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1- Department of Allergy, Rasool e Akram Hospital, Iran University of Medical Sciences, Tehran, Iran
2- Department of Allergy, Rasool e Akram Hospital, Iran University of Medical Sciences, Tehran, Iran.
3- Health Science Research Center, Mazandaran University of Medical Science, Sari, Iran
4- Children and Neonatal Health Research Center, Golestan University of Medical Sciences, Gorgan, Iran
5- Tehran Medical Sciences Branch of Academic Center for Education, Culture and Research Tehran, Iran
6- Golestan Hospital Clinical Research Development Unit, Ahvaz Jundishapur University of Medical Sciences, Ahvaz, Iran
7- Health Management and Social Development research Center, Golestan University of Medical Sciences, Gorgan, Iran
8- Children and Neonatal Health Research Center, Golestan University of Medical Sciences, Gorgan, Iran , s.a.aghapour@googlemail.com
Abstract:   (275 Views)
Objective: To determine the epidemiology of anaphylaxis to a bee's sting in the rural areas of Gorgan city.
Methods: In this cross sectional study, we analyzed some of the epidemiological characteristics of the study participants such as demographic information, bee type, cause of anaphylaxis, time of bee sting, onset of symptoms of anaphylaxis after a bee sting, number of bee stings, symptoms during anaphylaxis, and therapeutic and prophylactic measures.
Results: 201 patients were diagnosed with anaphylaxis caused by a bee sting. Of these, 129 (64%) were male and 72 (36%) were female with an average age of 34.33 (32) and 35.25 (34) years respectively. Anaphylaxis incidents occur in 108 men and 103 women out of 100,000, 169 of which are adults and 46 are children. Anaphylaxis occurred in 105 cases (52.2%) less than five minutes after being stung (very severe attack) and in 94 cases (46.8%) between 5-60 minutes after being stung (rapid attack) (p = 0.45). The patients' organs involved were skin (85.6%), respiratory system (78.6%), cardiovascular system (35.8%), nervous system (17.4%) and gastrointestinal tract (10.9%). Among these stings, 78 (38.8%), 107 (53.2%) and 16 (8%) took place indoors, outdoors and at home respectively (P=0.05). Seven (9.5%) children and sixty seven (39.6%) adults had hypotensive symptoms (P= 0.05). Ninety five percent of cases have been stung less than 10 times, and 80% of those who have experienced more than 10 stings had severe anaphylactic attacks (P = 0.003).
Conclusion: Based on our study, case finding was successful through the rural health network. In order to obtain accurate epidemiological information on the prevalence of anaphylaxis due to bee stings, an anaphylaxis registry and healthcare service packages are recommended. In this integrated model, a service package, including raising awareness and knowledge of people, and treatment for anaphylaxis can be employed.
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Type of Study: Original Article | Subject: Allergy and Clinical Immunology
Received: 2018/08/4 | Accepted: 2018/09/8

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