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Dog Bite Injuries: Primary and Secondary Emergency Department Presentations—A Retrospective Cohort Study
Dog bites in humans are a complex problem, embracing both public health and animal welfare. The primary aim of this study is to examine primary and secondary presentations related to dog bite injuries in adults. Methods. We retrospectively assessed all adult patients admitted with a dog bite injury...
Autores principales: | , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
Hindawi Publishing Corporation
2013
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3800583/ https://www.ncbi.nlm.nih.gov/pubmed/24204203 http://dx.doi.org/10.1155/2013/393176 |
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author | Pfortmueller, Carmen A. Efeoglou, Anastasios Furrer, Hansjakob Exadaktylos, Aristomenis K. |
author_facet | Pfortmueller, Carmen A. Efeoglou, Anastasios Furrer, Hansjakob Exadaktylos, Aristomenis K. |
author_sort | Pfortmueller, Carmen A. |
collection | PubMed |
description | Dog bites in humans are a complex problem, embracing both public health and animal welfare. The primary aim of this study is to examine primary and secondary presentations related to dog bite injuries in adults. Methods. We retrospectively assessed all adult patients admitted with a dog bite injury to the Emergency Department of Bern University Hospital. Results. A total of 431 patients were eligible for the study. Forty-nine (11.4%) of all patients were admitted with secondary presentations. Bites to the hands were most common (177, 41.1%). All patients (47, 100%) with secondary presentations were admitted because of signs of infection. The median time since the dog bite was 3.8 days (SD 3.9, range 1–21). Thirty-one patients had already been treated with antibiotic; coamoxicillin was the most common primary antibiotic therapy (27/47 patients, 57.4%). Patients with injuries to the hand were at increased risk of secondary presentations (OR 2.08, 95% CI 1.21–3.55, P < 0.006). Conclusion. Dog bite injuries to the hands are a major problem. They often lead to infectious complications. Immediate antibiotic therapy should carefully be evaluated for each patient. |
format | Online Article Text |
id | pubmed-3800583 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2013 |
publisher | Hindawi Publishing Corporation |
record_format | MEDLINE/PubMed |
spelling | pubmed-38005832013-11-07 Dog Bite Injuries: Primary and Secondary Emergency Department Presentations—A Retrospective Cohort Study Pfortmueller, Carmen A. Efeoglou, Anastasios Furrer, Hansjakob Exadaktylos, Aristomenis K. ScientificWorldJournal Clinical Study Dog bites in humans are a complex problem, embracing both public health and animal welfare. The primary aim of this study is to examine primary and secondary presentations related to dog bite injuries in adults. Methods. We retrospectively assessed all adult patients admitted with a dog bite injury to the Emergency Department of Bern University Hospital. Results. A total of 431 patients were eligible for the study. Forty-nine (11.4%) of all patients were admitted with secondary presentations. Bites to the hands were most common (177, 41.1%). All patients (47, 100%) with secondary presentations were admitted because of signs of infection. The median time since the dog bite was 3.8 days (SD 3.9, range 1–21). Thirty-one patients had already been treated with antibiotic; coamoxicillin was the most common primary antibiotic therapy (27/47 patients, 57.4%). Patients with injuries to the hand were at increased risk of secondary presentations (OR 2.08, 95% CI 1.21–3.55, P < 0.006). Conclusion. Dog bite injuries to the hands are a major problem. They often lead to infectious complications. Immediate antibiotic therapy should carefully be evaluated for each patient. Hindawi Publishing Corporation 2013-09-24 /pmc/articles/PMC3800583/ /pubmed/24204203 http://dx.doi.org/10.1155/2013/393176 Text en Copyright © 2013 Carmen A. Pfortmueller et al. https://creativecommons.org/licenses/by/3.0/ This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited. |
spellingShingle | Clinical Study Pfortmueller, Carmen A. Efeoglou, Anastasios Furrer, Hansjakob Exadaktylos, Aristomenis K. Dog Bite Injuries: Primary and Secondary Emergency Department Presentations—A Retrospective Cohort Study |
title | Dog Bite Injuries: Primary and Secondary Emergency Department Presentations—A Retrospective Cohort Study |
title_full | Dog Bite Injuries: Primary and Secondary Emergency Department Presentations—A Retrospective Cohort Study |
title_fullStr | Dog Bite Injuries: Primary and Secondary Emergency Department Presentations—A Retrospective Cohort Study |
title_full_unstemmed | Dog Bite Injuries: Primary and Secondary Emergency Department Presentations—A Retrospective Cohort Study |
title_short | Dog Bite Injuries: Primary and Secondary Emergency Department Presentations—A Retrospective Cohort Study |
title_sort | dog bite injuries: primary and secondary emergency department presentations—a retrospective cohort study |
topic | Clinical Study |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3800583/ https://www.ncbi.nlm.nih.gov/pubmed/24204203 http://dx.doi.org/10.1155/2013/393176 |
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