Animal and human bite injuries in Victoria, 1998-2004

Animal and human bite injuries in Victoria, 1998-2004
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DOI:
10.5694/j.1326-5377.2007.tb00787.x
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发表时间:
2007-01-01
影响因子:
11.4
通讯作者:
Ashby, Karen
Ashby, Karen
中科院分区:
医学2区
文献类型:
--
作者:
MacBean, Catherine E.;Taylor, David McD;Ashby, Karen

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目的:。描述维多利亚州哺乳动物(人类和非人类)咬伤的流行病学。参与者、设计和环境:在维多利亚州紧急最低数据集(VEMD)中记录的伤害(1998-2004年)和在国家验尸官信息系统中记录的死亡(2000年7月1日至2006年6月1日)的回顾性病例系列。主要结果测量:损伤的频率、性质和结果作为哺乳动物、受害者人口统计和季节的函数。结果:在VEMD中发现的12982例咬伤中,狗、人类和猫分别占79.6%、8.7%和7.2%。狗咬伤主要发生在手/手腕(31.3%)和脸/头部(25.4%);猫咬伤手/手腕(67.6%)和手臂(16.0%);人类咬伤手/手腕(37.1%);手臂(20.5%)和脸/头(20.4%)。男性占比分别为73.7%和56.3%。分别为狗咬伤受害者,而女性占猫咬伤受害者的64.1%。三分之一的狗咬伤受害者(33.4%)是14岁或以下的儿童。大多数人类咬伤受害者(79.8%)为20-49岁的成年人。更多的伤害发生在周末和夏季,55.4%的伤害发生在家中,11.6%的患者需要住院。狗咬伤导致三人死亡。结论:哺乳动物咬伤是常见的,经常需要住院治疗:咬伤的模式与所涉及的哺乳动物类型有关。这些流行病学数据将为预防行动提供信息,以减少哺乳动物咬伤的发生率。
Objective:. To describe the epidemiology of mammal (human and non-human) bite injuries in Victoria.Participants, design and setting: Retrospective case series of injuries recorded in the Victorian Emergency Minimum Dataset (VEMD) (1998-2004) and deaths recorded in the National Coroners Information System (1 July 2000 - 1 June 2006).Main outcome measures: Frequency, nature and outcome of injury as a function of mammal, victim demographics and season.Results: Of 12982 bite injuries identified in the VEMD, dogs, humans, and cats were implicated in 79.6%, 8.7%, and 7.2% of cases, respectively. Dog bite injuries were commonly sustained to the hands/wrists (31.3%) and face/head (25.4%); cat bites to the hands/wrists (67.6%) and arms (16.0%); and human bites to the hands/wrists (37.1%),. arms (20.5%) and face/head (20.4%). Males comprised 73.7% and 56.3% of human and. dog bite victims, respectively, while females comprised 64.1% of cat bite victims. A third of dog bite victims (33.4%) were children aged 14 years or less. Most human bite victims (79.8%) were adults aged 20-49 years, inclusive. More injuries were sustained on weekends and during the summer, 55.4% of injuries occurred in the home, and 11.6% of patients required hospital admission. Dog bites resulted in three deaths.Conclusions: Mammal bite injuries are common and often require inpatient care: Patterns of bite injuries relate to the type of mammal involved. These epidemiological data will inform prevention initiatives to decrease the incidence of mammal bites.