 hours. Patients classified as Stage II at admission or afterward were seen after an average of 3 hours. Patients initially classified as Stage III were seen after an average of 3 hours and 30 minutes, and those classified as Stage III during the hospitalization were seen after an average of 4 hours. The average time to management for patients transferred from the Emergency Department to the Intensive Care Unit was 4 hours.</p><p><strong>Conclusion: </strong>This study highlights the importance of early management of scorpion envenomation.</p>","PeriodicalId":38818,"journal":{"name":"Tunisie Medicale","volume":"102 9","pages":"529-536"},"PeriodicalIF":0.0000,"publicationDate":"2024-09-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11450744/pdf/","citationCount":"0","resultStr":"{\"title\":\"Managing scorpion envenomations: A Gabes emergency department case study of 60 patients.\",\"authors\":\"Amine Hamdaoui, Houcemeddine Turki, Taha Lassoued, Amal Samet, Imen Rejeb\",\"doi\":\"10.62438/tunismed.v102i9.4885\",\"DOIUrl\":null,\"url\":null,\"abstract\":\"<p><strong>Introduction: </strong>Scorpion envenomation constitutes a major public health issue in Tunisia, especially in arid regions such as the Gulf of Gabes. It is necessary to understand the epidemiological and clinical characteristics of this condition and the importance of early management.</p><p><strong>Aim: </strong>This study aims to assess the epidemiological and clinical profile of patients admitted to the emergency department of Gabes University Hospital for scorpion envenomation, as well as the timing of management and intra-hospital evolution.</p><p><strong>Methods: </strong>A retrospective descriptive study of 60 patients admitted for scorpion envenomation to the Acute Assessement unit at the Emergency Department of the Gabes University Hospital from January 2020 to January 2023.</p><p><strong>Results: </strong>The average age was 35 years [1-85 years]. A slight male predominance (51.7%) was noted. Patients with chronic somatic diseases accounted for (25%) of our series. The predominant scorpion species was Androctonus australis (71.7%). The majority of incidents occurred during the nighttime (71.7%). 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引用次数: 0
摘要
导言:蝎子中毒是突尼斯的一个主要公共卫生问题,尤其是在加贝斯湾等干旱地区。目的:本研究旨在评估加贝斯大学医院急诊科收治的蝎子咬伤患者的流行病学和临床特征,以及治疗时机和院内演变情况:对 2020 年 1 月至 2023 年 1 月期间加贝斯大学医院急诊科急诊室收治的 60 名蝎子中毒患者进行回顾性描述研究:平均年龄为 35 岁 [1-85 岁]。男性略占多数(51.7%)。慢性躯体疾病患者占 25%。蝎子的主要种类是澳洲蝎(71.7%)。大多数事件发生在夜间(71.7%)。大多数患者来自农村(58.3%)。最常见的蜇伤部位是下肢(48.8%)和上肢(36.7%)。入院时的蝎子中毒分期为I 期(3.3%)、II 期(83.3%)和 III 期(8.33%)。平均救治时间为 2 小时。入院时或入院后被列为 II 期的患者平均在 3 小时后就诊。最初被列为 III 期的患者平均在 3 小时 30 分钟后就诊,而在住院期间被列为 III 期的患者平均在 4 小时后就诊。从急诊科转入重症监护室的患者平均治疗时间为 4 小时:本研究强调了早期处理蝎子咬伤的重要性。
Managing scorpion envenomations: A Gabes emergency department case study of 60 patients.
Introduction: Scorpion envenomation constitutes a major public health issue in Tunisia, especially in arid regions such as the Gulf of Gabes. It is necessary to understand the epidemiological and clinical characteristics of this condition and the importance of early management.
Aim: This study aims to assess the epidemiological and clinical profile of patients admitted to the emergency department of Gabes University Hospital for scorpion envenomation, as well as the timing of management and intra-hospital evolution.
Methods: A retrospective descriptive study of 60 patients admitted for scorpion envenomation to the Acute Assessement unit at the Emergency Department of the Gabes University Hospital from January 2020 to January 2023.
Results: The average age was 35 years [1-85 years]. A slight male predominance (51.7%) was noted. Patients with chronic somatic diseases accounted for (25%) of our series. The predominant scorpion species was Androctonus australis (71.7%). The majority of incidents occurred during the nighttime (71.7%). Most patients were of rural origin (58.3%). The most common sting sites were the lower limbs (48.8%) and upper limbs (36.7%). Scorpion envenomation stages at admission were: Stage I (3.3%), Stage II (83.3%), and Stage III (8.33%). The average time to management was 2 hours. Patients classified as Stage II at admission or afterward were seen after an average of 3 hours. Patients initially classified as Stage III were seen after an average of 3 hours and 30 minutes, and those classified as Stage III during the hospitalization were seen after an average of 4 hours. The average time to management for patients transferred from the Emergency Department to the Intensive Care Unit was 4 hours.
Conclusion: This study highlights the importance of early management of scorpion envenomation.