Bee stings in Brazil: Epidemiological aspects in humans

Kono, Isabelli Sayuri; Freire, Roberta Lemos; Caldart, Eloiza Teles; Rodrigues, Fernando de Souza; Santos, Julian Andrade; Freire, Lucas Gabriel Dionisio; Faccin, Tatiane Cargnin

doi:10.1016/j.toxicon.2021.08.014

Cited by 9 publications

(9 citation statements)

References 33 publications

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“…The number of patients under 15 years of age with bee stings tended to decrease with increasing age, which was consistent with other studies. 5 14 The reason for the higher frequency of bee stings in younger children is that bees are portrayed as “friendly” in images and videos to which children are exposed; therefore, children may approach them without recognizing their potential danger. Furthermore, children often walk barefoot on grass where bees frequently forage.…”

Section: Discussionmentioning

confidence: 99%

“…The response to a hymenopteran sting can be classified into four categories: 1) local reactions, such as swelling and pain at the sting site; 2) uncomplicated allergic reactions; 3) anaphylactic reactions causing bronchial constriction and shock; and 4) direct systemic toxic reactions. 5 A systemic toxic reaction occurs when a large amount of venom is injected into the body following multiple stings and may cause acute renal failure, hemolysis, hepatic injury, and possibly even death. 6 Previous studies have focused on anaphylactic reactions; however, there are few studies on the characteristics of patients treated in an emergency department (ED) after bee stings.…”

Section: Introductionmentioning

confidence: 99%

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Severe Systemic Reactions Following Bee Sting Injuries in Korea

et al. 2023

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Purpose Most bee sting injuries are benign, although sometimes they can result in life threatening outcomes, such as anaphylaxis and death. The purpose of this study was to investigate the epidemiologic status of bee sting injuries in Korea and to identify risk factors associated with severe systemic reactions (SSRs). Materials and Methods Cases were extracted from a multicenter retrospective registry for patients who had visited emergency departments (EDs) for bee sting injuries. SSRs were defined as hypotension or altered mental status upon ED arrival, hospitalization, or death. Patient demographics and injury characteristics were compared between SSR and non-SSR groups. Logistic regression was performed to identify risk factors for bee sting-associated SSRs, and the characteristics of fatality cases were summarized. Results Among the 9673 patients with bee sting injuries, 537 had an SSR and 38 died. The most frequent injury sites included the hands and head/face. Logistic regression analysis revealed that the occurrence of SSRs was associated with male sex [odds ratio (95% confidence interval); 1.634 (1.133–2.357)] and age [1.030 (1.020–1.041)]. Additionally, the risk of SSRs from trunk and head/face stings was high [2.858 (1.405–5.815) and 2.123 (1.333–3.382), respectively]. Bee venom acupuncture [3.685 (1.408–9.641)] and stings in the winter [4.573 (1.420–14.723)] were factors that increased the risk of SSRs. Conclusion Our findings emphasize the need for implementing safety policies and education on bee sting-related incidents to protect high-risk groups.

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Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Severe Systemic Reactions Following Bee Sting Injuries in Korea

et al. 2023

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“…1 Outro estudo verificou que os acidentes apílicos cresceram mais de 200% ao longo da década de 2009-2019, sendo a fatalidade dos casos maior em pessoas idosas e residentes no Nordeste. 25 Espera-se que acidentes apílicos sejam menos letais que acidentes ofídicos ou escorpiônicos. Entretanto, as letalidades por acidentes apílicos encontradas no presente estudo apontam valores similares ou até superiores às letalidades por ofidismo e escorpionismo, em diversas regiões brasileiras.…”

Section: Discussionunclassified

“… 1 Another study found that bee stings increased by more than 200% in the ten years between 2009 and 2019, with case fatality being higher in older people and people living in the Northeast region. 25 …”

Section: Discussionmentioning

confidence: 99%

Tendência temporal e perfil epidemiológico dos acidentes por animais peçonhentos no Brasil, 2007-2019

Souza

Farias

Bernarde

et al. 2022

Epidemiol. Serv. Saúde

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Resumo Objetivo: Analisar a tendência temporal dos acidentes causados por animais peçonhentos no Brasil, de 2007 a 2019. Métodos: Estudo transversal, realizado com dados do Sistema de Informação de Agravos de Notificação (Sinan). Para a análise temporal, utilizou-se a regressão linear de Prais-Winsten. Foram calculadas as incidências por sexo e faixa etária, risco relativo e letalidade. Resultados: No período de estudo, houve 2.102.657 casos de acidentes por animais peçonhentos. Com exceção do ofidismo, os demais acidentes apresentaram tendência temporal crescente na maioria das macrorregiões nacionais. Escorpionismo, ofidismo e araneísmo foram responsáveis por 86% dos acidentes, principalmente entre pessoas do sexo masculino em idade economicamente ativa. A de letalidade foi mais elevada para acidentes ofídicos (0,4%) e apílicos (0,3%). As crianças foram as principais vítimas de acidentes com abelhas, lagartas e "outros". Conclusão: Os acidentes com animais peçonhentos apresentaram tendência temporal crescente para a maioria dos agravos e diferentes perfis epidemiológicos.

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“…Human envenoming by venomous animals represents the main neglected health problem in tropical and subtropical countries [ 1 , 2 , 3 , 4 ]. Due to its climatic heterogeneity and different biomes, Brazil harbors a great variety of venomous animals with harmful potential for humans [ 5 , 6 , 7 ].…”

Section: Introductionmentioning

confidence: 99%

Challenges and Opportunities in Clinical Diagnostic Routine of Envenomation Using Blood Plasma Proteomics

Cavalcante

Almeida

Moraes

et al. 2023

Toxins

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Specific and sensitive tools for the diagnosis and monitoring of accidents by venomous animals are urgently needed. Several diagnostic and monitoring assays have been developed; however, they have not yet reached the clinic. This has resulted in late diagnoses, which represents one of the main causes of progression from mild to severe disease. Human blood is a protein-rich biological fluid that is routinely collected in hospital settings for diagnostic purposes, which can translate research progress from the laboratory to the clinic. Although it is a limited view, blood plasma proteins provide information about the clinical picture of envenomation. Proteome disturbances in response to envenomation by venomous animals have been identified, allowing mass spectrometry (MS)-based plasma proteomics to emerge as a tool in a range of clinical diagnostics and disease management that can be applied to cases of venomous animal envenomation. Here, we provide a review of the state of the art on routine laboratory diagnoses of envenomation by snakes, scorpions, bees, and spiders, as well as a review of the diagnostic methods and the challenges encountered. We present the state of the art on clinical proteomics as the standardization of procedures to be performed within and between research laboratories, favoring a more excellent peptide coverage of candidate proteins for biomarkers. Therefore, the selection of a sample type and method of preparation should be very specific and based on the discovery of biomarkers in specific approaches. However, the sample collection protocol (e.g., collection tube type) and the processing procedure of the sample (e.g., clotting temperature, time allowed for clotting, and anticoagulant used) are equally important to eliminate any bias.

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Bee stings in Brazil: Epidemiological aspects in humans

Cited by 9 publications

References 33 publications

Severe Systemic Reactions Following Bee Sting Injuries in Korea

Severe Systemic Reactions Following Bee Sting Injuries in Korea

Tendência temporal e perfil epidemiológico dos acidentes por animais peçonhentos no Brasil, 2007-2019

Challenges and Opportunities in Clinical Diagnostic Routine of Envenomation Using Blood Plasma Proteomics

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