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Severe Systemic Reactions Following Bee Sting Injuries in Korea

 Ji Hwan Lee  ;  Min Joung Kim  ;  Yoo Seok Park  ;  EungNam Kim  ;  Hyun Soo Chung  ;  Sung Phil Chung 
 YONSEI MEDICAL JOURNAL, Vol.64(6) : 404-412, 2023-06 
Journal Title
Issue Date
Anaphylaxis* / epidemiology ; Anaphylaxis* / etiology ; Animals ; Bees ; Emergency Service, Hospital ; Insect Bites and Stings* / complications ; Insect Bites and Stings* / epidemiology ; Male ; Republic of Korea / epidemiology ; Retrospective Studies
Hymenoptera ; emergency departments ; insect sting ; risk factors
Purpose: Most bee sting injuries are benign, although sometimes they can result in life threatening outcomes, such as anaphylaxis and death. The purpose of this study was to investigate the epidemiologic status of bee sting injuries in Korea and to identify risk factors associated with severe systemic reactions (SSRs).

Materials and Methods: Cases were extracted from a multicenter retrospective registry for patients who had visited emergency de partments (EDs) for bee sting injuries. SSRs were defined as hypotension or altered mental status upon ED arrival, hospitalization, or death. Patient demographics and injury characteristics were compared between SSR and non-SSR groups. Logistic regression was performed to identify risk factors for bee sting-associated SSRs, and the characteristics of fatality cases were summarized.

Results: Among the 9673 patients with bee sting injuries, 537 had an SSR and 38 died. The most frequent injury sites included the hands and head/face. Logistic regression analysis revealed that the occurrence of SSRs was associated with male sex [odds ratio (95% confidence interval); 1.634 (1.133–2.357)] and age [1.030 (1.020–1.041)]. Additionally, the risk of SSRs from trunk and head/face stings was high [2.858 (1.405–5.815) and 2.123 (1.333–3.382), respectively]. Bee venom acupuncture [3.685 (1.408–9.641)] and stings in the winter [4.573 (1.420–14.723)] were factors that increased the risk of SSRs.

Conclusion: Our findings emphasize the need for implementing safety policies and education on bee sting-related incidents to protect high-risk groups.
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Appears in Collections:
1. College of Medicine (의과대학) > Dept. of Emergency Medicine (응급의학교실) > 1. Journal Papers
Yonsei Authors
Kim, Min Joung(김민정) ORCID logo https://orcid.org/0000-0003-1634-5209
Kim, EungNam(김응남)
Park, Yoo Seok(박유석) ORCID logo https://orcid.org/0000-0003-1543-4664
Lee, Ji Hwan(이지환)
Chung, Sung Phil(정성필) ORCID logo https://orcid.org/0000-0002-3074-011X
Chung, Hyun Soo(정현수) ORCID logo https://orcid.org/0000-0001-6110-1495
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