fa همه‌گیرشناسی مارگزیدگی و عقرب‌گزیدگی در سیستان: یک مطالعه توصیفی آمار و اپيدميولوژي Statistics& Epidemiology پژوهشي Research <p><span style="font-size:10pt"><span style="line-height:125%"><span style="direction:rtl"><span style="unicode-bidi:embed"><span new="" roman="" style="font-family:" times=""><b><span lang="AR-SA" style="font-size:12.0pt"><span style="line-height:125%"><span b="" nazanin="" style="font-family:">زمینه و هدف:</span></span></span></b><span lang="AR-SA" style="font-size:12.0pt"><span style="line-height:125%"><span b="" nazanin="" style="font-family:"> گزش عقرب‌ها و مارها به</span></span></span><span lang="AR-SA" style="font-size:12.0pt"><span style="line-height:125%"><span cambria="" style="font-family:">‌ </span></span></span><span lang="AR-SA" style="font-size:12.0pt"><span style="line-height:125%"><span b="" nazanin="" style="font-family:">عنوان بالاترین عامل تلفات ناشی از موجودات زهری در دنیا گزارش شده است که به عواملی چون شیوه زندگی، وضعیت اجتماعی-اقتصادی، شرایط اقلیمی، گونه</span></span></span><span lang="AR-SA" style="font-size:12.0pt"><span style="line-height:125%"><span cambria="" style="font-family:">‌</span></span></span><span lang="AR-SA" style="font-size:12.0pt"><span style="line-height:125%"><span b="" nazanin="" style="font-family:">های عقرب بومی هر منطقه، پراکندگی مارهای سمی و طعمه</span></span></span><span lang="AR-SA" style="font-size:12.0pt"><span style="line-height:125%"><span cambria="" style="font-family:">‌</span></span></span><span lang="AR-SA" style="font-size:12.0pt"><span style="line-height:125%"><span b="" nazanin="" style="font-family:">های آن‌ها مرتبط است. این مطالعه جهت تعیین ویژگی</span></span></span><span lang="AR-SA" style="font-size:12.0pt"><span style="line-height:125%"><span cambria="" style="font-family:">‌</span></span></span><span lang="AR-SA" style="font-size:12.0pt"><span style="line-height:125%"><span b="" nazanin="" style="font-family:">های همه‌گیرشناسی مارگزیدگی و عقرب‌گزیدگی در سیستان صورت گرفت.</span></span></span></span></span></span></span></span><br> <span style="font-size:10pt"><span style="line-height:125%"><span style="direction:rtl"><span style="unicode-bidi:embed"><span new="" roman="" style="font-family:" times=""><b><span lang="AR-SA" style="font-size:12.0pt"><span style="line-height:125%"><span b="" nazanin="" style="font-family:">مواد و روش‌ها:</span></span></span></b><span lang="AR-SA" style="font-size:12.0pt"><span style="line-height:125%"><span b="" nazanin="" style="font-family:"> این مطالعه از نوع توصیفی است و پرونده</span></span></span><span lang="AR-SA" style="font-size:12.0pt"><span style="line-height:125%"><span cambria="" style="font-family:">‌</span></span></span><span lang="AR-SA" style="font-size:12.0pt"><span style="line-height:125%"><span b="" nazanin="" style="font-family:">های مربوط به بیماران با شرح حال مارگزیدگی و عقرب‌گزیدگی طی سال</span></span></span><span lang="AR-SA" style="font-size:12.0pt"><span style="line-height:125%"><span cambria="" style="font-family:">‌</span></span></span><span lang="AR-SA" style="font-size:12.0pt"><span style="line-height:125%"><span b="" nazanin="" style="font-family:">های 1395 تا 1402 مراجعه</span></span></span><span lang="AR-SA" style="font-size:12.0pt"><span style="line-height:125%"><span cambria="" style="font-family:">‌</span></span></span><span lang="AR-SA" style="font-size:12.0pt"><span style="line-height:125%"><span b="" nazanin="" style="font-family:">کننده به بیمارستان امیرالمؤمنین(ع) شهرستان زابل به روش سرشماری و با استفاده از چک-لیست وارد مطالعه شد. تجزیه و تحلیل داده</span></span></span><span lang="AR-SA" style="font-size:12.0pt"><span style="line-height:125%"><span cambria="" style="font-family:">‌</span></span></span><span lang="AR-SA" style="font-size:12.0pt"><span style="line-height:125%"><span b="" nazanin="" style="font-family:">ها با