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Pediatric Dog Bite Injuries: A 5-Year Review of the Experience at The Children’s Hospital of Philadelphia

Kaye, Alison E. M.D.; Belz, Jessica M. M.D.; Kirschner, Richard E. M.D.

Plastic and Reconstructive Surgery: August 2009 - Volume 124 - Issue 2 - p 551-558
doi: 10.1097/PRS.0b013e3181addad9
Hand/Peripheral Nerve: Original Articles
Discussion

Background: The objective of this study was to characterize the nature of dog bite injuries treated over a 5-year period at a large tertiary pediatric hospital and to identify relevant parameters for public education and injury prevention.

Methods: Investigators performed a retrospective review of emergency room records of a single tertiary pediatric hospital. Records of all patients who were evaluated for dog bite injuries between April of 2001 and December of 2005 were reviewed. All demographic, patient, and injury details were recorded.

Results: Five hundred fifty-one patients aged 5 months to 18 years were treated in the emergency department after suffering dog bite injuries during the study period. The majority of injuries (62.8 percent) were sustained by male children. Dog bite injuries were most prevalent during the months of June and July (24.1 percent). Grade school–aged children (6 to 12 years) constituted the majority of victims (51 percent), followed by preschoolers (2 to 5 years; 24.0 percent), teenagers (13 to 18 years; 20.5 percent), and infants (birth to 1 year; 4.5 percent). Injuries sustained by infants and preschoolers often involved the face (53.5 percent), whereas older children sustained injuries to the extremities (60.7 percent). More than 30 different offending breeds were documented in the medical records. The most common breeds included pit bull terriers (50.9 percent), Rottweilers (8.9 percent), and mixed breeds of the two aforementioned breeds (6 percent).

Conclusions: Pediatric dog bites are preventable injuries, yet they persist as a prevalent public health problem. Evaluation of data from high-volume tertiary pediatric health care institutions identifies predictable patterns of injury with respect to patient age and gender, animal breed, provocation, and seasonality.

Philadelphia, Pa.; and Saint Louis, Mo.

From The Children’s Hospital of Philadelphia and Washington University.

Received for publication October 2, 2008; accepted March 12, 2009.

Presented at 76th Annual Meeting of the American Society of Plastic Surgeons, in Baltimore, Maryland, October 26 through 31, 2007.

Disclosure:None of the authors has any financial or commercial product interests to disclose that would pose a conflict of interest with this article.

Richard E. Kirschner, M.D., Division of Plastic Surgery, The Children’s Hospital of Philadelphia, 1st Floor Wood Building, 34th and Civic Center Boulevard, Philadelphia, Pa. 19104, kirschner@email.chop.edu

©2009American Society of Plastic Surgeons