Warning: imagejpeg(C:\Inetpub\vhosts\kidney.de\httpdocs\phplern\28344944
.jpg): Failed to open stream: No such file or directory in C:\Inetpub\vhosts\kidney.de\httpdocs\pget.php on line 117 J+West+Afr+Coll+Surg
2016 ; 6
(2
): 1-19
Nephropedia Template TP
gab.com Text
Twit Text FOAVip
Twit Text #
English Wikipedia
HUMAN BITE INJURIES ON THE JOS PLATEAU
#MMPMID28344944
Ugwu BT
J West Afr Coll Surg
2016[Apr]; 6
(2
): 1-19
PMID28344944
show ga
BACKGROUND: Human bite injuries with the associated morbidity are not uncommon in
this environment. OBJECTIVE: To determine the pattern, management modalities and
treatment outcome of human bites in Jos, Plateau State, Nigeria. DESIGN: A
prospective study of all human bite injuries managed at the Jos University
Teaching Hospital, Jos, Nigeria between January 2012 and December 2014. SETTING:
Jos University Teaching Hospital, Jos, Nigeria. MAIN OUTCOME MEASURES: The
pattern and management outcome. RESULTS: A total of 63 patients with human bite
injuries were studied during the three-year period. There were 43 males and 20
females with a male:female ratio of 2:1. The age ranged from 8 - 65 years with a
mean age of 30.2(+/-)17 years; in all about 75% of the patients fell into the 20
- 40 years bracket. Though all the social strata were affected, the bites were
more common (50%) among the lower social classes and 70% of the patients
presented late after 24 hours of sustaining bite injuries. Pain, bleeding,
infected wounds, bite and scratch marks were the main presenting features. About
70% of the patients sustained major bites involving the underlying muscles and
deeper structures while 89% of the patients sustained their bites during a fight,
8% while raping their victims, and in 3% of patients as they were being mugged.
The bites were between spouses in 39% of cases, and between women in polygamous
settings in 16%. The sites commonly affected were the upper limbs in 46%, chest
in 21%, ears in 13%, abdomen in 10% and the penis in 6%. The associated injuries
were scratch marks in 89%, blunt abdominal injuries in 29%, skin lacerations in
16% and urinary bladder/urethral injuries in 3%. There was no mortality but
morbidity was 57% which included infections in 29%, disfigurement in 29%, penile
injuries in 6% and minor urethral injuries in 3% of cases. CONCLUSION: Human bite
injuries in this tropical environment commonly affected the young male, the lower
social class and the upper limbs; they were commonly sustained in assaults and
domestic conflicts.