آزمون</span></span></span><span lang="AR-SA" style="font-size:12.0pt"><span style="line-height:125%"><span cambria="" style="font-family:">‌</span></span></span><span lang="AR-SA" style="font-size:12.0pt"><span style="line-height:125%"><span b="" nazanin="" style="font-family:">های مجذور کای و دقیق فیشر انجام گردید. </span></span></span></span></span></span></span></span><br> <span style="font-size:10pt"><span style="line-height:125%"><span style="direction:rtl"><span style="unicode-bidi:embed"><span new="" roman="" style="font-family:" times=""><b><span lang="AR-SA" style="font-size:12.0pt"><span style="line-height:125%"><span b="" nazanin="" style="font-family:">یافته</span></span></span></b><b><span lang="AR-SA" style="font-size:12.0pt"><span style="line-height:125%"><span cambria="" style="font-family:">‌</span></span></span></b><b><span lang="AR-SA" style="font-size:12.0pt"><span style="line-height:125%"><span b="" nazanin="" style="font-family:">ها:</span></span></span></b><span lang="AR-SA" style="font-size:12.0pt"><span style="line-height:125%"><span b="" nazanin="" style="font-family:"> تعداد 2089 نفر از مراجعه</span></span></span><span lang="AR-SA" style="font-size:12.0pt"><span style="line-height:125%"><span cambria="" style="font-family:">‌</span></span></span><span lang="AR-SA" style="font-size:12.0pt"><span style="line-height:125%"><span b="" nazanin="" style="font-family:">کنندگان با علائم مارگزیدگی و 317 نفر به</span></span></span><span lang="AR-SA" style="font-size:12.0pt"><span style="line-height:125%"><span cambria="" style="font-family:">‌</span></span></span><span lang="AR-SA" style="font-size:12.0pt"><span style="line-height:125%"><span b="" nazanin="" style="font-family:"> دنبال عقرب‌گزیدگی طی سال</span></span></span><span lang="AR-SA" style="font-size:12.0pt"><span style="line-height:125%"><span cambria="" style="font-family:">‌</span></span></span><span lang="AR-SA" style="font-size:12.0pt"><span style="line-height:125%"><span b="" nazanin="" style="font-family:">های 1396 تا 1402 مشاهده شد. بیشترین موارد مارگزیدگی و عقرب‌گزیدگی مربوط به مردان، ساکنین روستا و در تیرماه بود. بین نوع گزش در سال</span></span></span><span lang="AR-SA" style="font-size:12.0pt"><span style="line-height:125%"><span cambria="" style="font-family:">‌</span></span></span><span lang="AR-SA" style="font-size:12.0pt"><span style="line-height:125%"><span b="" nazanin="" style="font-family:">های 1397، 1398، 1399، 1400، 1401 و 1402 به</span></span></span><span lang="AR-SA" style="font-size:12.0pt"><span style="line-height:125%"><span cambria="" style="font-family:">‌</span></span></span><span lang="AR-SA" style="font-size:12.0pt"><span style="line-height:125%"><span b="" nazanin="" style="font-family:">ترتیب با (جنسیت، محل سکونت، مناطق مورد گزش و ماه)، (سن و مناطق مورد گزش)، (جنسیت)، (جنسیت و سن)، (محل سکونت، مناطق مورد گزش، فصل و ماه) و (جنسیت، سن و مناطق مورد گزش) رابطه آماری معنی</span></span></span><span lang="AR-SA" style="font-size:12.0pt"><span style="line-height:125%"><span cambria="" style="font-family:">‌</span></span></span><span lang="AR-SA" style="font-size:12.0pt"><span style="line-height:125%"><span b="" nazanin="" style="font-family:">دار وجود داشت (05/0></span></span></span>P<span lang="AR-SA" style="font-size:12.0pt"><span style="line-height:125%"><span b="" nazanin="" style="font-family:">).