TY - JOUR
PY - 2012//
TI - Demographics and management of dog bite victims at a level two hospital in KwaZulu-Natal
JO - South African medical journal SAMJ
A1 - Kent, Samuel J. W.
A1 - Naicker, Bavani
A1 - Wood, Darryl R.
SP - 845
EP - 847
VL - 102
IS - 11 Pt 1
N2 - INTRODUCTION: Dog bites are a significant cause of morbidity and mortality worldwide, particularly where rabies is endemic. There is also a significant financial burden attached to prophylactic treatment to diminish the risk of rabies infection. KwaZulu-Natal (KZN) has a high incidence of human rabies yet little is known about the demographics of dog bites in the province.
OBJECTIVES: To analyse the demographics of dog bites in Northern KZN.
METHODS: Records of all dog bites presenting to the main referral hospital in Northern KZN between August 2007 and September 2011 were analysed.
RESULTS: We collected data for 821 instances of dog bite. Male children aged 6 - 10 years are most likely to present with dog bites, while women >40 years are more likely to present than men in the same age bracket. Whilst initial vaccine administration is high (98%) with all grades of bite, only 82% of grade 3 bites receive immunoglobulin.
CONCLUSION: Our results correlate well with two large studies of the demographics of dog bites, but are the first to show a reverse in male preponderance of presentations above the age of 40 years. Reasons for low rates of immunoglobulin administration in grade 3 bites are discussed. Finally, methods are suggested to improve data collection and the care of patients presenting with dog bites.
Keywords: Animal Bites; Dog Bites
Language: en
LA - en SN - 0038-2469 UR - http://dx.doi.org/ ID - ref1 ER -