Honey bee envenoming in Santa Catarina, Brazil, 2007 through 2017: an observational, retrospective cohort study

Oliveira, Suzana Kniphoff de; Trevisol, Daisson José; Parma, Gabriel Cremona; Ferreira Júnior, Rui Seabra; Barbosa, Alexandre Naime; Barraviera, Benedito; Schuelter-Trevisol, Fabiana

doi:10.1590/0037-8682-0418-2018

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Revista da Sociedade Brasileira de Medicina Tropical

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Short Communication • Rev. Soc. Bras. Med. Trop. 52 • 2019 • https://doi.org/10.1590/0037-8682-0418-2018 copy

Honey bee envenoming in Santa Catarina, Brazil, 2007 through 2017: an observational, retrospective cohort study

Authorship SCIMAGO INSTITUTIONS RANKINGS

Abstract

INTRODUCTION:

We evaluated the epidemiological and clinical profile of reported cases of bee sting incidents in Santa Catarina, Brazil.

METHODS:

This retrospective cohort study included all reported cases of bee sting incidents among the population of Santa Catarina from 2007 to 2017.

RESULTS:

In total, 8,912 cases were reported, corresponding to an overall rate of 12.3/100,000 population. The mean age was 29,8 years with 60.2% men. The lethality rate was 0.2%.

CONCLUSIONS:

Santa Catarina has a high incidence rate of bee stings, which is higher than the national average. The data presented in this study may be underestimated.

Keywords:
Africanized honeybee; Santa Catarina; Brazil; Envenoming

Characteristics	n	%
Gender
Male	5,363	60.2
Female	3,549	39.8
Age (years)
0-19	3,093	34.7
20-29	1,805	20.3
30-39	1,236	13.9
40-49	1,177	13.2
50-59	867	9.7
≥60	734	8.2
Race/Ethnicity
White	8,206	92.1
Brown	533	6.0
Unknown	173	1.9
Education
Illiterate	54	0.6
Elementary school	4,070	45.7
High school	2,053	23.0
College	517	5.8
Not applicable	1,048	11.8
Unknown	1,170	13.1
Region in which the incident occurred
Rural area	3,940	44.2
Urban area	4,731	53.1
Peri-urban	124	1.4
Unknown	117	1.3
Season in which the incident occurred
Summer	4,063	45.6
Fall	2,117	23.8
Spring	2,020	22.7
Winter	712	8.0
Body site affected
Head	3,531	39.6
Upper limbs	3,030	34.0
Lower limbs	1,113	12.5
Trunk	1,080	12.1
Unknown	158	1.8
Time elapsed between incident and medical care (hours)
0\|-1	3,139	35.2
1\|-3	2,064	23.2
3\|-6	812	9.1
6\|-12	327	3.6
12\|-24	809	9.1
>24	1,208	13.6
Unknown	553	6.2
Topical manifestations*
Pain	8,110	91.0
Edema	7,747	86.9
Ecchymosis	632	7.1
Necrosis	35	0.4
Other	1,618	18.2
Systemic manifestations (n=594)**
Neuroparalytic	136	1.5
Vagal alterations	260	2.9
Myelitic/hemolytic manifestations	24	0.3
Renal impairment	21	0.2
Other	405	4.5
Outcome
Cure	8,691	97.5
Death	16	0.2
Unknown	205	2.3

Sociedade Brasileira de Medicina Tropical - SBMT Sociedade Brasileira de Medicina Tropical - SBMT, Núcleo de Medicina Tropical UnB, Sala 43C 70904-970, E-mails: rsbmt@uftm.edu.br | artes.rsbmt@gmail.com | sbmt@sbmt.org.br , WhatsApp: SBMT (61) 9.9192-6496, WhatsApp: RSBMT (34) 9.9996-5807 - Brasília - DF - Brazil
E-mail: rsbmt@uftm.edu.br

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[1] Corresponding author: Fabiana Schuelter-Trevisol. e-mail:fastrevisol@gmail.com