Epidemiology of animal bites and stings in Khuzestan, Iran, 1997-2006.
OBJECTIVE
To determine the incidence and characteristics of the injuries caused by animals among the population of Khuzestan region, Iran admitted to teaching hospital emergency departments.


METHODS
Retrospective study.


METHODS
From 1997 to 2006 in teaching hospitals in Ahvaz, Iran.


METHODS
The medical records of 894 patients admitted to hospital with animal bites or stings were studied. Data including epidemiological aspects, clinical findings and outcomes of treatment were analyzed using descriptive statistics and the chi(2) test.


RESULTS
Of 894 patients 62.0% were male, and the median age of males and females was 24.4 years and 26.2 years, respectively. Dogs, scorpions, mice and snakes were the most commonly involved animal species, causing injuries with a frequency of 69%, 12.5%, 8.8% and 4.4%, respectively. Feet (58.1%) and hands (30.6%) were the most commonly affected body parts, followed by the face and other parts. Infectious complications were seen in 127 patients, among them 94 soft tissue infections (74.1%), 28 cases of sepsis (22.0%) and five of endocarditis (3.9%). Thirty-five cases (3.9%) died following animal bites and stings, among them 28 (80%) due to scorpion stings, four (11.4%) related to dogs and three (8.6%) from snake bites. No cases of rabies were observed in these patients.


CONCLUSIONS
Animal bite is a major public health problem in Khuzestan, with a high frequency, a high percentage of hospitalization and considerable mortality.
Alavi
Seyed Mohammad
SM
Infectious Disease Ward, Razi Hospital, Joundishapour University of Medical Sciences, No. 52, Kianabad, Ahvaz, Iran. alavi1329dr@yahoo.com
Alavi
Leila
L
D000328:Adult; D017677:Age Distribution; D000818:Animals; D001733:Bites and Stings / Q000453:epidemiology*; D004636:Emergency Service, Hospital / Q000706:statistics & numerical data*; D005260:Female; D006760:Hospitalization / Q000706:statistics & numerical data; D006784:Hospitals, Teaching; D006801:Humans; D015994:Incidence; D007492:Iran / Q000453:epidemiology; D008297:Male; D011159:Population Surveillance; D012189:Retrospective Studies; D017678:Sex Distribution; D014947:Wounds and Injuries / Q000453:epidemiology* / Q000209:etiology; D055815:Young Adult