Dog Bites in Urban Children

Avner, Jeffrey R.; Baker, Megan

doi:10.1542/peds.88.1.55

Cited by 94 publications

(14 citation statements)

References 5 publications

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“…Of the 43 included studies, 29 were retrospective chart reviews characterizing the epidemiology of dog bites and their associated treatment outcomes, with 1 using the National Trauma Database 2–6 8 9 15–36. Six studies were prospective cohort studies,7 37–41 two were cross-sectional studies,42 43 and six were experimental studies (five focused on educational/prevention interventions for children and adults and one focused on prophylactic antibiotic therapy) (online supplemental table 1). 10 44–48 Only 9 of the 43 studies had a behavioral health component incorporated into the study design or discussion sections 7 16 19 38 42–46…”

Section: Resultsmentioning

confidence: 99%

Pediatric dog bite injuries in the USA: a systematic review

Patterson

Horvath

Minneci

et al. 2022

World Jnl Ped Surgery

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IntroductionDog bites are one of the leading causes of non-fatal emergency room visits in children. These injuries not only cause physical harm but can lead to long-term psychological stress. This study evaluated the current literature related to pediatric dog bite injuries to identify research gaps which should be prioritized to improve a major public health concern.MethodsWe performed a keyword search of PubMed, Scopus, and OVID Medline databases (January 1980– March 2020) for all published studies focused on dog bite injuries in the pediatric population (≤18 years of age) using the Preferred Reporting Items for Systematic Reviews and Meta-Analyses.ResultsOut of 1859 abstracts screened, 43 studies involving 86 880 patients were included. Twenty-nine studies were retrospective chart reviews characterizing the epidemiology of dog bites and their associated treatment outcomes; six were prospective cohort studies; two were cross-sectional studies; and six were experimental studies. Synthesized results demonstrate that children <9 years of age suffer the greatest burden of injuries, with children <6 years of age at higher risk of more severe injuries involving the head, neck, and face.ConclusionStudies analyzing the prevention or psychosocial consequences of dog bites injuries are needed.

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Section: Resultsmentioning

confidence: 99%

Pediatric dog bite injuries in the USA: a systematic review

Patterson

Horvath

Minneci

et al. 2022

World Jnl Ped Surgery

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“…The time span assessed in the studies ranged from 1985 to 2017 [4,9,11,. Majority of the included studies in the review were retrospective studies except 4 studies (2 were prospective studies [11,25] and 2 were cross-sectional questionnaire-based surveys [38,43]). The animals involved in the biting episode were dogs in all the included studies.…”

Section: Characteristics Of Included Studiesmentioning

confidence: 99%

Animal bite injuries in pediatric population: a systematic review

Singhal

Sikka

Namdev

2022

J Oral Med Oral Surg

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Objectives: To assess the scientific literature pertaining the risk factors for injuries among victims of animal bite injuries. Data and sources: A systematic review of scientific literature published until May 2020 was carried out in the following databases: PubMed, Cochrane Library, Google Scholar and Journals@ovid. Study selection: A total of 924 records were found, of which 29 articles fulfilled the inclusion criteria and were analyzed. There was a male preponderance in most of the studies with male/female ratio ranging from 0.75:1 to 2.1:1. The age range varies from 0 to 19 years with the mean age varying from 3.6 to 8 years. Pitbulls, Rottweiler's, German shepherds, Bull terriers, Labradors and Dobermans were breeds with higher risk of attack. The animals were familiar to the victim (own, friends, neighbors) in 27–98% instances. Most cases of animal bite injuries were recorded during Summer and Spring months. Head and neck followed by extremities was found to be most inflicted area. Conclusions: The sociodemographic characteristics of victim as well as the biting animal affect the circumstances leading to biting episode. However, the results should be interpreted with caution due to the high heterogeneity among studies and moderate quality evidence.

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“…For example, a disproportionate vulnerability exists for younger boys, those familiar with the attacking canine, and those with an increasing number of dogs in their household. [4][5][6][7][8] Specific dog breeds have been implicated with higher risk, particularly Pitbulls and other mixed breeds. 9,10 Recently it has been suggested that societal shutdowns in the wake of the coronavirus disease 2019 (COVID-19) pandemic have inadvertently precipitated a rise in incidence of dog-bites among pediatric ED visits.…”

mentioning

confidence: 99%

Pediatric Dog Bite Injuries: A 5-Year Nationwide Study and Implications of the COVID-19 Pandemic

Plana¹,

Kalmar²,

Cheung³

et al. 2022

Journal of Craniofacial Surgery

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Introduction: Although single institution studies have analyzed various animal attacks, there has not been multicenter investigation into dog bites in children. The purpose of this study was to characterize national trends and investigate the characteristics of pediatric dog bites. Methods: Aretrospective cohort study was conducted of pediatric dog bite injuries in the United States from 2015 to 2020 using the Pediatric Health Information System national database. Patient characteristics, injury locations, and need for intervention were analyzed. Mann-Whitney U test, Pearson chisquare, and Fisher exact test, and linear multivariate regressions were performed for statistical analysis of data values; statistical significance was maintained at P < 0.05. Results: A total of 56,106 patients were included, majority male (55.1%) with a median age 6.8 years (interquartile range 3.5-10.6). Incidence peaked in July (median =1217) with nadirs in February (median = 760). A substantial increase in bites was seen per overall Emergency Department presentations during the pandemic. Most common bite location was the head (62.1%), followed by the upper extremity (25.1%). Relative proportions of dog bites to the face gradually decreased with age (B = -3.4%/year, P < 0.001), whereas proportions to the upper extremities (B = + 1.9%/year, P < 0.001) and lower extremities (B = + 1.6%/year, P = 0.002) gradually increased with age. Overall, 8.0% patients required repair in the operating suite. injuries isolated to the head (OR= 2.6, P < 0.001) and those to multiple anatomic regions were more likely to require operative intervention [operating room (OR= 2.6, P < 0.001)]. Conclusions: Dog bites most commonly occur during the summer in school-aged boys. Toddlers disproportionately suffer injuries to the head, with a trend towards upper extremity bites in teenagers. The coronavirus disease 2019 pandemic ushered a spike in dog bite presentations among Emergency Department visits, further underscoring the need for targeted educational initiatives to halt the persistence of these preventable injuries.

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Dog Bites in Urban Children

Cited by 94 publications

References 5 publications

Pediatric dog bite injuries in the USA: a systematic review

Pediatric dog bite injuries in the USA: a systematic review

Animal bite injuries in pediatric population: a systematic review

Pediatric Dog Bite Injuries: A 5-Year Nationwide Study and Implications of the COVID-19 Pandemic

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