open access

Vol 70, No 1 (2019)
Original article
Submitted: 2019-02-14
Accepted: 2019-03-01
Published online: 2019-03-28
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A survey of jellyfish sting knowledge among Thai divers in Thailand

Sukati Suriyan1, Kanlaya Haruethaikan2, Roopngam Evelyn Piyachat3
·
Pubmed: 30931512
·
IMH 2019;70(1):11-16.
Affiliations
  1. School of Allied Health Sciences, Walailak University, Nakhon Si Thammarat, Thailand
  2. Maha Chakri Sirindhorn Clinical Research Centre Under the Royal Patronage, Faculty of Medicine, Chulalongkorn University, Thailand
  3. Department of Clinical Immunology, Faculty of Medical Technology, Western University, Kanchanaburi, Thailand

open access

Vol 70, No 1 (2019)
MARITIME MEDICINE Original article
Submitted: 2019-02-14
Accepted: 2019-03-01
Published online: 2019-03-28

Abstract

Background: In tropical regions, jellyfish envenomation is a persistent hazard for people who spend time in the sea. Jellyfish stings can be dangerous, and among the people who face the greatest risk are scuba divers. This study therefore sought to determine the level of knowledge divers in Thailand have about the threat of jellyfish envenomation. 

Materials and methods: In April 2018, a total of 238 divers responded to a questionnaire, thereby providing data for further statistical analysis.

Results: The findings revealed that 31.91% of the study participants cited jellyfish stings as their most frequently encountered injury, with 68.09% having personal experience of the problem, or having seen others injured by jellyfish. However, 34.03% of the sample respondents believed their own level of knowledge to be “low” or “none”. The mean score was 71%, which can be considered satisfactory, but the scores for items concerning the recognition of signs of envenomation and items about first aid responses (52.74% and 59.13%, respectively) were not acceptable. 

Conclusions: Divers frequently experience jellyfish stings, and diving personnel were highly rated for their knowledge in this area. However, very few were fully confident in their first aid capabilities, and therefore it can be argued that it is necessary to improve the level of medical education and to provide training to eliminate this weakness. 

Abstract

Background: In tropical regions, jellyfish envenomation is a persistent hazard for people who spend time in the sea. Jellyfish stings can be dangerous, and among the people who face the greatest risk are scuba divers. This study therefore sought to determine the level of knowledge divers in Thailand have about the threat of jellyfish envenomation. 

Materials and methods: In April 2018, a total of 238 divers responded to a questionnaire, thereby providing data for further statistical analysis.

Results: The findings revealed that 31.91% of the study participants cited jellyfish stings as their most frequently encountered injury, with 68.09% having personal experience of the problem, or having seen others injured by jellyfish. However, 34.03% of the sample respondents believed their own level of knowledge to be “low” or “none”. The mean score was 71%, which can be considered satisfactory, but the scores for items concerning the recognition of signs of envenomation and items about first aid responses (52.74% and 59.13%, respectively) were not acceptable. 

Conclusions: Divers frequently experience jellyfish stings, and diving personnel were highly rated for their knowledge in this area. However, very few were fully confident in their first aid capabilities, and therefore it can be argued that it is necessary to improve the level of medical education and to provide training to eliminate this weakness. 

Get Citation

Keywords

divers; jellyfish sting; knowledge; medical education

About this article
Title

A survey of jellyfish sting knowledge among Thai divers in Thailand

Journal

International Maritime Health

Issue

Vol 70, No 1 (2019)

Article type

Original article

Pages

11-16

Published online

2019-03-28

Page views

2172

Article views/downloads

1594

DOI

10.5603/IMH.2019.0002

Pubmed

30931512

Bibliographic record

IMH 2019;70(1):11-16.

