Analysis of nonfatal dog bites in children.
ABSTRACT Dog bites are a significant public health problem among children. The purpose of this study was to examine the hospital incidence, hospital charges, and characteristics of dog bite injuries among children by age group and hospitalization status who were treated at our health care system to guide prevention programs and policies.
An electronic hospital database identified all patients younger than 18 years who were treated for dog bites from 1999 to 2006. Demographics, injury information, hospital admission status, length of stay, hospital charges, and payer source were collected. A further review of the narrative part of the inpatient electronic database was examined to identify owner of the dog, type of dog, and circumstances surrounding the incident.
During 8 years, 1,347 children younger than 18 years were treated for dog bites. The majority were treated and released from the emergency department (91%). Of the 66 children (4.9%) requiring inpatient admission, the median length of stay was 2 days. Victims were frequently male (56.9%) and <8 years (55.2%). Children younger than 5 years represented 34% of all dog bite victims, but 50% of all children requiring hospitalization. Thirty-seven percent of all children admitted to the hospital were bitten by a family dog. The cost of direct medical care during the study was $2.15 million.
Dog bite visits comprised 1.5% of all pediatric injuries treated in our hospital system during the study period. The majority (91%) of all dog bite visits were treated and released from the emergency department. Injuries to the head/neck region increased the odds of requiring 23 hour observation (OR, 1.95) and age less than 5 years increased the odds of being admitted as an inpatient (OR, 3.3).
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ABSTRACT: Animal and human bite wounds can lead to serious infections. The organisms recovered generally originate from the biter's oral cavity and the victim's skin flora. Anaerobes were isolated from more than two thirds of human and animal bite infections. Streptococcus pyogenes is often recovered in human bites, Pasteurella multocida in animal bites, Eikenella corrodens in animal and human, Capnocytophaga spp, Neisseria weaveri, Weeksella zoohelcum, Neisseria canis, Staphylococcus intermedius, nonoxidizer-1, and eugonic oxidizer-2 in dog, Flavobacterium group in pig, and Actinobacillus spp in horse and sheep bites. Vibrio spp, Plesiomonas shigelloides, Aeromonas hydrophila, and Pseudomonas spp can cause infections in bites associated with marine settings. In addition to local wound infection, complications include lymphangitis, local abscess, septic arthritis, tenosynovitis, and osteomyelitis. Uncommon complications include endocarditis, meningitis, brain abscess, and sepsis with disseminated intravascular coagulation especially in immunocompromised individuals. Wound management includes administering local care and using proper antimicrobial therapy when needed.Current Infectious Disease Reports 10/2009; 11(5):389-95.
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ABSTRACT: The aim of research was to assess the behaviour of schoolchildren with pets and their knowledge about influence of pets to health. Methods. 300 children of 5-9 grades in secondary schools were included in the survey. There were 160 boys and 140 girls of them. Children were asked to voluntary answer anonymous questionnaire. Time for answering was not limited. For data analysis Fisher’s, chi-square and Mantel-Hansel tests were used. The results were considered as statistically significant if p value was < 0.05. Results. 67 % of schoolchildren have any pet. The most popular pet is cat. 67 % of children sleep with their pets, 49 % – kiss them, more than one third of children fondle homeless animals. Even 64 % of children sustained injuries from their pets. 50 % of children indicated, that pets may cause allergy, 45 % – may infect with rabies, 26 % – may infect with helminths, 20 % – may infect with skin diseases, and 17 % – may cause alimentary diseases. Conclusions. Behaviour of schoolchildren with pets is risky, and their knowledge about influence of pets to health is not adequate.Visuomenes sveikata (Public Health). 01/2013; 2(61):89-95.
Article: Management of dog bites in children.[Show abstract] [Hide abstract]
ABSTRACT: Question A 4-year-old girl was playing with her neighbour's dog. The dog became excited and bit the girl on the forearm, leaving a puncture wound. As a result of the injury, she has presented to my office. Should she be treated with antibiotics? If so, which antibiotic should be used and for how long? Answer Initiation of prophylactic antibiotics is indicated if the dog bite has undergone primary closure; if there is a moderate or severe bite wound; for puncture wounds (especially if penetration of bone, tendon sheath, or joint), facial bites, bites to the hands or feet, or genital area bites; or wounds sustained by victims who are immunocompromised or asplenic. The first-line choice of antibiotic is amoxicillin-clavulanate. Appropriate tetanus and rabies prophylaxis as indicated should also be a part of caring for a patient who has sustained a dog bite, as well as local debridement and thorough cleaning of the wound.Canadian family physician Medecin de famille canadien 10/2012; 58(10):1094-6. · 1.19 Impact Factor