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Related Experiment Video

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A Push-pull Protocol to Reduce Colonization of Bird Nest Boxes by Honey Bees

A Push-pull Protocol to Reduce Colonization of Bird Nest Boxes by Honey Bees

Published on: September 4, 2016

Bee swarmings in children.

Frank Lovecchio¹, Robert D Cannon, Jeffrey Algier

¹Department of Medical Toxicology and Banner Good Samaritan Regional Poison Center, Phoenix, AZ, USA. frank.lovecchio@bannerhealth.com

The American Journal of Emergency Medicine

|October 9, 2007

Summary

Africanized honeybee stings in children rarely cause severe illness, even with numerous stings. Vomiting was common but did not predict organ system involvement in this study of Africanized honeybee (Apis mellifera scutellata) envenomations.

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In Vitro Rearing of Solitary Bees: A Tool for Assessing Larval Risk Factors

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Area of Science:

Toxicology
Environmental Health
Pediatrics

Background:

Africanized honeybees (Apis mellifera scutellata) pose a significant threat in the southern and southwestern United States, with mass stings potentially causing severe outcomes.
Existing literature on mass envenomations is limited to case reports and series, with a lack of prospective studies, particularly in pediatric populations.

Purpose of the Study:

To prospectively evaluate the clinical outcomes of pediatric patients experiencing mass envenomations from Africanized honeybees.
To determine if vomiting is a predictor of systemic illness following Africanized honeybee stings in children.

Main Methods:

Nineteen pediatric patients admitted to a toxicology service following Africanized honeybee stings were enrolled.
Stingers were counted, and laboratory data and clinical assessments were collected at baseline, 8, and 16 hours post-presentation.

Main Results:

The study included 19 children with a median age of 3.6 years, receiving a median of 2.64 stings per kilogram.
Fifteen children experienced vomiting, but only a mild increase in creatine kinase was observed.
No patients developed coagulopathy or renal insufficiency.

Conclusions:

Mass envenomations from Africanized honeybees, even up to 4.5 stings per kilogram, resulted in mild systemic illness in pediatric patients.
Vomiting in children following Africanized honeybee stings does not indicate subsequent involvement of other organ systems.