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Predictors of possible exposure to rabies in travellers: A case-control study. Travel Med Infect Dis 2022; 47:102316. [DOI: 10.1016/j.tmaid.2022.102316] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/23/2022] [Revised: 03/15/2022] [Accepted: 03/18/2022] [Indexed: 11/20/2022]
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Savu AN, Schoenbrunner AR, Politi R, Janis JE. Practical Review of the Management of Animal Bites. PLASTIC AND RECONSTRUCTIVE SURGERY-GLOBAL OPEN 2021; 9:e3778. [PMID: 34522565 PMCID: PMC8432645 DOI: 10.1097/gox.0000000000003778] [Citation(s) in RCA: 6] [Impact Index Per Article: 2.0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/21/2021] [Accepted: 07/01/2021] [Indexed: 11/26/2022]
Abstract
Animal bites are common worldwide. Due to the plethora of animals, there are diverse pathogens with specific associated risks and treatment algorithms. It is crucial to understand these to develop and execute appropriate management plans. This practical review was designed to amalgamate the most common bites worldwide and synthesize data to help guide treatment plans. METHODS A PubMed literature search was performed focusing on the major animal bites. High-level studies were preferred and analyzed but lower-level studies were also used if high-level studies did not exist. RESULTS The tables presented in this article cover the pertinent information regarding the incidence, common presentation, initial treatment, and potential complications associated with bites from dogs, cats, horses, rodents, snakes, marine life, and spiders. Many of the pathogens associated with the bites are treatable with various and somewhat common antimicrobials, though some are less easy to access. Basic irrigation, debridement, and wound culture are common to almost every animal and should be the first step in treatment. CONCLUSIONS Based on the current studies, the most important factor in treating animal bites is timely presentation to a medical facility and/or physician. It is critical that the offending animal be accurately identified to help guide medical and surgical algorithms, including specific antimicrobial treatment guided by the most commonly presenting pathogens specific to certain animals.
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Affiliation(s)
- Andrei N. Savu
- From the Ohio State College of Medicine, The Ohio State University, Columbus, Ohio
| | - Anna R. Schoenbrunner
- Department of Plastic and Reconstructive Surgery, The Ohio State University Wexner Medical Center, Columbus, Ohio
- The University of Virginia School of Medicine, The University of Virginia, Charlottesville, Va
| | - Rachel Politi
- Department of Plastic and Reconstructive Surgery, The Ohio State University Wexner Medical Center, Columbus, Ohio
- The University of Virginia School of Medicine, The University of Virginia, Charlottesville, Va
| | - Jeffrey E. Janis
- The University of Virginia School of Medicine, The University of Virginia, Charlottesville, Va
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Barrios CL, Bustos-López C, Pavletic C, Parra A, Vidal M, Bowen J, Fatjó J. Epidemiology of Dog Bite Incidents in Chile: Factors Related to the Patterns of Human-Dog Relationship. Animals (Basel) 2021; 11:E96. [PMID: 33419043 PMCID: PMC7825333 DOI: 10.3390/ani11010096] [Citation(s) in RCA: 7] [Impact Index Per Article: 2.3] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/28/2020] [Revised: 12/14/2020] [Accepted: 12/21/2020] [Indexed: 01/18/2023] Open
Abstract
Dog bites are one of the main public health problems. They produce important consequences for those who suffer them (physical and psychological injuries, secondary infections, sequelae, risk of transmission of zoonoses and surgeries, among others). The objective of this study was to characterize epidemiologically the incidents of bites in Chile and the patterns of human-dog relationship involved. The records analyzed in this article were obtained from bitten patients who attended the main public health facilities in Chile during the period 17 September 2017 and 17 September 2018: In the period studied, 17,299 animal bites were recorded; however, only 7220 (41.74%) cases were analyzed in which the offending species could be identified. Of the bites analyzed, 6533 were caused by dogs (90.48%). Of these, 41.05% were caused by medium-sized dogs. Most bites were caused by dogs of mixed breeds (55.99%), followed by dogs of the German Shepherd breed (8.50%). Most of the dogs that bit were known to the victim (99.95%) and most of the attacks occurred indoors (57.48%). Although dog bite records have improved in Chile, it would be useful to also include background information on the context in which the incident occurred, which would be very useful for developing effective bite prevention programs.
