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Bee and wasp sting reactions in current beekeepers.

Abstract

BACKGROUND

A majority of subjects allergic to bee venom are beekeepers, their relatives, or neighbors. Predetermining systemic reactivity to honeybee stings and risk assessment through laboratory tests have been unsatisfactory.

OBJECTIVE

To estimate the prevalence and type of sting reactions, and especially to evaluate potential risk factors of systemic reactions in beekeepers.

METHODS

A questionnaire concerning sting reactions and potential risk factors was mailed to all members of the regional beekeepers' association; 191 beekeepers were included in the study.

RESULTS

Systemic bee sting reactions were present in 50 (26%) and large local reactions in 73 (38%) of the beekeepers. Similar reactions following wasp stings were present in 2% and 13%, respectively. Twenty-four (48%) of the systemic reactors and 39 (28%) of the remaining subjects had a history of atopic symptoms (allergic rhinitis, allergic bronchial asthma, or atopic dermatitis). While working at hives, nasal and eye symptoms were present in 54% of the systemic reactors and in 23% of the remaining subjects. Systemic reactors were younger and had been beekeepers for a shorter period than nonreactive subjects. Multiple logistic regression analysis showed that the risk of systemic sting reaction increased fourfold when nasal or eye symptoms were present while working at hives and twofold when the years in beekeeping were less than 15.

CONCLUSIONS

The occurrence of systemic and large local reactions after bee stings is high among beekeepers. A history of atopy is associated with systemic reactions. Both the presence of nasal or eye symptoms while working at hives and a history of beekeeping less than 15 years significantly increase the risk of systemic reactions.

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  • Authors+Show Affiliations

    ,

    Department of Pulmonary Diseases, Tampere University Hospital, Finland.

    , ,

    Source

    MeSH

    Adult
    Aged
    Aged, 80 and over
    Animals
    Bee Venoms
    Bees
    Female
    Finland
    Humans
    Hypersensitivity
    Insect Bites and Stings
    Male
    Middle Aged
    Occupational Diseases
    Prevalence
    Risk Factors
    Surveys and Questionnaires
    Wasp Venoms
    Wasps

    Pub Type(s)

    Journal Article
    Research Support, Non-U.S. Gov't

    Language

    eng

    PubMed ID

    8933782

    Citation

    Annila, I T., et al. "Bee and Wasp Sting Reactions in Current Beekeepers." Annals of Allergy, Asthma & Immunology : Official Publication of the American College of Allergy, Asthma, & Immunology, vol. 77, no. 5, 1996, pp. 423-7.
    Annila IT, Karjalainen ES, Annila PA, et al. Bee and wasp sting reactions in current beekeepers. Ann Allergy Asthma Immunol. 1996;77(5):423-7.
    Annila, I. T., Karjalainen, E. S., Annila, P. A., & Kuusisto, P. A. (1996). Bee and wasp sting reactions in current beekeepers. Annals of Allergy, Asthma & Immunology : Official Publication of the American College of Allergy, Asthma, & Immunology, 77(5), pp. 423-7.
    Annila IT, et al. Bee and Wasp Sting Reactions in Current Beekeepers. Ann Allergy Asthma Immunol. 1996;77(5):423-7. PubMed PMID: 8933782.
    * Article titles in AMA citation format should be in sentence-case
    TY - JOUR T1 - Bee and wasp sting reactions in current beekeepers. AU - Annila,I T, AU - Karjalainen,E S, AU - Annila,P A, AU - Kuusisto,P A, PY - 1996/11/1/pubmed PY - 1996/11/1/medline PY - 1996/11/1/entrez SP - 423 EP - 7 JF - Annals of allergy, asthma & immunology : official publication of the American College of Allergy, Asthma, & Immunology JO - Ann. Allergy Asthma Immunol. VL - 77 IS - 5 N2 - BACKGROUND: A majority of subjects allergic to bee venom are beekeepers, their relatives, or neighbors. Predetermining systemic reactivity to honeybee stings and risk assessment through laboratory tests have been unsatisfactory. OBJECTIVE: To estimate the prevalence and type of sting reactions, and especially to evaluate potential risk factors of systemic reactions in beekeepers. METHODS: A questionnaire concerning sting reactions and potential risk factors was mailed to all members of the regional beekeepers' association; 191 beekeepers were included in the study. RESULTS: Systemic bee sting reactions were present in 50 (26%) and large local reactions in 73 (38%) of the beekeepers. Similar reactions following wasp stings were present in 2% and 13%, respectively. Twenty-four (48%) of the systemic reactors and 39 (28%) of the remaining subjects had a history of atopic symptoms (allergic rhinitis, allergic bronchial asthma, or atopic dermatitis). While working at hives, nasal and eye symptoms were present in 54% of the systemic reactors and in 23% of the remaining subjects. Systemic reactors were younger and had been beekeepers for a shorter period than nonreactive subjects. Multiple logistic regression analysis showed that the risk of systemic sting reaction increased fourfold when nasal or eye symptoms were present while working at hives and twofold when the years in beekeeping were less than 15. CONCLUSIONS: The occurrence of systemic and large local reactions after bee stings is high among beekeepers. A history of atopy is associated with systemic reactions. Both the presence of nasal or eye symptoms while working at hives and a history of beekeeping less than 15 years significantly increase the risk of systemic reactions. SN - 1081-1206 UR - https://www.unboundmedicine.com/medline/citation/8933782/Bee_and_wasp_sting_reactions_in_current_beekeepers_ L2 - https://linkinghub.elsevier.com/retrieve/pii/S1081-1206(10)63342-X DB - PRIME DP - Unbound Medicine ER -