Cat Bite Infections of the Hand: Assessment of Morbidity and Predictors of Severe Infection

Babovic, Nikola; Cayci, Cenk; Carlsen, Brian T.

doi:10.1016/j.jhsa.2013.11.003

Cited by 46 publications

(37 citation statements)

References 13 publications

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“…Cat bites are more commonly associated with infection, supporting previous literature (Babovic et al, 2014;Dendle and Looke, 2008;MacBean et al, 2007;Thomas and Buntine, 1987). MacBean et al (2007) detailed the epidemiology of animal and human bites in Victoria from 1998 to 2004 showing that the most common bites occurred by dogs followed by bites from humans and then cats, closely representing our study population.…”

Section: Discussionsupporting

confidence: 83%

Bite wounds and antibiotic prescription among patients presenting to an Australian emergency department

Birdsey

Edwards

Abetz

et al. 2016

International Emergency Nursing

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Section: Discussionsupporting

confidence: 83%

Bite wounds and antibiotic prescription among patients presenting to an Australian emergency department

Birdsey

Edwards

Abetz

et al. 2016

International Emergency Nursing

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“…5,13 Higher hospital admissions of patients with cat bites may be related to the need for prophylactic intravenous antibiotics, as is currently recommended. 2,14 Our study found a relatively high admission rate of 50.8% for mammalian bites. This is at the high end of a broad range of admission rates reported in the literature (4.7e51%).…”

Section: Discussionmentioning

confidence: 50%

“…That patients with dog bites had the highest rate of surgery is reasonable, given the depth and complexity of dog bite wounds 5 , 13 . Higher hospital admissions of patients with cat bites may be related to the need for prophylactic intravenous antibiotics, as is currently recommended 2 , 14 …”

Section: Discussionmentioning

confidence: 99%

Emergency department presentations with mammalian bite injuries: risk factors for admission and surgery

Ting

Yue

Tang

et al. 2016

Medical Journal of Australia

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Objectives: The incidence of animal bite injuries in Australia is high. There is currently no established method for reliably predicting whether a patient with a bite injury will require admission to hospital or surgery. Design: A retrospective audit of mammalian bite injuries at seven major hospitals in Melbourne, Victoria, over a 2‐year period. The associations between each predictor and outcome of interest were analysed with univariate and multiple regression analyses. Setting: Seven major hospitals in Melbourne, Victoria: the Alfred Hospital, Austin Hospital, Frankston Hospital, Monash Medical Centre, Royal Melbourne Hospital, St Vincent's Hospital and Western Hospital. Participants: Patients presenting to emergency departments with mammalian bite injuries. Main outcome measures: Hospital admission, intravenous antibiotic therapy, surgery, reoperation, readmission. Results: We identified 717 mammalian bite injuries. The mean age of the patients was 36.5 years (median, 34 years; range, 0–88 years), with an equal number of males and females. The overall rate of hospital admission was 50.8%, and the mean length of stay was 2.7 days. Intravenous antibiotics were administered in 46% of cases; surgery was undertaken in 43.1% of cases. The re‐operation rate was 4.5%, the re‐admission rate was 3%. Conclusions: Our study provides a detailed epidemiological analysis of animal bite injuries at seven major hospitals in Victoria. Risk factors for hospitalisation and surgery may assist in identifying patients who require admission and surgical intervention.

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“…Aufgrund der raschen Infektausbreitung, die durch begrenzte Möglichkeiten zur Infektabwehr in bradytrophen Kompartimenten, wie Gleitlager für Sehnen ermöglicht wird, wird der erfahrene Handchirurg insbesondere bei verzögert vorstelligen Patienten häufig bereits initial einen Folgeeingriff ("Second look") einplanen, um eine vollständige Infektsanierung gewährleisten zu können [10].…”

Section: Diskussionunclassified

Auswirkung der verspäteten Vorstellung von Handinfektionen beim Handchirurgen – eine retrospektive Single-Center-Studie von 379 Patienten

Dastagir

Luketina

Kuhbier

et al. 2019

Handchir Mikrochir plast Chir

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Zusammenfassung Ziel Diese Studie untersucht, inwieweit der Vorstellungszeitpunkt bei vorliegender Handinfektion (HI) mit der stationären Liegedauer sowie der Häufigkeit notwendiger Operationen der Patienten korreliert. Patienten und Methoden Retrospektiv wurden die stationären Krankenakten von 379 Patienten mit HI, die zwischen 2007 und 2014 an unserer Klinik (2007–2014) behandelt wurden, statistisch hinsichtlich eines Zusammenhangs zwischen Vorstellungszeitpunkt und Liegedauer sowie der Häufigkeit notwendiger Operationen ausgewertet, wobei auch die Infektionsursache Berücksichtigung fand. Ergebnisse Im Durchschnitt führte eine um mehr als einen Tag verzögerte fachchirurgische Vorstellung zu einer längeren Krankenhausverweildauer von 1,22 Tage (KHVD) (95 %-KI: 1,20–1,25; p < 0,001). Die Notwendigkeit einer operativen Intervention nahm mit jedem Tag Verzögerung um 13,59 % (95 %-KI 4,01 %–25,43 %; p < 0,001) zu. Der verzögerte Beginn einer Antibiotikagabe führte zur Verlängerung der KHVD um den Faktor 1,09 (95 %-KI: 1,03–1,15; p < 0,001), wobei jedoch keine Korrelation bestand zwischen Zeitpunkt der Antibiotikagabe und der Notwendigkeit zur operativen Revision (ja/nein) (p = 0,11). Schlussfolgerung Eine verspätete Vorstellung von Patienten mit Handinfektionen führt zu einer längeren stationären Aufenthaltsdauer sowie zu einer höheren Anzahl an notwendigen Operationen. Eine frühzeitige Vorstellung von HI beim Handchirurgen ist wichtig, um komplizierte Krankheitsverläufe und unnötige Kosten für das Gesundheitssystem zu vermeiden.

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Cat Bite Infections of the Hand: Assessment of Morbidity and Predictors of Severe Infection

Cited by 46 publications

References 13 publications

Bite wounds and antibiotic prescription among patients presenting to an Australian emergency department

Bite wounds and antibiotic prescription among patients presenting to an Australian emergency department

Emergency department presentations with mammalian bite injuries: risk factors for admission and surgery

Auswirkung der verspäteten Vorstellung von Handinfektionen beim Handchirurgen – eine retrospektive Single-Center-Studie von 379 Patienten

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