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...
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| Format: | Article |
| Language: | English |
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Wiley
2013-01-01
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| Series: | The Scientific World Journal |
| Online Access: | http://dx.doi.org/10.1155/2013/393176 |
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| author | Carmen A. Pfortmueller Anastasios Efeoglou Hansjakob Furrer Aristomenis K. Exadaktylos |
| author_facet | Carmen A. Pfortmueller Anastasios Efeoglou Hansjakob Furrer Aristomenis K. Exadaktylos |
| author_sort | Carmen A. Pfortmueller |
| collection | DOAJ |
| 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 | Article |
| id | doaj-art-0173548763054e7b9266b4751fc7f7d2 |
| institution | Kabale University |
| issn | 1537-744X |
| language | English |
| publishDate | 2013-01-01 |
| publisher | Wiley |
| record_format | Article |
| series | The Scientific World Journal |
| spelling | doaj-art-0173548763054e7b9266b4751fc7f7d22025-02-03T01:28:42ZengWileyThe Scientific World Journal1537-744X2013-01-01201310.1155/2013/393176393176Dog Bite Injuries: Primary and Secondary Emergency Department Presentations—A Retrospective Cohort StudyCarmen A. Pfortmueller0Anastasios Efeoglou1Hansjakob Furrer2Aristomenis K. Exadaktylos3Department of General Internal Medicine, Bern University Hospital, University of Bern, 3010 Bern, SwitzerlandDepartment of Visceral Surgery, Basel Bruderholz Cantonal Hospital, 4059 Basel, SwitzerlandDepartment of Infectious Diseases, Bern University Hospital, University of Bern, 3010 Bern, SwitzerlandDepartment of Emergency Medicine, Bern University Hospital, University of Bern, 3010 Bern, SwitzerlandDog 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.http://dx.doi.org/10.1155/2013/393176 |
| spellingShingle | Carmen A. Pfortmueller Anastasios Efeoglou Hansjakob Furrer Aristomenis K. Exadaktylos Dog Bite Injuries: Primary and Secondary Emergency Department Presentations—A Retrospective Cohort Study The Scientific World Journal |
| 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 |
| url | http://dx.doi.org/10.1155/2013/393176 |
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