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Affiliation(s)
- Carmen Luz Barrios
- Cátedra Fundación Affinity Animales y Salud, Universitat Autónoma de Barcelona, Parque de Investigación Biomédica de Barcelona, C/Dr. Aiguader 88, 08003 Barcelona, Spain;
- Escuela de Medicina Veterinaria, Facultad de Ciencias, Universidad Mayor, Camino La Pirámide 5750, Huechuraba, Región Metropolitana 8580745, Chile;
| | - Carlos Bustos-López
- Departamento de Ciencias Básicas, Facultad de Ciencias, Universidad Santo Tomás, Santiago, Chile, Av. Ejército Libertador 146, Santiago, Región Metropolitana 8320000, Chile;
| | - Carlos Pavletic
- Departamento de Zoonosis y Vectores, Ministerio de Salud, Enrique Mac Iver 541, Santiago, Región Metropolitana 8320064, Chile; (C.P.); (A.P.)
| | - Alonso Parra
- Departamento de Zoonosis y Vectores, Ministerio de Salud, Enrique Mac Iver 541, Santiago, Región Metropolitana 8320064, Chile; (C.P.); (A.P.)
| | - Macarena Vidal
- Escuela de Medicina Veterinaria, Facultad de Ciencias, Universidad Mayor, Camino La Pirámide 5750, Huechuraba, Región Metropolitana 8580745, Chile;
| | - Jonathan Bowen
- Queen Mother Hospital for Small Animals, Royal Veterinary College, Hawkshead Lane, North Mymms, Hertfordshire AL9 7TA, UK;
| | - Jaume Fatjó
- Cátedra Fundación Affinity Animales y Salud, Universitat Autónoma de Barcelona, Parque de Investigación Biomédica de Barcelona, C/Dr. Aiguader 88, 08003 Barcelona, Spain;
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Bhuiyan MAA, Agrawal P, Wadhwaniya S, Li Q, Alonge O, Rahman AF, Rahman A. Animal-related injuries and fatalities: evidence from a large-scale population-based cross-sectional survey in rural Bangladesh. BMJ Open 2019; 9:e030039. [PMID: 31678941 PMCID: PMC6830608 DOI: 10.1136/bmjopen-2019-030039] [Citation(s) in RCA: 9] [Impact Index Per Article: 1.8] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 11/03/2022] Open
Abstract
OBJECTIVE This study determines the magnitude and pattern of animal-related injury mortalities and morbidities in rural Bangladesh. DESIGN AND SETTING A cross-sectional survey was conducted in 51 Unions of 7 subdistricts of Bangladesh from June 2013 to September 2013. PARTICIPANTS A total of approximately 1.17 million individuals across all age and gender profiles were included in the survey. The participants had to be residents of the seven subdistricts and have provided consent to participate in the study. PRIMARY AND SECONDARY OUTCOME MEASURES Animal-related injury characteristics and demographic information was collected in the study. Frequency, proportion and 95% CIs of variables such as type of animal, type of animal attack, activity of the person prior to attack and the seasonality of the injury were reported. Data was then statistically analysed for associations between injury and sociodemographic characteristics. RESULTS The incidence rate of fatal and non-fatal animal-related injuries across all ages were 0.7 (95% CI 0.4 to 1.4) and 1635.3 (95% CI 1612.0 to 1658.0) per 100 000 populations, respectively. Non-fatal animal-related injury rates were highest among adults 18 years and older (1820.6 per 100 000 population (1777.2 to 1865.1)), and in males across all age groups. The most common animal injury was wasp/hornet/bee sting (49%), followed by cow/buffalo (25%), dog bite (9%) and snake bites (9%). CONCLUSIONS Animal-related injuries are an important public health issue in rural Bangladesh. The incidence of animal-related morbidities was found high in the study area. Males, school-going and productive age groups were at high risk. Immediate attention should be given to prevent these events.
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Affiliation(s)
- Md Al Amin Bhuiyan
- Centre for Injury Prevention and Research, Bangladesh (CIPRB), House B162, Road 23, New DOHS, Mohakhali, Dhaka 1206, Bangladesh
| | - Priyanka Agrawal
- Johns Hopkins International Injury Research Unit, Department of International Health, Johns Hopkins Bloomberg School of Public Health, 615 N. Wolfe Street, Baltimore, Maryland, USA
| | - Shirin Wadhwaniya
- Johns Hopkins International Injury Research Unit, Department of International Health, Johns Hopkins Bloomberg School of Public Health, 615 N. Wolfe Street, Baltimore, Maryland, USA
| | - Qingfeng Li
- Johns Hopkins International Injury Research Unit, Department of International Health, Johns Hopkins Bloomberg School of Public Health, 615 N. Wolfe Street, Baltimore, Maryland, USA
| | - O Alonge
- Johns Hopkins International Injury Research Unit, Department of International Health, Johns Hopkins Bloomberg School of Public Health, 615 N. Wolfe Street, Baltimore, Maryland, USA
| | - Akm Fazlur Rahman
- Centre for Injury Prevention and Research, Bangladesh (CIPRB), House B162, Road 23, New DOHS, Mohakhali, Dhaka 1206, Bangladesh
| | - Aminur Rahman
- Centre for Injury Prevention and Research, Bangladesh (CIPRB), House B162, Road 23, New DOHS, Mohakhali, Dhaka 1206, Bangladesh
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Epidemiological characterization of bites: A retrospective study of dog bites to humans in Chile during 2009. J Vet Behav 2019. [DOI: 10.1016/j.jveb.2019.04.006] [Citation(s) in RCA: 5] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/17/2022]
