title: Acute paediatric bite injuries treated on inpatient basis: a 10-year retrospective study and criteria for hospital admission.
abstract: The aim of this study was to evaluate the acute bite wounds in children treated on an inpatient basis over a 10-year period and the criteria for inpatient treatment. This study comprised all acute mammalian bite injuries in relation to all paediatric bite injuries seen at the Emergency Surgical Department (ESD). Inclusion criteria were: aged between 0-18 years; acute human or animal bite injuries (presenting for the first time); and inpatient treatment. Exclusion criteria were: bite wounds treated elsewhere and referred for complications; bites treated on an outpatient basis referred for complications; and all insect bites. Over 10 years, 12,948 children were seen at the ESD. There were 167 children (0.77%) with mammalian bite wounds. Twelve of them responded to the inclusion criteria. They presented 7.18% of all mammalian bite injuries and 0.09% of all paediatric emergency visits at the ESD. The average age was 3.82 ± 1.63 years (from 1.3-7 years). The time elapsed between the accident to the wound debridement was 118.64 ± 101.39 minutes. There were 10 dogs, one horse, and one rabbit bite. Surgical treatment comprised debridement, saline irrigation, and primary closure or reconstruction. All patients received antibiotics in the postoperative period. The average hospital stay was 5.92 ± 2.39 days. In one case a partial distal flap necrosis occurred. Animal bite injuries treated on an inpatient basis are predominantly dog bites in young children under 10 years of age, with deep, extended, and commonly multiple injuries. Only 7% of paediatric bite injuries require inpatient treatment.
authors.affiliation: Department of Paediatric Surgery and Division of Plastic and Craniofacial Surgery, St George Hospital , Plovdiv , Bulgaria.
authors.forename: Hristo
authors.initials: H
authors.lastname: Shipkov
authors.forename: Penka
authors.initials: P
authors.lastname: Stefanova
authors.forename: Vladimir
authors.initials: V
authors.lastname: Sirakov
authors.forename: Rumen
authors.initials: R
authors.lastname: Stefanov
authors.forename: Dimitar
authors.initials: D
authors.lastname: Dachev
authors.forename: Martin
authors.initials: M
authors.lastname: Simeonov
authors.forename: Biser
authors.initials: B
authors.lastname: Ivanov
authors.forename: Momchil
authors.initials: M
authors.lastname: Nenov
mesh_terms: D000553:Ambulatory Care; D000768:Anesthesia, General; D000818:Animals; D000900:Anti-Bacterial Agents / Q000627:therapeutic use; D001733:Bites and Stings / Q000628:therapy*; D002031:Bulgaria; D002648:Child; D002675:Child, Preschool; D015331:Cohort Studies; D003646:Debridement; D004285:Dogs; D004636:Emergency Service, Hospital; D005260:Female; D006736:Horses; D006760:Hospitalization; D006801:Humans; D007223:Infant; D007902:Length of Stay / Q000706:statistics & numerical data; D008297:Male; D011817:Rabbits; D012189:Retrospective Studies; D007507:Therapeutic Irrigation
chemical_list: D000900:Anti-Bacterial Agents