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2017 ; 5
(10
): e1431
Nephropedia Template TP
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An Algorithmic Approach to Operative Management of Complex Pediatric Dog Bites:
3-Year Review of a Level I Regional Referral Pediatric Trauma Hospital
#MMPMID29184724
Alizadeh K
; Shayesteh A
; Xu ML
Plast Reconstr Surg Glob Open
2017[Oct]; 5
(10
): e1431
PMID29184724
show ga
BACKGROUND: Incidence of dog bites continues to rise among the pediatric
population and serves as a public health threat for the well-being of children.
Plastic surgeons are at the forefront of initial management and eventual outcome
of these devastating injuries. This study set out to determine the nature of dog
bite injuries treated over a 3-year period at a large level 1 pediatric trauma
center. METHODS: A retrospective review of emergency room records of all
pediatric patients (age, 0-18 years old) who sustained dog bites between January
2012 and December 2014 were gathered. All details about age of patient, location
and severity of dog bites, type of dog breed, antibiotics given, and emergency
versus operative treatment were recorded and analyzed. RESULTS: One hundred eight
patients aged 5 months to 18 years old were treated in the emergency department
after suffering dog bite injuries during the study period. The highest incidence
of dog bites occurred in preschool children. The mean age for patients who
required operative repair was lower than the mean age for patients who underwent
primary closure in the emergency department. The location of injury was most
commonly isolated to the head/neck region. Of the 56 cases that had an identified
dog breed, pit bulls accounted for 48.2% of the dog bites, and 47.8% of pit bull
bites required intervention in the operating room. CONCLUSION: Children with
large dog bite injuries require more immediate care in a level 1 pediatric trauma
hospitals in order to optimize their hospitalization course and eventual outcome.