The Victorian studies reported here, together with the literature review, identify the need to reduce exposure by separating young children from dogs, particularly male dogs and certain breeds, particularly in the child's own home or in a home being visited. PMID: 21293762 [free full text]. The study conducted a qualitative content analysis which examined 156 publications identified by terms such as "dog bite" or "dangerous dogs". 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. 2000. 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. Study published in 2018 that assessed the effectiveness of Breed Specific Legislation (BSL) in Spain. Read More. It does not take many patients with antibiotic associated diarrhea or allergies to outweigh any possible benefit described here. There was no statistical difference between the groups and only 11 total infections, so it can’t explain the discrepancy either. (The scar was an average of 1mm narrower in the sutured group). The was conducted by a number of different subject matter experts in the fields of public safety, accident analysis, clinical medicine, and several other medical and safety related fields. Data includes statistics for dog bite incidents in 22 urban Canadian municipalities. 2011. Behavior such as teasing the dog comes to mind as a top reason: other studies show that in most dog bite … Furthermore, visual breed identification by individuals in the study was highly inconsistent with DNA results with accuracy ranging from a low of 33% to a high of 75%. Previous Next. This study is an RCT that included 168 dog bites and randomized them to either suturing or not. Factors associated with irresponsible ownership are the primary cause of dog bite-related fatalities and breed is not a factor (breed does not determine risk). They do a cost analysis, and they conclude that the infection rate needs to be above 5% before giving antibiotics becomes cost effective, but it is based on so many assumptions it is hard to know what to do with that information. All patients received prophylactic antibiotics. The study was conducted by researchers at the Wageningen UR Livestock Research institute (Netherlands) and published by The Veterinary Journal. This very loose definition explains the crazy 60% infection rate, but also trivializes the benefit of antibiotics. Case EMS arrives with a 39 year old woman in the midst of a generalized tonic clonic seizure. 1984 Mar;13(3):155-7. Each year in the United Sta… The seizure has lasted […], Excellent review! ), Unfortunately, now that I live in New Zealand, I need a different question answered. However, I think that the current best answer is that it is safe to close the vast majority of these wounds. Annals of emergency medicine. That being said, I practice evidence based medicine, of which clinical expertise and patient preference are essential components. 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. Data includes comprehensive survey results from 1,078 dog bite victims and 6,139 dog owners. Specifically, this study concludes: "Comparing the results of golden retrievers and breeds affected by the legislation, no significant difference was found. Background Dog bite studies are typically based on hospital records and may be biased towards bites requiring significant medical treatment. Data includes statistics for breed identification errors between visual breed identification and DNA signatures. 1989. “Infection was defined as the presence of erythema and tenderness beyond that expected 24 h after the injury with or without purulent discharge, cellulitis or lymphangitis”. 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. Ann Emerg Med. PMID: 23916901. Data includes a comprehensive analysis of multiple risk factors associated with aggression in dogs. PMID: 11406003. 7(2):157-61. In December, 2013, The Journal of the American Veterinary Medical Association) published the most comprehensive multifactorial study of dog bite-related fatalities (DBRFs) to be completed since the subject was first studied in the 1970’s. According to research … There were 8 infections (5.5%; 95% CI 1.8% to 9.2%), 4 of the upper extremity and 4 of the head. These are small numbers and low quality trials, so I expect some people will disagree with me. Archives of emergency medicine. International comparison data were extracted from published reports. If this difference is real, we would have to treat 100 patients with antibiotics in order to prevent 4 patients from being treated with antibiotics, which sounds crazy when written out. Cummings P, Del Beccaro MA. Click to share on Twitter (Opens in new window), Click to share on Facebook (Opens in new window), Click to share on LinkedIn (Opens in new window), Click to share on Reddit (Opens in new window), Click to share on Pocket (Opens in new window), Click to email this to a friend (Opens in new window), Click to share on WhatsApp (Opens in new window), Click to share on Tumblr (Opens in new window), […] Justin Morgenstern at First10EM: Dog Bite Management – The Evidence […], […] Dog Bite Management: The Evidence […], […] More FOAMed on this topic:REBEL EMFirst 10 EM […], The HOUR rule for opioid overdose (Clemency 2018), Oral antibiotics are equivalent to IV (again) – the OVIVA trial (Li 2019). Primary closure of mammalian bites. PMID: 23916901. A rapid review of the diagnosis and management of myasthenia gravis in the emergency department. With very large, complicated wounds, I think it is reasonable to involve a surgeon (who will inevitably close them, but perhaps after a much better clean out in the OR. The issue of dog bites and dog aggression directed at humans is frequently in the media. The harms of overusing antibiotics, however, are not trivial. Most importantly, the results of breed risk calculations did not match with the breeds legislated by the enacted breed-specific legislation. Callaham (1980) was excluded from the Cochrane review because it was not a randomized trial. There were no significant differences in aggression between the legislated breed group and the Golden Retriever control group. Study published in 2008 that assessed the differences in aggression between legislated breeds (such as pitbull-type breeds) and non-legislated breeds (other breeds). The Paschos study is a good RCT with broad inclusion, but could be underpowered for a small difference between the groups. Annually, about 14,025 citizens are hospitalized due to dog bite injuries. A dog's physical characteristics related to size and weight are the primary factors that affect its bite force (not breed). Pediatric emergency care. Small RCTs like these always underestimate harms. This is a prospective observational cohort of 145 mammalian bites (88 dog, 45 cat and 12 human) all treated with primary suture closure at the discretion of the treating physician. Dogs mouths are filthy. The findings of this study are consistent with and extend from previous publications [5,7,11–13,16,21,22,29]. It also included 8 RCTs, but it comes to the opposite conclusion on the Cochrane review: antibiotics help. https://www.ncbi.nlm.nih.gov/pubmed/24299544, https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5521144/, https://www.pitbullinfo.org/statistics.html, https://www.sciencedirect.com/science/article/pii/S109002331500310X, https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6107223/, http://www.sciencedirect.com/science/article/pii/S155878780700264X, https://www.sciencedirect.com/science/article/abs/pii/S016815911300292X, https://www.ncbi.nlm.nih.gov/pmc/articles/PMC2673787/, https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5932386/, https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3552590/, https://www.sciencedirect.com/science/article/pii/S109002331500163X, https://www.sciencedirect.com/science/article/pii/S1090023309003888, https://journals.plos.org/plosone/article?id=10.1371/journal.pone.0208393, https://www.sciencedirect.com/science/article/abs/pii/S1558787817301405, https://www.tandfonline.com/doi/full/10.1080/10888705.2017.1387550, Dr. Julie Gilchrist, Centers for Disease Control and Prevention.
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