</span></span></span></span></span></span></span></span><br> <span style="font-size:10pt"><span style="line-height:125%"><span style="direction:rtl"><span style="unicode-bidi:embed"><span new="" roman="" style="font-family:" times=""><b><span lang="AR-SA" style="font-size:12.0pt"><span style="line-height:125%"><span b="" nazanin="" style="font-family:">نتیجه‌گیری:</span></span></span></b><span lang="AR-SA" style="font-size:12.0pt"><span style="line-height:125%"><span b="" nazanin="" style="font-family:"> با توجه به شیوع بالای مارگزیدگی و عقرب‌گزیدگی در روستاها و فصل گرم سال در این منطقه و به</span></span></span><span lang="AR-SA" style="font-size:12.0pt"><span style="line-height:125%"><span cambria="" style="font-family:">‌</span></span></span><span lang="AR-SA" style="font-size:12.0pt"><span style="line-height:125%"><span b="" nazanin="" style="font-family:">منظور کنترل و کاهش پیامدهای ناشی از آن ضروری است آگاهی مردم در این زمینه افزایش یابد و هم</span></span></span><span lang="AR-SA" style="font-size:12.0pt"><span style="line-height:125%"><span cambria="" style="font-family:">‌</span></span></span><span lang="AR-SA" style="font-size:12.0pt"><span style="line-height:125%"><span b="" nazanin="" style="font-family:">چنین سرم ضد عقرب‌گزیدگی در اختیار مراکز بهداشتی قرار گیرد.</span></span></span></span></span></span></span></span><br> <b><span dir="RTL" lang="AR-SA" style="font-size:12.0pt"><span style="line-height:107%"><span b="" nazanin="" style="font-family:">واژه</span></span></span><span dir="RTL" lang="AR-SA" style="font-size:12.0pt"><span style="line-height:107%"><span cambria="" style="font-family:">‌</span></span></span><span dir="RTL" lang="AR-SA" style="font-size:12.0pt"><span style="line-height:107%"><span b="" nazanin="" style="font-family:">های کلیدی:</span></span></span></b><span dir="RTL" lang="AR-SA" style="font-size:12.0pt"><span style="line-height:107%"><span b="" nazanin="" style="font-family:"> اپیدمیولوژی، عقرب‌گزیدگی، مارگزیدگی، زابل</span></span></span></p> <p><span style="font-size:10pt"><span style="line-height:135%"><span style="tab-stops:-45.0pt"><span style="text-autospace:none"><span new="" roman="" style="font-family:" times=""><a name="_Hlk114425361"><b><span style="font-size:9.0pt"><span style="line-height:135%">Background and Objectives: </span></span></b></a><span style="font-size:9.0pt"><span style="line-height:135%">Scorpion and snake envenomation is reported as the leading cause of fatalities due to venomous creatures worldwide, influenced by factors such as lifestyle, socioeconomic status, climatic conditions, native scorpion species, distribution of venomous snakes, and their prey. This study aimed to investigate the epidemiological features of snakebites and scorpion stings in the Sistan region.</span></span></span></span></span></span></span><br> <span style="font-size:10pt"><span style="line-height:135%"><span style="tab-stops:-45.0pt"><span style="text-autospace:none"><span new="" roman="" style="font-family:" times=""><b><span style="font-size:9.0pt"><span style="line-height:135%">Materials and Methods: </span></span></b><span style="font-size:9.0pt"><span style="line-height:135%">This descriptive study reviewed patient records of snakebite and scorpion sting cases presenting to Amir Al-Momenin Hospital in Zabol from 2016 to 2023. Data collection was census-based, using a structured checklist, and data analysis was performed using chi-square and Fisher&#39;s exact tests.</span></span></span></span></span></span></span><br> <span style="font-size:10pt"><span style="line-height:135%"><span style="tab-stops:-45.0pt"><span style="text-autospace:none"><span new="" roman="" style="font-family:" times=""><b><span style="font-size:9.0pt"><span style="line-height:135%">Results: </span></span></b><span style="font-size:9.0pt"><span style="line-height:135%">A total of 2,089 cases of snakebite and 317 cases of scorpion sting were recorded among patients during 2017-2023. The most cases of snakebite and scorpion sting were related to men, rural residents, and in July. There was a statistically significant relationship between the type of bite in 2018, 2018, 2019, 2020, 2021, and 2023 with (gender, place of residence, bitten areas, and month), (age and bitten areas), (gender), (gender and age), (place of residence, bitten areas, season, and month), and (gender, age, and bitten areas), respectively (p<0.05).