The study was conducted by researchers at Northeastern University (Boston, MA), Tufts University - Cummings School of Veterinary Medicine (North Grafton, MA), and other subject matter experts. There was no difference in infection between the two groups (9.7% vs 6.9%, p = 0.51,odds ratio 1.44, 95% CI 0.48–4.35). Callaham (1980) was excluded from the Cochrane review because it was not a randomized trial. tional study—of 769 sequential p atients with dog bite wou nd s pr ese nt ing to a n em erg en cy d epa rt men t— found t hat the strong est pre dictor s for th e devel op- Study published in 2008 that assessed the differences in aggression between legislated breeds (such as pitbull-type breeds) and non-legislated breeds (other breeds). PubMed PMID: 6696302, Zubowicz VN, Gravier M. Management of early human bites of the hand: aprospective randomized study. Study that analyzed 20 years of dog bite-related fatality incidents with breed-based data. Most importantly, the results of breed risk calculations did not match with the breeds legislated by the enacted breed-specific legislation. Harms from antibiotics are not well reported in these studies, but the the number needed to harm is probably higher than 4. Several medical conditions place a patient at high risk of wound and rabies virus infection from a dog bite (Table 1).7 Information that can help determine the patient's risk of infection includes the time of the injury, whether the animal was provoked, and the general health, immunization status and current location of the animal.7 In some locations, notification of animal control or local law … The physicians sometimes we can’t take away the idea for the patients with low infection risk don’t need profilaxis antiobiotics. Inclusion criteria included full thickness wounds presenting within 48 hours in patients over 15 years of age. Data includes statistics for dog bite-related fatalities. The study was conducted by researchers at the University of British Columbia (Animal Welfare Program) and published by the Canadian Veterinary Journal. The study was conducted by researchers at the Sinai Clinic & Research Center (Spain), University of Seville (Spain), Institute of Legal Medicine and Forensic Science (Spain), and published by The Journal of Veterinary Behavior. How do I manage patients bitten by animals in the ocean? Annually, about 14,025 citizens are hospitalized due to dog bite injuries. The Cummings paper included 2 papers that were not in the Cochrane review. Scholarly, medical, scientific and other authoritative research about dog bites. That being said, I practice evidence based medicine, of which clinical expertise and patient preference are essential components. Finally, additional factors such as dog breed, Shutzhund training, the number of canine calls, and whether or not the dog was sexually intact were all significant correlates of canine force in the final model. “One special advantage of the skeptical attitude of mind is that a man is never vexed to find that after all he has been in the wrong.” - William Osler. Behavior such as teasing the dog comes to mind as a top reason: other studies show that in most dog bite … That gives you a sense of the robustness of this dataset: our entire decision is going to be based around a single trial with 185 patients. According to research … Background and Methods To define better the bacteria responsible for infections of dog and cat bites, we conducted a prospective study at 18 emergency departments. 6(4):251-6. The researchers point out that the circumstances that cause a dog to bite vary and may be influenced by breed behavior tendencies and the behavior of the victim, parents, and dog owner. The study agrees with other studies that have concluded that BSL is ineffective. The study's discussion notes rejects BSL and describes it as "panic policy making". This data is clearly imperfect. Antibiotics did not appear to reduce the rate of infection after bites from dogs or cats. The seizure has lasted […], Excellent review! Chen E, Hornig S, Shepherd SM, Hollander JE. Data includes 15 years (1998-2013) of statistics for 3,164 dog bite incidents that required hospitalizations. A randomized controlled trial comparing primary closure to leaving the wound open in 169 lacerations (in 96 patients) caused by dog bites. The study also states, "The key finding from our second objective, determining the dogs responsible for bites, is the importance of pit bull terriers in patients with dog bites of the head and neck. Data includes statistics for dog bite incidents in 22 urban Canadian municipalities. Data includes a comprehensive analysis of multiple risk factors associated with aggression in dogs. That seems pretty easy. 1 The below statistics and studies examine injury occurrence and the breeds of dogs most likely to inflict severe and fatal injuries. 1995; 13(4):396-400. Sorry, your blog cannot share posts by email. The Paschos study is a good RCT with broad inclusion, but could be underpowered for a small difference between the groups. Data includes dog breed-related risk information. Infection occurred in 2 of 44 patients (4%) in the control group and 0 of 46 patients treated with antibiotics. Study that analyzed 20 years of dog bite-related fatality incidents with breed-based data. Researchers found pit bulls and mixed breed dogs have the highest risk of biting and cause the most damage per bite. Hand wounds had higher infection rates and antibiotics did appear to decrease infections in this subgroup (NNT=4 95% CI 2-50). 