Pediatric dog bite outcomes: infections and scars
| Autor: | Christina M. Shanti, Benjamin Drumright, Lydia Donoghue, Arlene Rozzelle, Breanna A. Borg |
|---|---|
| Rok vydání: | 2020 |
| Předmět: |
dogs
medicine.medical_specialty lcsh:Surgery outcome assessment health care Scars 030230 surgery Critical Care and Intensive Care Medicine Rabies vaccination 03 medical and health sciences 0302 clinical medicine medicine infections Original Research bites and stings business.industry lcsh:Medical emergencies. Critical care. Intensive care. First aid 030208 emergency & critical care medicine Retrospective cohort study lcsh:RD1-811 lcsh:RC86-88.9 Evidence-based medicine Emergency department medicine.disease Dog bite Triage Emergency medicine Surgery medicine.symptom business Pediatric trauma |
| Zdroj: | Trauma Surgery & Acute Care Open Trauma Surgery & Acute Care Open, Vol 5, Iss 1 (2020) |
| ISSN: | 2397-5776 |
| DOI: | 10.1136/tsaco-2020-000445 |
| Popis: | BackgroundThere is little consensus on the management of dog bite victims. Few studies have examined long-term patient outcomes. This study was designed to evaluate two outcomes: infection and unfavorable scar formation.MethodsA retrospective study of dog bite cases from January 2013 to May 2016 was conducted at our level I pediatric trauma center. Forty-five patients were identified who received definitive repair and had long-term follow-up for reasons other than rabies vaccination. Variables recorded were wound characteristics including presence of tissue loss, location in the hospital of the wound repair procedure, personnel performing the repair, postrepair infection, and a binary assessment of unfavorable scar formation.ResultsUnfavorable scarring was not significantly related to either repair location or personnel. Rate of infection was not significantly related to repair location. However, infection rate was significantly related to personnel performing the repair (p=0.002), with 8 of 11 (73%) infections after repair by emergency physicians compared with surgeons.DiscussionThe presence of infection was significantly related to bedside repair by emergency physicians. The data are suggestive of differences in wound preparation and repair technique between emergency department and surgical personnel. Standardizing technique could reduce infectious complications and long-term morbidity associated with repairing dog bites and other contaminated wounds. A robust and practical classification system for dog bite wounds would be helpful in stratifying these wounds for research comparison and healthcare triage.Level of evidenceThe level of evidence for this retrospective study is level III. |
| Databáze: | OpenAIRE |
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