Acute paediatric bite injuries treated on inpatient basis: A 10-year retrospective study and criteria for hospital admission
| Autor: | Momchil Nenov, Vladimir N. Sirakov, Hristo Shipkov, Rumen Stefanov, Martin Simeonov, Biser Ivanov, Penka Stefanova, Dimitar Dachev |
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| Rok vydání: | 2013 |
| Předmět: |
Male
medicine.medical_specialty medicine.medical_treatment Therapeutic irrigation Poison control Anesthesia General Occupational safety and health Cohort Studies Dogs Ambulatory care parasitic diseases Injury prevention Ambulatory Care Animals Humans Medicine Bites and Stings Horses Bulgaria Child Therapeutic Irrigation Retrospective Studies Debridement business.industry Infant Retrospective cohort study Length of Stay Anti-Bacterial Agents Surgery Hospitalization Child Preschool Female Rabbits Emergency Service Hospital business Cohort study |
| Zdroj: | Journal of Plastic Surgery and Hand Surgery. :1-5 |
| ISSN: | 2000-6764 2000-656X |
| DOI: | 10.3109/2000656x.2013.783486 |
| Popis: | The aim of this study was to evaluate the acute bite wounds in children treated on an inpatient basis over a 10-year period and the criteria for inpatient treatment. This study comprised all acute mammalian bite injuries in relation to all paediatric bite injuries seen at the Emergency Surgical Department (ESD). Inclusion criteria were: aged between 0-18 years; acute human or animal bite injuries (presenting for the first time); and inpatient treatment. Exclusion criteria were: bite wounds treated elsewhere and referred for complications; bites treated on an outpatient basis referred for complications; and all insect bites. Over 10 years, 12,948 children were seen at the ESD. There were 167 children (0.77%) with mammalian bite wounds. Twelve of them responded to the inclusion criteria. They presented 7.18% of all mammalian bite injuries and 0.09% of all paediatric emergency visits at the ESD. The average age was 3.82 ± 1.63 years (from 1.3-7 years). The time elapsed between the accident to the wound debridement was 118.64 ± 101.39 minutes. There were 10 dogs, one horse, and one rabbit bite. Surgical treatment comprised debridement, saline irrigation, and primary closure or reconstruction. All patients received antibiotics in the postoperative period. The average hospital stay was 5.92 ± 2.39 days. In one case a partial distal flap necrosis occurred. Animal bite injuries treated on an inpatient basis are predominantly dog bites in young children under 10 years of age, with deep, extended, and commonly multiple injuries. Only 7% of paediatric bite injuries require inpatient treatment. |
| Databáze: | OpenAIRE |
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