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

Abstract

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. Clinical and epidemiological aspects of scorpionism in the interior of the state of Bahia, Brazil: retrospective epidemiological study | ORIGINAL ARTICLE Sao Paulo Med J. 2019; 137(2):162-8 163

Epidemiological and Clinical Aspects of Scorpion Envenomation in Machacalis, Minas Gerais, Brazil, from 2016 to 2017

“…These clinical characteristics are similar to those found in studies conducted in different Brazilian states [31,39] and in other countries [40,41]. In most cases, where there is only one local condition, treatment is symptomatic and consists of pain relief, usually with the anesthetic block in the affected region, and administration of analgesics and antihistamines [42].…”

Aspectos epidemiológicos dos envenenamentos ocasionados por aracnídeos na Microrregião de Furos de Breves, arquipélago do Marajó-Pará, Brasil

“…Entretanto, verificamos que em nossos achados essa relação não se aplica, pois foram registradas notificações de acidentes ocasionados por escorpiões em períodos que não estão compreendidos entre os meses de maior pluviosidade da região, enquanto a ocorrência de araneísmo foi uniforme ao longo do ano. Achados similares foram registrados em estudos anteriores (Pardal et al, 2002;Carmo et al, 2019).…”

Epidemiology of accidents involving venomous animals in the State of Ceará, Brazil (2007-2019)

“…Although Brazil has four national systems for recording, the information is still dissociated, resulting in data that may not represent the reality of this public health problem 35 . Thus, there is a need to analyze and periodically evaluate these notification systems, considering their strategic importance in decision-making in health service routines, public policies, and research 34,36 .…”