2001. Archives of emergency medicine. Specifically, the study concluded: "Force of biting in domestic canids is strongly related to size". PMID: 23916901. A scientific basis for breed specific lists does not exist.". Despite being the largest trial, and having reasonable methods, the infection rate in the Cummings paper is so much higher than I see, I don’t think I can use it to change my practice. Injury. Plast Reconstr Surg. Therefore, which meta-analysis you believe will depend a lot on what you think about this one paper. The DNA results were then compared to the visual identification of the dog's breed by shelter staff. Media reports are a poor source for breed information as there are a high percentage of discrepancies (over 40%) between the breed reported in the media and the subsequent breed identification by animal control; additionally, valid breed determination was only possible in 18% of all incidents. We explain first aid tips for dog bite treatment at home, plus signs of infection and … Management of a dog bite includes treatment centered on local wounds as well as consideration of antimicrobials, tetanus prophylaxis, and rabies prophylaxis. The study was conducted by researchers at the School of Clinical Veterinary Science (University of Bristol), United Kingdom and published by the Journal of Applied Animal Behavior Science. Read More. In a study of 12 different animal shelters across the USA, 40% of relinquishing owners cited behavioral problems as one of the reasons for surrendering a dog. These cdc dog bite statistics will show you which breeds of pups were involved in the human attacks that were fatal, from 1979 to 1998. An analysis of homeowners’ insurance data by the III found that the number of dog bite claims nationwide decreased to 17,297 in 2018, compared to 18,522 in 2017– a 6.6% decrease. A study finds that the literature on dog bites written by human health care professionals is rife with distortions and errors. Resistance is incredibly difficult to quantify in a single study, but it is clearly important, so we need to consider it in our calculations even if it is hard to assign a specific number to the risk. This very loose definition explains the crazy 60% infection rate, but also trivializes the benefit of antibiotics. Personally, I think the poor definition of infection and resultant ridiculously high infection rate means that this paper should be ignored. The study was conducted by University of Florida (College of Veterinary Medicine), Michigan State University (College of Veterinary Medicine), Jacksonville FL Humane Society, Jacksonville FL Animal Care and Protective Services, Tallahassee FL Animal Services, Marion County Animal Services Ocala FL, and published by the The Veterinary Journal. I am more cautious in immunocompromised patients, not because there is any evidence that it is worse, but because there is no evidence, and when the inevitable infection occurs, someone is bound to complain. Obviously they were unable to blind this trial. However, I think that the current best answer is that it is safe to close the vast majority of these wounds. Study published in 2017 that analyzed the characterization and severity of dog bites in medical studies and literature. 5(3):156-61. 1991 Jul;88(1):111-4.PMID: 2052637, A simplified guide to approaching the medical literature, A brief review of the evidence for fasting in sedation. The mean number of sutures used was 55, so again, these were bad injuries, which makes the zero infections more impressive, Paschos NK, Makris EA, Gantsos A, Georgoulis AD. I talk to all my patients and in those at a very high risk of infection (especially prolonged or complicated infection) I will offer antibiotics. There were no infections. Study published in 2018 that tested and analyzed the DNA of 919 dogs from 2 different shelters (in Arizona and California). Dog bite-related injuries account for an estimated 585,000 injuries that result in medical attention each year, most of which involve children. Breed-specific legislation had no effect on dog bite-related injuries. Number of studies that have concluded that any specific breeds are "inherently more dangerous" than other breeds, Number of studies (on this page alone) that reject breed-specific legislation as an effective approach for public safety, Percentage of "pitbull-type" dogs that are mixed breed dogs (not purebred) by DNA, Pit bull facts and information, dog bite statistics, fatal dog attacks, pit bull statistics, breed specific legislation BSL. In many of the medical studies analyzed, a due-diligence effort was not performed to accurately and/or scientifically identify the breed(s) involved in the bite incidents included in the studies. It does not take many patients with antibiotic associated diarrhea or allergies to outweigh any possible benefit described here. Background Dog bite studies are typically based on hospital records and may be biased towards bites requiring significant medical treatment. Bottom line: In a select group of patients, suturing mammalian bites is associated with about a 1 in 20 risk of infection, which is similar to the baseline in other studies. FOAM enthusiast. 7(2):157-61. The study used a comprehensive dataset from hospital emergency room records and included records on 2,622 serious dog bite-related injuries from 2002 through 2015 (covering incidents before and after BSL was enacted). Study published in 2010 that assessed the effectiveness of Breed Specific Legislation (BSL) in the Netherlands. Study published in 2018 that analyzed the impact of BSL on the number and severity of dog bite-related injuries since BSL went into effect in the city of Odense, Denmark on June 1, 2010. 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