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[Risk factors for allergy to honey-bee venom in Mexican beekeepers].

Abstract

BACKGROUND

Allergy to Hymenoptera venom has a low prevalence in the general population, but in beekeepers could be as high as 42%. The exposure to bee sting confers an occupational allergic risk to beekeepers, causing them sensitization during the first years, which if continues for a long time may induce immune tolerance.

OBJECTIVE

To know some risk factors of allergic reactions to honey-bee stings in a sample of beekeepers through a self-applied questionnaire.

METHODS

A self-applied questionnaire was performed by beekeepers from the whole country, with questions about age, sex, time of beekeeping activities, average number of stings per month and types of post-sting reactions. The relative risk and the odds ratio were calculated for some risk factors.

RESULTS

A total of 1541 questionnaires were completed. The average age was 37 years. There were 1289 (84%) men and 252 women. The average time of exposure to honey-bee sting was 7.2 years, and the number of stings per month averaged 33. There was atopic family history in 14.5% of the beekeepers, and 20% of them had personal atopy. In 125 (8%) beekeepers there were local allergic reactions and in 32 (2%) there were systemic allergic reactions. The relative risk for allergy to honey-bee venom in whom had atopic family history was 3.9 (CI 1.7-9.2), in those with less than 4 stings per month was 3.2 (CI 1.12-9.33), in those with more than 20 years exposure was 0.97 (CI 0.95-0.98) and for those over 50 years of age was 0.32 (CI 0.1-0.8). Beekeepers with less than 10 years of exposure had OR of 4.33 (CI 0.5-33.9).

CONCLUSIONS

The risk factors observed for hypersentivity to honey-bee venom in beekeepers were: atopic family history, less than 10 years of exposure and less than 4 stings per month. As probable protective factors we found the exposure for over 20 years and persons older than 50 years of age.

Authors+Show Affiliations

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Servicio de Alergia e Inmunología Clínica, UMAE Hospital de Especialidades Dr Antonio Fraga Mouret, Centro Médico Nacional La Raza, IMSS, México, D.F. mbecer5@gmail.com.

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Source

MeSH

Adolescent
Adult
Aged
Aged, 80 and over
Bee Venoms
Child
Female
Humans
Hypersensitivity
Insect Bites and Stings
Male
Mexico
Middle Aged
Occupational Diseases
Risk Factors
Surveys and Questionnaires
Young Adult

Pub Type(s)

English Abstract
Journal Article

Language

spa

PubMed ID

24274604

Citation

Becerril-Ángeles, Martín, et al. "[Risk Factors for Allergy to Honey-bee Venom in Mexican Beekeepers]." Revista Alergia Mexico (Tecamachalco, Puebla, Mexico : 1993), vol. 60, no. 3, 2013, pp. 100-4.
Becerril-Ángeles M, Núñez-Velázquez M, Grupo del Programa de Control de la Abeja Africanizada, SAGARPA. [Risk factors for allergy to honey-bee venom in Mexican beekeepers]. Rev Alerg Mex. 2013;60(3):100-4.
Becerril-Ángeles, M., & Núñez-Velázquez, M. (2013). [Risk factors for allergy to honey-bee venom in Mexican beekeepers]. Revista Alergia Mexico (Tecamachalco, Puebla, Mexico : 1993), 60(3), pp. 100-4.
Becerril-Ángeles M, Núñez-Velázquez M, Grupo del Programa de Control de la Abeja Africanizada, SAGARPA. [Risk Factors for Allergy to Honey-bee Venom in Mexican Beekeepers]. Rev Alerg Mex. 2013;60(3):100-4. PubMed PMID: 24274604.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - [Risk factors for allergy to honey-bee venom in Mexican beekeepers]. AU - Becerril-Ángeles,Martín, AU - Núñez-Velázquez,Marco, AU - ,, PY - 2013/11/27/entrez PY - 2013/11/28/pubmed PY - 2014/7/30/medline SP - 100 EP - 4 JF - Revista alergia Mexico (Tecamachalco, Puebla, Mexico : 1993) JO - Rev Alerg Mex VL - 60 IS - 3 N2 - BACKGROUND: Allergy to Hymenoptera venom has a low prevalence in the general population, but in beekeepers could be as high as 42%. The exposure to bee sting confers an occupational allergic risk to beekeepers, causing them sensitization during the first years, which if continues for a long time may induce immune tolerance. OBJECTIVE: To know some risk factors of allergic reactions to honey-bee stings in a sample of beekeepers through a self-applied questionnaire. METHODS: A self-applied questionnaire was performed by beekeepers from the whole country, with questions about age, sex, time of beekeeping activities, average number of stings per month and types of post-sting reactions. The relative risk and the odds ratio were calculated for some risk factors. RESULTS: A total of 1541 questionnaires were completed. The average age was 37 years. There were 1289 (84%) men and 252 women. The average time of exposure to honey-bee sting was 7.2 years, and the number of stings per month averaged 33. There was atopic family history in 14.5% of the beekeepers, and 20% of them had personal atopy. In 125 (8%) beekeepers there were local allergic reactions and in 32 (2%) there were systemic allergic reactions. The relative risk for allergy to honey-bee venom in whom had atopic family history was 3.9 (CI 1.7-9.2), in those with less than 4 stings per month was 3.2 (CI 1.12-9.33), in those with more than 20 years exposure was 0.97 (CI 0.95-0.98) and for those over 50 years of age was 0.32 (CI 0.1-0.8). Beekeepers with less than 10 years of exposure had OR of 4.33 (CI 0.5-33.9). CONCLUSIONS: The risk factors observed for hypersentivity to honey-bee venom in beekeepers were: atopic family history, less than 10 years of exposure and less than 4 stings per month. As probable protective factors we found the exposure for over 20 years and persons older than 50 years of age. SN - 0002-5151 UR - https://www.unboundmedicine.com/medline/citation/24274604/[Risk_factors_for_allergy_to_honey_bee_venom_in_Mexican_beekeepers]_ L2 - https://medlineplus.gov/allergy.html DB - PRIME DP - Unbound Medicine ER -