2011/05/25 by Asmae Khattabi, Rachida Soulaymani-Bencheikh, Rachida Soulaymani Bencheikh +3 · 2 citations
Agricultural and Biological Sciences · Biochemistry, Genetics and Molecular Biology · Immunology and Microbiology · #Rabies epidemiology and control #Study of Mite Species #Venomous Animal Envenomation and Studies
paper · doi:10.1016/j.trstmh.2011.03.007
openalex publication_date 2011/05/25 · crossref created 2011/05/25 · crossref issued 2011/07/01 · crossref published 2011/07/01 · crossref published-print 2011/07/01 · crossref deposited 2017/08/24 · openalex created_date 2025/10/10 · crossref indexed 2026/07/31 · openalex updated_date 2026/07/31
The objective of our consensus process was to develop a unique classification of the natural history of scorpion stings and their clinical signs and symptoms. The technique used was an adapted Delphi approach completed by a nominal group meeting. Researchers included in a study received a questionnaire in which we listed all terms used in published studies to characterize clinical consequences of scorpion stings and all signs and symptoms belonging to each class. For each term, experts had to judge the relevance for classifying clinical consequences of scorpion stings and state whether they agreed with the terminology; they could also propose new terms or classes. For each sign or symptom, they had to choose in which class it belonged and also propose if any other sign or symptom should be added. Sixteen researchers participated. Consensus was reached to include four classes: local manifestations; minor systemic manifestations; major systemic manifestations; lethal envenomation. Signs and symptoms associated with each class were defined. A second Delphi round is planned to define indicators to follow the epidemiological situation within and across countries and to develop recommendations for an optimal management of scorpion envenomations. These consensus-based tools should facilitate development of international clinical studies.