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Epidemiology of hospitalizations due to dog bite injuries in Israel, 2009-2016. Injury 2018; 49:2167-2173. [PMID: 30322704 DOI: 10.1016/j.injury.2018.09.058] [Citation(s) in RCA: 7] [Impact Index Per Article: 1.2] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 07/11/2018] [Accepted: 09/30/2018] [Indexed: 02/02/2023]
Abstract
BACKGROUND Dog bites are a substantial public health concern. Rarely has hospitalizations resulting from dog bites been examined. We examined, at a national level, demographic and injury characteristics of dog-bites injuries requiring hospitalization to target prevention programs and policies for those who are at higher risk. METHODS Data on hospitalizations due to dog-bite injuries with an ICD9-CM E906.0 coding were extracted from the Israeli National Trauma Registry between 2009-2016. We calculated the annual incidence of hospitalized dog-bite injuries and compared rates by Chi-squared test. Mantel Haenszel chi-squared test and Dickey-Fuller time-series analysis were used to test linear age and temporal trends, respectively. RESULTS Overall 986 persons were hospitalized for dog-bite injuries between 2009-2016. An increasing significant trend over the 8-year-period in the proportion of hospitalized dog-bite injuries among all trauma hospitalizations was revealed among children between 0 and 14 years old (p = 0.01). Children had also approximately twice the risk for dog-bite injuries compared to persons aged between 15 and 94 years old (relative risk [RR] = 1.89, 95% confidence interval [CI] = 1.35-2.66, p < 0.0001); the 2016 (latest year) rate per 100,000 was significantly higher for boys than for girls (RR = 2.85, 95%CI = 1.57-5.19, p < 0.0001); no gender differences were detected in the other age groups. Injury in the face/head/neck was most common in children between 0 and 14 years old (49.7%), specifically among the youngers (<1, 1-3 and 4-5 year olds) compared with the 6-11 and 12-14 age groups (p < 0.0001), with 4-fold-risk compared with persons aged between 15 and 94 years old (RR = 3.78, 95%CI, 3.01-4.75). There was no overall significant temporal trend in the annual incidence rates (from 1.84 (95%CI = 1.54-2.15) in 2009 to 1.54 (95%CI = 1.28-1.81) in 2016 per 100,000 population. CONCLUSIONS Children younger than 15 years, with greater extent in boys than girls, represent the high-risk demographic group for dog bites. Prevention programs targeting at this group should be implemented and translated into an actual reduction in the incidence of dog-bites. In addition, an ongoing monitoring and reporting system specific for all dog-bites should be established in Israel, in order to better understand how to minimize the incidence of dog-bites and evaluate prevention efforts.
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Chen Y, Tan Y, Yan S, Li L. Dog bite and injury awareness and prevention in migrant and left-behind children in China. Sci Rep 2018; 8:15959. [PMID: 30374155 PMCID: PMC6206137 DOI: 10.1038/s41598-018-34428-1] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/26/2018] [Accepted: 10/16/2018] [Indexed: 02/05/2023] Open
Abstract
Dog-incurred injury is a serious public health concern worldwide, especially for children, responsible for numerous infectious diseases, such as rabies. Our study aims to investigate the current status of dog-incurred injury and its prevention among special groups of children. A cross-sectional study was conducted among migrant children (MC) and non-MC, "left-behind" children (LBC) and non-LBC in two cities in southern China. A questionnaire was used to collect socio-demographic data and experience with dog-incurred injury, to assess knowledge of dog behaviour and rabies prevention and attitudes in risk identification and practice in risk behaviour. A total of 9,380 children aged 6-19 years old participated in this study. The self-reported prevalence of overall lifetime dog-incurred injuries in MC was 19.4% (vs. 11.2% in non-MC, χ2 = 175.8) and LBC was 20.6% (vs. 13.5% in non-LBC, χ2 = 114.1). MC were more likely to provoke a dog before the injury happened (12.7% vs 11.0%), while LBC (13.3% vs. 10.7%) and non-MC (13.1% vs. 12.2%) did not manage their wounds (all P < 0.001). 45.6% of victims were alone when the attack happened. MC from other provinces who live in rural areas and LBC with their mother absent had the lowest levels of knowledge among the groups. Taken together, MC and LBC are at greater risk for dog-incurred injury. They had lower knowledge of and attitudes towards prevention and more high-risk behaviour. Therefore, an appropriate public health education intervention is needed for schoolchildren regarding the prevention and management of dog-incurred injury and disease.
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Affiliation(s)
- Ying Chen
- Center for Injury Prevention Research, Shantou University Medical College, Shantou, Guangdong province, China
- School of Public Health, Sun Yat-sen University, Guangzhou, Guangdong province, China
| | - Yafei Tan
- Center for Injury Prevention Research, Shantou University Medical College, Shantou, Guangdong province, China
| | - Shuzhen Yan
- Center for Injury Prevention Research, Shantou University Medical College, Shantou, Guangdong province, China
| | - Liping Li
- Center for Injury Prevention Research, Shantou University Medical College, Shantou, Guangdong province, China.
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