Cargando…

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...

Descripción completa

Detalles Bibliográficos
Autores principales: Pfortmueller, Carmen A., Efeoglou, Anastasios, Furrer, Hansjakob, Exadaktylos, Aristomenis K.
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Hindawi Publishing Corporation 2013
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
_version_ 1782287992957698048
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
work_keys_str_mv AT pfortmuellercarmena dogbiteinjuriesprimaryandsecondaryemergencydepartmentpresentationsaretrospectivecohortstudy
AT efeoglouanastasios dogbiteinjuriesprimaryandsecondaryemergencydepartmentpresentationsaretrospectivecohortstudy
AT furrerhansjakob dogbiteinjuriesprimaryandsecondaryemergencydepartmentpresentationsaretrospectivecohortstudy
AT exadaktylosaristomenisk dogbiteinjuriesprimaryandsecondaryemergencydepartmentpresentationsaretrospectivecohortstudy