Clinical toxicology (Philadelphia, Pa.) · 2026
A retrospective study of centipede bites in Guadeloupe, West Indies: epidemiology, medical and surgical management.
СтатьяНазвание и аннотация: Перевод в очереди
Обработка статьи · этапы, ошибки и управление
Загрузка состояния…
Ошибки и ограничения
История · было → стало
Состояние обновляется каждые 5 секунд, пока блок открыт. Процент показывается только там, где известен объём работы. Пауза останавливает продолжение этапа; текущий запрос к источнику может завершиться.
Cathala Lois, Dumontier Christian, Bastard Claire, Boukhaled Mehdi, Uzel André Pierre
Аннотация
INTRODUCTION: In the Caribbean, centipede bites are well known for their painful symptoms. Although these bites are common, they rarely result in medical consultations. This study aimed to describe the frequency, clinical presentation, and management of centipede bites presenting to the emergency department.
METHODS: A retrospective, descriptive study was conducted over 7 years (2015-2021) of all patients presenting to the emergency department for centipede bites. Patients were categorized into two groups: those with severe envenomation requiring hospitalization (hospitalized group) and those with envenomation who were discharged after treatment (outpatient group). Clinical data, and medical and surgical treatments were analyzed using univariate methods.
RESULTS: A total of 377 patients were included; 53% were under 18 years old, and 56.2% were male. Most bites involved the head, hands, or feet. Treatments included analgesics, antihistamines, and antibiotics. Forty-three patients (11.4%) were hospitalized; 21 underwent surgery (48.8% of the hospitalized group; 5.6% of all cases). Hospitalized cases were older (40.5 years versus 12.5 years; P <0.001) and were more likely to have diabetes mellitus (27.9% versus 3.3%) or another comorbidity (66.7% versus 25.3%).
DISCUSSION: Most bites occurred during the rainy season in the Caribbean and were benign, especially in children. Hospitalization was more frequent in adults and in patients with diabetes mellitus. Antibiotics were required in 107 patients but surgery only in 21 patients. The infection rate was higher than previously reported, and severe allergic reactions were noted. Broad-spectrum antibiotics such as amoxicillin/clavulanic acid were often prescribed for infection prophylaxis, but the efficacy remains unknown.
CONCLUSION: Centipede bites are generally benign and managed on an outpatient basis. However, in patients with risk factors such as advanced age or comorbidities, complications may arise, sometimes requiring surgical intervention.
METHODS: A retrospective, descriptive study was conducted over 7 years (2015-2021) of all patients presenting to the emergency department for centipede bites. Patients were categorized into two groups: those with severe envenomation requiring hospitalization (hospitalized group) and those with envenomation who were discharged after treatment (outpatient group). Clinical data, and medical and surgical treatments were analyzed using univariate methods.
RESULTS: A total of 377 patients were included; 53% were under 18 years old, and 56.2% were male. Most bites involved the head, hands, or feet. Treatments included analgesics, antihistamines, and antibiotics. Forty-three patients (11.4%) were hospitalized; 21 underwent surgery (48.8% of the hospitalized group; 5.6% of all cases). Hospitalized cases were older (40.5 years versus 12.5 years; P <0.001) and were more likely to have diabetes mellitus (27.9% versus 3.3%) or another comorbidity (66.7% versus 25.3%).
DISCUSSION: Most bites occurred during the rainy season in the Caribbean and were benign, especially in children. Hospitalization was more frequent in adults and in patients with diabetes mellitus. Antibiotics were required in 107 patients but surgery only in 21 patients. The infection rate was higher than previously reported, and severe allergic reactions were noted. Broad-spectrum antibiotics such as amoxicillin/clavulanic acid were often prescribed for infection prophylaxis, but the efficacy remains unknown.
CONCLUSION: Centipede bites are generally benign and managed on an outpatient basis. However, in patients with risk factors such as advanced age or comorbidities, complications may arise, sometimes requiring surgical intervention.