</span></span></span></span></span></span></span><br> <span style="font-size:10pt"><span style="line-height:135%"><span style="tab-stops:-45.0pt"><span style="text-autospace:none"><span new="" roman="" style="font-family:" times=""><b><span style="font-size:9.0pt"><span style="line-height:135%">Conclusion: </span></span></b><span style="font-size:9.0pt"><span style="line-height:135%">Given the high prevalence of snakebites and scorpion stings in rural areas during warm seasons, public awareness need to be enhanced. Additionally, providing healthcare centers with anti-venom serums is critical to reducing the frequency and consequences of these incidents.</span></span></span></span></span></span></span><br> <span style="font-size:10pt"><span style="line-height:135%"><span style="tab-stops:-45.0pt"><span style="text-autospace:none"><span new="" roman="" style="font-family:" times=""><b><span style="font-size:9.0pt"><span style="line-height:135%">Keywords: </span></span></b><span style="font-size:9.0pt"><span style="line-height:135%">Epidemiology, Scorpion stings, Snakebites, Zabol</span></span></span></span></span></span></span><br> <span style="font-size:10pt"><span style="line-height:135%"><span style="tab-stops:-45.0pt"><span style="text-autospace:none"><span new="" roman="" style="font-family:" times=""><span style="font-size:9.0pt"><span style="line-height:135%"></span></span></span></span></span></span></span><br> <span style="font-size:10pt"><span style="line-height:135%"><span style="tab-stops:-45.0pt"><span style="text-autospace:none"><span new="" roman="" style="font-family:" times=""><b><span style="font-size:9.0pt"><span style="line-height:135%">Funding:</span></span></b><span style="font-size:9.0pt"><span style="line-height:135%"> The study was funded by Zabol University of Medical Sciences, Zabol, Iran</span></span></span></span></span></span></span><br> <span style="font-size:10pt"><span style="line-height:135%"><span style="tab-stops:-45.0pt"><span style="text-autospace:none"><span new="" roman="" style="font-family:" times=""><b><span style="font-size:9.0pt"><span style="line-height:135%">Conflict of interest:</span></span></b><span style="font-size:9.0pt"><span style="line-height:135%"> None declared.</span></span></span></span></span></span></span><br> <span style="font-size:10pt"><span style="line-height:135%"><span style="tab-stops:-45.0pt"><span style="text-autospace:none"><span new="" roman="" style="font-family:" times=""><b><span style="font-size:9.0pt"><span style="line-height:135%">Ethical considerations</span></span></b><span style="font-size:9.0pt"><span style="line-height:135%">: The Ethics Committee of Zabol University of Medical Sciences approved the study (IR.ZBMU.REC.1402.107).</span></span></span></span></span></span></span><br> <span style="font-size:10pt"><span style="line-height:135%"><span style="tab-stops:-45.0pt"><span style="text-autospace:none"><span new="" roman="" style="font-family:" times=""><b><span style="font-size:9.0pt"><span style="line-height:135%">Authors&rsquo; contributions:</span></span></b></span></span></span></span></span><br> <span style="font-size:10pt"><span style="line-height:135%"><span style="tab-stops:-45.0pt"><span style="text-autospace:none"><span new="" roman="" style="font-family:" times=""><b><span style="font-size:9.0pt"><span style="line-height:135%">- Conceptualization:</span></span></b><span style="font-size:9.0pt"><span style="line-height:135%"> Somayeh Bagheri, Hossein Barahoei, Saeed Mohammadi</span></span></span></span></span></span></span><br> <span style="font-size:10pt"><span style="line-height:135%"><span style="tab-stops:-45.0pt"><span style="text-autospace:none"><span new="" roman="" style="font-family:" times=""><b><span style="font-size:9.0pt"><span