Incidence of injuries caused by dogs and cats treated in emergency departments in a major Italian city

Incidence of injuries caused by dogs and cats treated in emergency departments in a major Italian city
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DOI:
10.1136/emj.2004.014886
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发表时间:
2005-04-01
影响因子:
3.1
通讯作者:
Prosperi, S
Prosperi, S
中科院分区:
医学3区
文献类型:
--
作者:
Ostanello, F;Gherardi, A;Prosperi, S

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目的:本研究旨在估计意大利一个主要城市人口中由狗和猫引起的伤害的发生率和特征。方法:收集全市两家主要医院急诊患者的临床记录,估计覆盖人口超过50万。病例定义为在2000年1月1日至2002年12月31日期间因被狗、猫或其他哺乳动物咬伤或抓伤而入院的患者。对于每个病例,收集的信息包括患者的年龄和性别,损伤的解剖部位以及所涉及的动物种类。结果:年平均犬、猫咬伤/抓伤发生率分别为58.4例/ 10万居民和17.9例/ 10万居民。入学人数在夏季达到高峰。狗占76.9%,猫占19.7%。狗伤在男性和年轻个体中更为常见。9岁以下的儿童头部、面部或颈部被咬伤的风险明显更高。相反,猫造成的伤害在女性和老年人中更为常见。结论:对猫狗伤害的监测可以为公共卫生干预措施的规划和评估提供有用的信息。从医院急诊科收集数据可能是监测这一现象和评估相关风险因素的一种适当、简单和快速的工具。
Objective: This study aimed to estimate the incidence and characteristics of injuries caused by dogs and cats in the population of a major Italian city.Methods: The clinical records of all patients attending the emergency department (ED) were obtained from the two main hospitals of the city, covering an estimated population of over half a million. A case was defined as a patient admitted for bite or scratch injuries caused by dogs, cats, or other mammals between 1 January 2000 and 31 December 2002. For each case, the information collected included age and sex of the patient, the anatomical site of the injury, and the species of the animal involved.Results: The average yearly incidence of dog and cat bite/scratches was 58.4 and 17.9 cases per 100 000 residents, respectively. Admissions peaked during the summer months. Dogs accounted for 76.9% and cats for 19.7% of cases. Dog injuries were significantly more common in males and younger individuals. Children younger than 9 years had a significantly higher risk of being bitten on the head, face, or neck. Conversely, injuries from cats were significantly more common in females and older people.Conclusions: Surveillance of injuries caused by dogs and cats could provide useful nformation for planning and evaluating public health interventions. Collection of data from hospital EDs may be an appropriate, simple, and quick tool for monitoring the phenomenon and evaluating the associated risk factors.