Diversity of Spectrum and Management of Animal-Inflicted Injuries in the Pediatric Age Group : A Prospective Study from a Pediatric Surgery Department Catering Primarily to the Rural Population
Copyright: © 2020 Journal of Indian Association of Pediatric Surgeons..
INTRODUCTION: Animal-inflicted injuries continue to be a major health problem worldwide. In developing countries, the outcome of such injuries, especially in children may be poor.
AIM: The study aimed to evaluate the diversity of spectrum and management of animal-inflicted injuries in the pediatric age group.
MATERIALS AND METHODS: This was a prospective study on animal-inflicted injuries in children between 1 to 15 years of age over a period of 12 months. Data on various parameters such as age and sex, animal species involved, provoked/unprovoked, mechanism of injury, time of injury, prehospital care, injury-arrival interval, pattern and type of injury, trauma score, body region injured, treatment given and complications were collected and analyzed.
RESULTS: Fifty-two children with animal-inflicted injuries were included, constituting <1% of all trauma cases seen during the study period (male:female = 2:1). The mean age of the cohort was 9.65 years. Domestic animals were responsible in 41 children (78.84%) and wild animals in 11 children (21.16%). Dog bite was the most common (57.69%). Penetrating injury was observed in 40 (76.9%) and blunt injury was observed in 12 (23.1%). The musculoskeletal system was the most common organ-system injured affecting 36 children (69.23%). Thirty-five children (67.3%) after minor treatment were discharged. Seventeen children (32.7%) required admission. Thirty-four children (65.38%) underwent surgical procedures. Wound debridement was the most common procedure performed. Wound infection was observed in 20 children (38.46%) and was significantly higher (P < 0.01) in delayed presenters. The length of hospital stay for the admitted children ranged from 3 to 28 days.
CONCLUSION: Animal-inflicted injuries are rare in children and have a wide spectrum of presentation. Severe injuries require extensive resuscitation and expert surgical care. Mild injuries can be managed conservatively with the use of proper dressings, antibiotics, and analgesics.
| Medienart: |
E-Artikel |
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| Erscheinungsjahr: |
2020 |
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| Erschienen: |
2020 |
| Enthalten in: |
Zur Gesamtaufnahme - volume:25 |
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| Enthalten in: |
Journal of Indian Association of Pediatric Surgeons - 25(2020), 4 vom: 15. Juli, Seite 225-230 |
| Sprache: |
Englisch |
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| Beteiligte Personen: |
Rahman, Rafey Abdul [VerfasserIn] |
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| Links: |
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| Themen: |
Animal-inflicted injuries |
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| Anmerkungen: |
Date Revised 16.04.2022 published: Print-Electronic Citation Status PubMed-not-MEDLINE |
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| doi: |
10.4103/jiaps.JIAPS_114_19 |
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| funding: |
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| Förderinstitution / Projekttitel: |
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| PPN (Katalog-ID): |
NLM315106727 |
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| 100 | 1 | |a Rahman, Rafey Abdul |e verfasserin |4 aut | |
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| 500 | |a Date Revised 16.04.2022 | ||
| 500 | |a published: Print-Electronic | ||
| 500 | |a Citation Status PubMed-not-MEDLINE | ||
| 520 | |a Copyright: © 2020 Journal of Indian Association of Pediatric Surgeons. | ||
| 520 | |a INTRODUCTION: Animal-inflicted injuries continue to be a major health problem worldwide. In developing countries, the outcome of such injuries, especially in children may be poor | ||
| 520 | |a AIM: The study aimed to evaluate the diversity of spectrum and management of animal-inflicted injuries in the pediatric age group | ||
| 520 | |a MATERIALS AND METHODS: This was a prospective study on animal-inflicted injuries in children between 1 to 15 years of age over a period of 12 months. Data on various parameters such as age and sex, animal species involved, provoked/unprovoked, mechanism of injury, time of injury, prehospital care, injury-arrival interval, pattern and type of injury, trauma score, body region injured, treatment given and complications were collected and analyzed | ||
| 520 | |a RESULTS: Fifty-two children with animal-inflicted injuries were included, constituting <1% of all trauma cases seen during the study period (male:female = 2:1). The mean age of the cohort was 9.65 years. Domestic animals were responsible in 41 children (78.84%) and wild animals in 11 children (21.16%). Dog bite was the most common (57.69%). Penetrating injury was observed in 40 (76.9%) and blunt injury was observed in 12 (23.1%). The musculoskeletal system was the most common organ-system injured affecting 36 children (69.23%). Thirty-five children (67.3%) after minor treatment were discharged. Seventeen children (32.7%) required admission. Thirty-four children (65.38%) underwent surgical procedures. Wound debridement was the most common procedure performed. Wound infection was observed in 20 children (38.46%) and was significantly higher (P < 0.01) in delayed presenters. The length of hospital stay for the admitted children ranged from 3 to 28 days | ||
| 520 | |a CONCLUSION: Animal-inflicted injuries are rare in children and have a wide spectrum of presentation. Severe injuries require extensive resuscitation and expert surgical care. Mild injuries can be managed conservatively with the use of proper dressings, antibiotics, and analgesics | ||
| 650 | 4 | |a Journal Article | |
| 650 | 4 | |a Animal-inflicted injuries | |
| 650 | 4 | |a children | |
| 650 | 4 | |a dog bite | |
| 650 | 4 | |a domestic animals | |
| 650 | 4 | |a injury patterns | |
| 650 | 4 | |a rural | |
| 650 | 4 | |a wild animals | |
| 700 | 1 | |a Gupta, Umesh Kumar |e verfasserin |4 aut | |
| 700 | 1 | |a Agrawal, Shashank |e verfasserin |4 aut | |
| 700 | 1 | |a Goel, Prabudh |e verfasserin |4 aut | |
| 700 | 1 | |a Alim, Muniba |e verfasserin |4 aut | |
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