Factores asociados con la picadura de alacrán en escolares: estudio transversal en dos comunidades rurales de Guerrero, México

Silva-Domínguez, Rufino; Paredes-Solís, Sergio; Cortés-Guzmán, Antonio Juan; Flores-Moreno, Miguel; Baldazo-Monsivaiz, José Guadalupe; Anderson, Neil; Cockcroft, Anne

doi:10.24875/bmhim.18000104

Cited by 3 publications

(4 citation statements)

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“…Our inability to show an increased risk for those who do the cooking is probably related to the piecemeal addition of wood to the fire. The association with free-range hens is inconsistent with other studies of this factor [ 16 ]. A plausible explanation might be scratching by hens moves earth and leaves, causing scorpions to leave their shelters and thus increasing the probability of scorpion sting [ 37 ].…”

Section: Discussioncontrasting

confidence: 89%

“…Our finding that helping with housework carries a risk of scorpion sting coincides with the finding of Silva et al . [ 16 ], although they saw housework in terms of the lack of cleanliness (OR 1.84; CI95% 1.02–4.16). Based on our study, the high-risk actions include moving furniture, kitchen utensils, clothing, and items of little use, which may cause scorpions to leave their shelter and, thus, increase the probability of stings.…”

Section: Discussionmentioning

confidence: 99%

“…Some authors report higher risks in rural populations [ 11 , 13 ], while others suggest urban populations are worse affected [ 14 , 15 ]. Risk factors for scorpion sting include being in a rural area [ 14 ]; insufficient household cleaning; roofing constructed from temporary sheeting or palm leaves; keeping ducks in the home; agricultural work [ 16 ]; an altitude of 300 meters above sea level; being male; being mixed race (as opposed to indigenous); and, not using gloves when harvesting corn [ 17 ].…”

Section: Introductionmentioning

confidence: 99%

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Occurrence of scorpion sting and associated factors in a highly marginalized municipality in Guerrero, Mexico: A cross-sectional study

et al. 2023

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Background Scorpion sting is a neglected public health problem, despite a global estimate of 1.2 million scorpion stings and some 3,250 deaths annually Methods This cross-sectional study estimates the occurrence of scorpion stings and identifies associated factors in seven communities in the highly marginalized municipality of Chilapa, in the Mexican state of Guerrero. After informed consent, 1,144 households provided information on 4,985 residents. The questionnaire collated sociodemographic data, characteristics of the dwelling, efforts to avoid scorpion stings, and individual information of scorpion stings suffered in the last year. Cluster-adjusted (acl), bivariate and multivariate analysis relied on the Mantel-Haenszel procedure Results The overall period prevalence of scorpion stings in the year prior to the study was 4.4% (218/4985), 5.4% in men (126/2320), and 3.5% in women (92/2665), p<0.01. The majority occurred at home 68.3% (149/218), followed by agricultural fields 26.6% (58/218), street 2.8% (6/218), and work 2.3% (5/218). Factors associated with scorpion sting were carrying firewood (OR 2.1; CI95%acl 1.40–3.09), keeping free-range hens around of the home (OR 1.9; CI95%acl 1.19–2.85), residing in a rural area (OR 1.7; CI95%acl 1.04–2.78), being male (OR 1.6; CI95%acl 1.18–2.28), and helping with housework (OR 1.6; CI95%acl 1.04–2.40) Conclusion This study confirms scorpion bites are a public health problem in these marginalized communities in Guerrero State, with risk factors related to living conditions and the work process at home and in the fields. Almost all risk factors identified could be reduced with low-cost interventions implemented by the communities themselves.

