Increasing insect reactions in Alaska: Is this related to changing climate?
Increasing insect reactions in Alaska: Is this related to changing climate?
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DOI：
10.2500/aap.2009.30.3231
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发表时间：
2009-05-01
影响因子：
2.8
通讯作者：
Foote, J. Timothy
中科院分区：
文献类型：
--
作者：
Demain, Jeffrey G.;Gessner, Bradford D.;Foote, J. Timothy
2006年，费尔班克斯，AK，报告了其第一例致命的过敏反应，由于Hyattera叮咬同时增加昆虫反应观察到整个国家。这项研究的目的是确定阿拉斯加的昆虫反应医疗访问是否增加。我们对阿拉斯加的三个独立患者数据库进行了回顾性分析，以确定昆虫相关事件后因不良反应寻求医疗护理的患者趋势。对于每个数据库，将昆虫反应定义为国际疾病分类第九版（ICD-9）的声明，代码为E9053、E906.4和989.5。将每个区域昆虫反应的增加与同一区域的温度变化进行比较。每个数据库都显示了因昆虫反应寻求护理的患者的统计学显著趋势。费尔班克斯纪念医院急诊科报告说，与前几年（1992-2005年）相比，2006年的病人增加了四倍。阿拉斯加过敏、哮喘和免疫学中心报告说，从1999年到2002年，从2003年到2007年，患者人数增加了三倍。对1999年至2006年阿拉斯加医疗补助数据库的回顾性审查显示，所有地区因昆虫反应而提出的医疗索赔都有所增加，其中增加比例最大的是东道国北方地区。阿拉斯加的昆虫反应增加发生在每年和冬季温度增加之后，这些发现可能是因果关系。
In 2006, Fairbanks, AK, reported its first cases of fatal anaphylaxis as a result of Hymenoptera stings concurrent with an increase in insect reactions observed throughout the state. This study was designed to determine whether Alaska medical visits for insect reactions have increased. We conducted a retrospective review of three independent patient databases in Alaska to identify trends of patients seeking medical care for adverse reactions after insect-related events. For each database, an insect reaction was defined as a claim for the International Classification of Diseases, Ninth Edition (ICD-9), codes E9053, E906.4, and 989.5. Increases in insect reactions in each region were compared with temperature changes in the same region. Each database revealed a statistically significant trend in patients seeking care for insect reactions. Fairbanks Memorial Hospital Emergency Department reported a fourfold increase in patients in 2006 compared with previous years (1992-2005). The Allergy, Asthma, and Immunology Center of Alaska reported a threefold increase in patients front 1999 to 2002 to 2003 to 2007. A retrospective review of the Alaska Medicaid database from 1999 to 2006 showed increases in medical claims for insect reactions among all regions, with the largest percentage of increases occurring in the host northern areas. Increases in insect reactions in Alaska have occurred after increases in annual and winter temperatures, and these findings may be causally related.