Les caractéristiques épidémiologiques et cliniques des envenimations scorpioniques dans la province de Beni Mellal (Maroc)

Abstract

Résumé - Mots clés : Envenimation, scorpion, épidémiologie, fiches d'hospitalisation, Beni MellalAbstract -In Morocco, the province of Beni Mellal is one of the regions most affected by the problem of scorpion sting and envenomation. Objective: The aim of this research is to reduce cases of morbidity and mortality subsequent to scorpion envenomation through the analysis and interpretation of data recorded in hospital admission forms. Patients and methods: Our study covered 56 retrospective cases of scorpion poisoning during the year 2007, which were reported by the hospital's intensive care service in Beni Mellal province. Results: Results indicate that scorpion envenomation occurs mainly during summer time, in particular during June and July. Moreover, stings happen at night between 6PM and 6AM (56.8%). Youngsters with age less than or equal to 15 years are those most exposed to envenomation, with a male age of 14.92 ± 12.94 years. Furthermore, 71.4% of the hurt patients arrive at the hospital with general symptoms and 28.6% exhibit signs of vital distress. The therapy is still variable, and the rate of lethality at hospital is 8.92%. Statistical analysis of various factors studied in relation to survival prediction (recovery and mortality) showed a highly significant difference for each admission class (χ 2 = 13.72 and p < 0.001). Age of less than 15 years and cardiovascular are factors of risk for envenomed patients. Conclusion: Scorpion envenomation remains a public health problem in Morocco.