Dog bites to the upper extremity in children

Speirs, Joshua N; Showery, James; Abdou, M.; Pirela-Cruz, Miguel A.; Abdelgawad, Amr

doi:10.1111/jpc.12948

Cited by 22 publications

(15 citation statements)

References 18 publications

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“…The increased frequency of dog bites to the face in younger children has been noted in hospital‐based studies . In contrast, the decreased frequency of extremity dog bites is highlighted by a retrospective study in a paediatric population which found that only 22.4% of dog bites involved the upper extremity and 35% involved the lower extremity .…”

Section: Discussionmentioning

confidence: 98%

Dog bites in a U.S. county: age, body part and breed in paediatric dog bites

et al. 2018

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Section: Discussionmentioning

confidence: 98%

Dog bites in a U.S. county: age, body part and breed in paediatric dog bites

et al. 2018

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“…4a). Several authors [14, 21, 32, 33] have noted that children are more likely to sustain bites to the head and neck, while adults are more likely to sustain bites to the extremities. However, a breakdown of anatomic location by detailed age groups has not been described until now.…”

Section: Discussionmentioning

confidence: 99%

The demographics of dog bites in the United States

Loder

2019

Heliyon

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Dog bites are a significant public health issue. There is no comprehensive study of dog bite demographics. It was the purpose of this study to perform such an analysis across the US. The National Electronic Injury Surveillance System All Injury Program data for the years 2005 through 2013 was accessed; dog bite injuries were extracted and analyzed. Statistical analyses were performed with SUDAAN 11.0.01Ô software to account for the weighted, stratified nature of the data. Incidence values were calculated using population data from the US Census Bureau. A P < 0.05 was considered significant. There was an average 337,103 ED visits each year for dog bites. The average age was 28.9 years; 52.6% were male and 47.4% female. The bites were located on the upper extremity in 47.3%, head/neck in 26.8%, lower extremity in 21.5%, and trunk in 4.4%. Younger patients had more bites involving the head/neck, while older patients the upper extremity. More occurred in the summer and on weekends and 80.2% occurred at home. Hospital admission occurred in 1.7%. Logistic regression analysis demonstrated that the odds of admission was solely dependent upon the age group. The OR for admission was 11.03 [4.68, 26.01] for those >85 years of age, 4.88 [2.89, 8.24] 75e84 years, and 2.79 [1.77, 4.39] those 4 years of age, with the 10e14 year age group the reference group. The average annual incidence was 1.1 per 1,000, and was slightly higher in males (1.18 vs 1.02 per 1,000). The estimated cost was at least 400 million US$ per year. Potential prevention strategies are educational programs directed at both children and parents/caretakers outlining the responsibilities of

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“…Although the pattern is variable, most injuries due to severe dog bites were on the head, neck or shoulders [7] in adults and head, neck and upper extremity in children [12] , [13] . Most injuries involved bony and soft tissue trauma [14] but tendon, nerve and vascular injuries were also noted and of all bites causing tendon dysfunction, nerve palsy and vascular trauma, most of these canine bites were on the forearm [15] .…”

Section: Discussionmentioning

confidence: 99%

“…The most common type of vessel trauma due to a canine bite was an occlusion (60%) [15] , but there are usually two components of a dog bite, a penetrating injury usually causing puncture or laceration to the vessel and a blunt one which may be the more clinically significant injury [13] . Superficial dog bites in children can present in a delayed fashion as well following blunt arterial trauma [19] and one can define a crush injury as a maceration or contusion of the artery [14] with a laceration causing a partial or complete transection (as in our Case1, the axillary vein).…”

Section: Discussionmentioning

confidence: 99%

Pit Bull attack causing limb threatening vascular trauma —A case series

Harnarayan

Islam

Ramsingh

et al. 2018

International Journal of Surgery Case Reports

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HighlightsCanine attacks by Pit Bull Terriers and Rottweiler’s can occur at any age and in any anatomical area of the body particularly the limbs.Any attack by these large canines can result in limb loss or loss of life.The most common injury to a vessel was an occlusion, although penetrating injuries usually cause a puncture or laceration, the blunt injury may be the more clinically significant one.Immediate surgical exploration is required to prevent catastrophic outcomes, especially limb loss, since arterial thrombosis is noted to be one of the most common finding in crush injuries.

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Dog bites to the upper extremity in children

Abstract: Dog bites at the upper extremity are more prone to require surgical intervention and develop infection than those at the lower extremity, and delayed presentation of these injuries is associated with higher incidence of developing infection.

Cited by 22 publications

References 18 publications

Dog bites in a U.S. county: age, body part and breed in paediatric dog bites

Dog bites in a U.S. county: age, body part and breed in paediatric dog bites

The demographics of dog bites in the United States

Pit Bull attack causing limb threatening vascular trauma —A case series

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