style="line-height:135%">- Methodology:</span></span></b><span style="font-size:9.0pt"><span style="line-height:135%"> Somayeh Bagheri</span></span></span></span></span></span></span><br> <span style="font-size:10pt"><span style="line-height:135%"><span style="tab-stops:-45.0pt"><span style="text-autospace:none"><span new="" roman="" style="font-family:" times=""><b><span style="font-size:9.0pt"><span style="line-height:135%">- Data collection:</span></span></b><span style="font-size:9.0pt"><span style="line-height:135%"> Somayeh Bagheri</span></span></span></span></span></span></span><br> <span style="font-size:10pt"><span style="line-height:135%"><span style="tab-stops:-45.0pt"><span style="text-autospace:none"><span new="" roman="" style="font-family:" times=""><b><span style="font-size:9.0pt"><span style="line-height:135%">- Formal analysis:</span></span></b><span style="font-size:9.0pt"><span style="line-height:135%"> Somayeh Bagheri, Saeed Mohammadi</span></span></span></span></span></span></span><br> <span style="font-size:10pt"><span style="line-height:135%"><span style="tab-stops:-45.0pt"><span style="text-autospace:none"><span new="" roman="" style="font-family:" times=""><b><span style="font-size:9.0pt"><span style="line-height:135%">- Supervision:</span></span></b><span style="font-size:9.0pt"><span style="line-height:135%"> Somayeh Bagheri</span></span></span></span></span></span></span><br> <span style="font-size:10pt"><span style="line-height:135%"><span style="tab-stops:-45.0pt"><span style="text-autospace:none"><span new="" roman="" style="font-family:" times=""><b><span style="font-size:9.0pt"><span style="line-height:135%">- Project administration:</span></span></b><span style="font-size:9.0pt"><span style="line-height:135%"> Somayeh Bagheri</span></span></span></span></span></span></span><br> <span style="font-size:10pt"><span style="line-height:135%"><span style="tab-stops:-45.0pt"><span style="text-autospace:none"><span new="" roman="" style="font-family:" times=""><b><span style="font-size:9.0pt"><span style="line-height:135%">- Writing &ndash; original draft:</span></span></b><span style="font-size:9.0pt"><span style="line-height:135%"> Somayeh Bagheri, Saeed Mohammadi</span></span></span></span></span></span></span><br> <span style="font-size:10pt"><span style="line-height:135%"><span style="tab-stops:-45.0pt"><span style="text-autospace:none"><span new="" roman="" style="font-family:" times=""><b><span style="font-size:9.0pt"><span style="line-height:135%">- Writing &ndash; review & editing:</span></span></b><span style="font-size:9.0pt"><span style="line-height:135%"> Somayeh Bagheri, Hossein Barahoei, Saeed Mohammadi</span></span><span style="font-size:9.0pt"><span style="line-height:135%"></span></span></span></span></span></span></span><br> &nbsp;</p> اپیدمیولوژی, عقرب‌گزیدگی, مارگزیدگی, زابل Epidemiology, Scorpion stings, Snakebites, Zabol 154 167 http://journal.rums.ac.ir/browse.php?a_code=A-10-6943-1&slc_lang=fa&sid=1 Somayeh Bagheri سمیه باقری somayeh.bagheri29@gmail.com 6900319475328460060454 6900319475328460060454 Yes Department of Epidmiology and Biostatics, Faculty of Health, Zabol University of Medical Sciences, Zabol, Iran گروه اپیدمیولوژی و آمار زیستی، دانشکده بهداشت، دانشگاه علوم پزشکی زابل، زابل، ایران Hossein Barahoei حسین براهویی barahoei2006@yahoo.com 6900319475328460060455 6900319475328460060455 No Department of Agronomy and Plant Breeding, Agricultural Research Institute, Research Institute of Zabol, Zabol, Iran استادیار گروه زراعت و اصلاح نباتات، پژوهشکده کشاورزی، پژوهشگاه زابل، زابل، ایران Saeed Mohammadi سعید محمدی smohammadi@uoz.ac.ir 6900319475328460060456 6900319475328460060456 No Department of Environmental Sciences, Faculty of Natural Resources, University of Zabol, Zabol, Iran استادیار گروه محیط زیست، دانشکده منابع طبیعی، دانشگاه زابل، زابل، ایران