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Section: Discussioncontrasting

confidence: 89%

Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

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Occurrence of scorpion sting and associated factors in a highly marginalized municipality in Guerrero, Mexico: A cross-sectional study

et al. 2023

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“…6 Contudo, essas justificativas culpabilizam o indivíduo pelo agravo, não exploram o papel dos determinantes sociais em saúde, como aspectos socioeconômicos, ocupacionais e precariedade de infraestrutura/saneamento, identificados nos perfis epidemiológicos de escorpionismo. 5,[7][8][9] Apesar do acúmulo de evidências acerca dos aspectos dos indivíduos que favorecem a ocorrência do acidente escorpiônico, permanece inexplorado o papel do trabalho e demais descritores municipais capazes de interferir na ocorrência do agravo.…”

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Associação ecológica entre fatores socioeconômicos, ocupacionais e de saneamento e a ocorrência de escorpionismo no Brasil, 2007-2019

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et al. 2021

Epidemiol. Serv. Saúde

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Resumo Objetivo Analisar associação ecológica entre características socioeconômicas, ocupacionais e de infraestrutura/saneamento com escorpionismo no Brasil. Métodos Estudo ecológico, com dados dos acidentes escorpiônicos notificados no Sistema de Informação de Agravos de Notificação (2007-2019). Empregou-se regressão binomial negativa para estimar razões de taxas de incidência (RTI) e intervalos de confiança (IC95%). Resultados No período, ocorreram 1.079.333 acidentes, com incidência acumulada de 41,5/100 mil habitantes. Na análise ajustada, houve associação com percentual municipal de mulheres (RTI=1,65 - IC95% 1,18;2,30) e homens (RTI=0,90 - IC95% 0,88;0,91) na construção civil, mulheres (RTI=1,21 - IC95% 1,18;1,25) e homens (RTI=0,73 - IC95% 0,69;0,77) no serviço doméstico, mulheres (RTI=1,03 - IC95% 1,02;1,04) e homens (RTI=0,93 - IC95% 0,92;0,93) na agropecuária, domicílios com lixo coletado (RTI=0,99 - IC95% 0,98;0,99) e lixo no entorno (RTI=1,02 - IC95% 1,01;1,02), expectativa de anos de estudo (RTI=0,88 - IC95% 0,83;0,92) e taxa de desocupação (RTI=1,07 - IC95% 1,05;1,09). Conclusão O escorpionismo associou-se a precária infraestrutura/saneamento, oferta de emprego, educação e ocupação feminina.

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Autopsy Findings in Case of Fatal Scorpion Sting: A Systematic Review of the Literature

et al. 2020

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Scorpion sting is a public health issue in several countries, particularly in America, the Middle East, India and Africa. The estimated annual global incidence of scorpion envenomings is about 1.5 million, resulting in 2600 deaths. Scorpions are Arthropoda characterized by a tail ending in a terminal bulbous (telson) containing paired venom glands and the stinger. There are 19 known families of scorpions and more than 2200 species, of which about 50 from the families of Buthidae, Hemiscorpiidae and Scorpionidae are harmful to humans. Scorpion venom is a complex structure composed of neurotoxic proteins, salts, acidic proteins and organic compounds, thereby having neurologic, cardiovascular, hematologic and renal side effects, in addition to local effects such as redness, pain, burning and swelling. When the sting is fatal, the mechanism of death is often related to cardiotoxicity with terminal pulmonary edema. However, the cholinergic excess or the neuromuscular excitation can provoke respiratory failure. Sometimes, death is due to an anaphylactic reaction to the envenoming. The purpose of this literature review is to evaluate the autopsy findings in scorpion sting-related deaths in order to better understand the pathophysiological mechanisms underlying them, thus helping pathologists in defining the correct diagnosis.

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Factores asociados con la picadura de alacrán en escolares: estudio transversal en dos comunidades rurales de Guerrero, México

Cited by 3 publications

References 10 publications

Occurrence of scorpion sting and associated factors in a highly marginalized municipality in Guerrero, Mexico: A cross-sectional study

Occurrence of scorpion sting and associated factors in a highly marginalized municipality in Guerrero, Mexico: A cross-sectional study

Associação ecológica entre fatores socioeconômicos, ocupacionais e de saneamento e a ocorrência de escorpionismo no Brasil, 2007-2019

Autopsy Findings in Case of Fatal Scorpion Sting: A Systematic Review of the Literature

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