Dog Bite Injuries: Primary and Secondary Emergency Department Presentations-A Retrospective Cohort Study

Pfortmüller, Carmen; Efeoglou, Anastasios; Furrer, Hansjakob; Exadaktylos, Aristomenis (2013). Dog Bite Injuries: Primary and Secondary Emergency Department Presentations-A Retrospective Cohort Study. The Scientific World Journal, 2013(393176), pp. 1-6. Hindawi Publishing Corporation 10.1155/2013/393176

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Dog bites in humans are a complex problem, embracing both public health and animal welfare. The primary aim of this study is to examine primary and secondary presentations related to dog bite injuries in adults. Methods. We retrospectively assessed all adult patients admitted with a dog bite injury to the Emergency Department of Bern University Hospital. Results. A total of 431 patients were eligible for the study. Forty-nine (11.4%) of all patients were admitted with secondary presentations. Bites to the hands were most common (177, 41.1%). All patients (47, 100%) with secondary presentations were admitted because of signs of infection. The median time since the dog bite was 3.8 days (SD 3.9, range 1–21). Thirty-one patients had already been treated with antibiotic; coamoxicillin was the most common primary antibiotic therapy (27/47 patients, 57.4%). Patients with injuries to the hand were at increased risk of secondary presentations (OR 2.08, 95% CI 1.21–3.55, < 0.006). Conclusion. Dog bite injuries to the hands are a major problem. They often lead to infectious complications. Immediate antibiotic therapy should carefully be evaluated for each patient.

Item Type:

Journal Article (Original Article)

Division/Institute:

04 Faculty of Medicine > Department of General Internal Medicine (DAIM) > Clinic of General Internal Medicine > Centre of Competence for General Internal Medicine
04 Faculty of Medicine > Department of Intensive Care, Emergency Medicine and Anaesthesiology (DINA) > University Emergency Center
04 Faculty of Medicine > Department of General Internal Medicine (DAIM) > Clinic of General Internal Medicine
04 Faculty of Medicine > Department of Haematology, Oncology, Infectious Diseases, Laboratory Medicine and Hospital Pharmacy (DOLS) > Clinic of Infectiology

UniBE Contributor:

Pfortmüller, Carmen; Furrer, Hansjakob and Exadaktylos, Aristomenis

Subjects:

600 Technology > 610 Medicine & health

ISSN:

1537-744X

Publisher:

Hindawi Publishing Corporation

Language:

English

Submitter:

Annelies Luginbühl

Date Deposited:

21 Mar 2014 16:13

Last Modified:

26 Jun 2016 01:47

Publisher DOI:

10.1155/2013/393176

BORIS DOI:

10.7892/boris.43719

URI:

https://boris.unibe.ch/id/eprint/43719

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