South African medical journal = Suid-Afrikaanse tydskrif vir geneeskunde · 2012
Demographics and management of dog bite victims at a level two hospital in KwaZulu-Natal.
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Kent Samuel J W, Naicker Bavani, Wood Darryl R
Аннотация
INTRODUCTION: Dog bites are a significant cause of morbidity and mortality worldwide, particularly where rabies is endemic. There is also a significant financial burden attached to prophylactic treatment to diminish the risk of rabies infection. KwaZulu-Natal (KZN) has a high incidence of human rabies yet little is known about the demographics of dog bites in the province.
OBJECTIVES: To analyse the demographics of dog bites in Northern KZN.
METHODS: Records of all dog bites presenting to the main referral hospital in Northern KZN between August 2007 and September 2011 were analysed.
RESULTS: We collected data for 821 instances of dog bite. Male children aged 6 - 10 years are most likely to present with dog bites, while women >40 years are more likely to present than men in the same age bracket. Whilst initial vaccine administration is high (98%) with all grades of bite, only 82% of grade 3 bites receive immunoglobulin.
CONCLUSION: Our results correlate well with two large studies of the demographics of dog bites, but are the first to show a reverse in male preponderance of presentations above the age of 40 years. Reasons for low rates of immunoglobulin administration in grade 3 bites are discussed. Finally, methods are suggested to improve data collection and the care of patients presenting with dog bites.
OBJECTIVES: To analyse the demographics of dog bites in Northern KZN.
METHODS: Records of all dog bites presenting to the main referral hospital in Northern KZN between August 2007 and September 2011 were analysed.
RESULTS: We collected data for 821 instances of dog bite. Male children aged 6 - 10 years are most likely to present with dog bites, while women >40 years are more likely to present than men in the same age bracket. Whilst initial vaccine administration is high (98%) with all grades of bite, only 82% of grade 3 bites receive immunoglobulin.
CONCLUSION: Our results correlate well with two large studies of the demographics of dog bites, but are the first to show a reverse in male preponderance of presentations above the age of 40 years. Reasons for low rates of immunoglobulin administration in grade 3 bites are discussed. Finally, methods are suggested to improve data collection and the care of patients presenting with dog bites.