Pediatric Dog Bite Injuries: A 5-Year Review of the Experience at The Children's Hospital of Philadelphia
Pediatric Dog Bite Injuries: A 5-Year Review of the Experience at The Children's Hospital of Philadelphia
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DOI：
10.1097/prs.0b013e3181addad9
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发表时间：
2009-08-01
影响因子：
3.6
通讯作者：
Kirschner, Richard E.
中科院分区：
文献类型：
--
作者：
Kaye, Alison E.;Belz, Jessica M.;Kirschner, Richard E.
背景：本研究的目的是描述一家大型三级儿科医院5年来治疗犬咬伤的性质，并确定公众教育和伤害预防的相关参数。方法：研究人员对一家三级儿科医院的急诊室记录进行回顾性分析。回顾了2001年4月至2005年12月期间所有被评估为犬咬伤的患者的记录。记录了所有人口统计、患者和损伤细节。结果：551例5个月至18岁的患者在研究期间因狗咬伤而在急诊室接受治疗。大多数受伤的是男孩（62.8%）。犬咬伤在6月和7月最为常见（24.1%）。受害人数最多的是小学学龄儿童（6 ~ 12岁）（51%），其次是学龄前儿童（2 ~ 5岁）（24.0%）、青少年（13 ~ 18岁）（20.5%）、婴儿（1岁~ 1岁）（4.5%）。婴儿和学龄前儿童遭受的伤害通常涉及面部（53.5%），而大一点的儿童遭受的伤害是四肢（60.7%）。医疗记录中记录了30多种不同的违规品种。最常见的品种包括比特斗牛梗（50.9%），罗威纳犬（8.9%），以及上述两个品种的混合品种（6%）。结论：小儿狗咬伤是可以预防的伤害，但他们仍然是一个普遍的公共卫生问题。对来自高容量三级儿科卫生保健机构的数据进行评估，确定了与患者年龄和性别、动物品种、挑衅和季节性有关的可预测的损伤模式。(塑料。Reconstr。外科杂志。124:551,2009。)
Background: The objective of this study was to characterize the nature of dog bite injuries treated over a 5-year period at a large tertiary pediatric hospital and to identify relevant parameters for public education and injury prevention.Methods: Investigators performed a retrospective review of emergency room records of a single tertiary pediatric hospital. Records of all patients who were evaluated for dog bite injuries between April of 2001 and December of 2005 were reviewed. All demographic, patient, and injury details were recorded.Results: Five hundred fifty-one patients aged 5 months to 18 years were treated in the emergency department after suffering dog bite injuries during the study period. The majority of injuries (62.8 percent) were sustained by male children. Dog bite injuries were most prevalent during the months of June and July (24.1 percent). Grade school-aged children (6 to 12 years) constituted the majority of victims (51 percent), followed by preschoolers (2 to 5 years; 24.0 percent), teenagers (13 to 18 years; 20.5 percent), and infants (birth to 1 year; 4.5 percent). Injuries sustained by infants and preschoolers often involved the face (53.5 percent), whereas older children sustained injuries to the extremities (60.7 percent). More than 30 different offending breeds were documented in the medical records. The most common breeds included pit bull terriers (50.9 percent), Rottweilers (8.9 percent), and mixed breeds of the two aforementioned breeds (6 percent).Conclusions: Pediatric dog bites are preventable injuries, yet they persist as a prevalent public health problem. Evaluation of data from high-volume tertiary pediatric health care institutions identifies predictable patterns of injury with respect to patient age and gender, animal breed, provocation, and seasonality. (Plast. Reconstr. Surg. 124: 551, 2009.)