Keywords

divers
jellyfish sting
knowledge
medical education

Authors

Sukati Suriyan
Kanlaya Haruethaikan
Roopngam Evelyn Piyachat

References (21)
  1. Tibballs J. Australian venomous jellyfish, envenomation syndromes, toxins and therapy. Toxicon. 2006; 48(7): 830–859.
  2. Di Costanzo L, Balato N, Zagaria O, et al. Successful management of a delayed and persistent cutaneous reaction to jellyfish with pimecrolimus. J Dermatolog Treat. 2009; 20(3): 179–180.
  3. Haddad Junior V, Silveira FL, Migotto AE. Skin lesions in envenoming by cnidarians (Portuguese man-of-war and jellyfish): etiology and severity of accidents on the Brazilian coast. Rev Inst Med Trop Sao Paulo. 2010; 52(1): 47–50.
  4. Winter KL, Fernando R, Ramasamy S, et al. The in vitro vascular effects of two chirodropid (Chironex fleckeri and Chiropsella bronzie) venoms. Toxicol Lett. 2007; 168(1): 13–20.
  5. Winkel KD, Hawdon GM, Ashby K, et al. Eye injury after jellyfish sting in temperate Australia. Wilderness Environ Med. 2002; 13(3): 203–205.
  6. Nagai H, Takuwa K, Nakao M, et al. Isolation and characterization of a novel protein toxin from the Hawaiian box jellyfish (sea wasp) Carybdea alata. Biochem Biophys Res Commun. 2000; 275(2): 589–594.
  7. McIver LJ, Tjhung IG, Parish ST, et al. Irukandji sydrome in the Torres Strait: a series of 8 cases. Wilderness Environ Med. 2011; 22(4): 338–342.
  8. Wang B, Zhang L, Zheng J, et al. Multiple organ dysfunction: A delayed envenomation syndrome caused by tentacle extract from the jellyfish Cyanea capillata. Toxicon. 2013; 61: 54–61.
  9. Lippmann JM, Fenner PJ, Winkel K, et al. Fatal and severe box jellyfish stings, including Irukandji stings, in Malaysia, 2000-2010. J Travel Med. 2011; 18(4): 275–281.
  10. Boulware DR. A randomized, controlled field trial for the prevention of jellyfish stings with a topical sting inhibitor. J Travel Med. 2006; 13(3): 166–171.
  11. De Donno A, Idolo A, Bagordo F, et al. Impact of stinging jellyfish proliferations along south Italian coasts: human health hazards, treatment and social costs. Int J Environ Res Public Health. 2014; 11(3): 2488–2503.
  12. Xian W, Kang B, Liu R. Jellyfish blooms in the Yangtze Estuary. Science. 2005; 307(5706): 41.
  13. Richardson AJ, Bakun A, Hays GC, et al. The jellyfish joyride: causes, consequences and management responses to a more gelatinous future. Trends Ecol Evol. 2009; 24(6): 312–322.
  14. Rastogi A, Biswas S, Sarkar A, et al. Anticoagulant activity of Moon jellyfish (Aurelia aurita) tentacle extract. Toxicon. 2012; 60(5): 719–723.
  15. Li Li, McGee RG, Isbister G, et al. Interventions for the symptoms and signs resulting from jellyfish stings. Cochrane Database Syst Rev. 2013(12): CD009688.
  16. Dong Z, Liu D, Keesing JK. Jellyfish blooms in China: Dominant species, causes and consequences. Mar Pollut Bull. 2010; 60(7): 954–963.
  17. Thaikruea L, Siriariyaporn P. The magnitude of severe box jellyfish cases on Koh Samui and Koh Pha-ngan in the Gulf of Thailand. BMC Res Notes. 2016; 9: 108.
  18. Kan T, Gui Li, Shi W, et al. A survey of jellyfish sting knowledge among naval personnel in Northeast China. Int J Environ Res Public Health. 2016; 13(7).
  19. Li R, Yu H, Yue Y, et al. In depth analysis of the in vivo toxicity of venom from the jellyfish Stomolophus meleagris. Toxicon. 2014; 92: 60–65.
  20. Queiroz Md, Caldas JN. Comparative dermatology: skin lesion produced by attack of jellyfishes (Physalia physalis). An Bras Dermatol. 2011; 86(3): 611–612.
  21. Lakkis NA, Maalouf GJ, Mahmassani DM. Jellyfish stings: a practical approach. Wilderness Environ Med. 2015; 26(3): 422–429.

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