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Pattern and outcome of dog bite injuries among children in Ado-Ekiti, Southwest Nigeria.

Abstract Dog bites in humans are a major public health problem. Globally, millions of people are bitten by dogs but most of the fatal cases occur in children. There is paucity of data on dog bite related diseases among Nigerian children. Objectives: to determine the pattern of dog bite injuries and associated health problems among children seen at Ekiti State University Teaching Hospital.
PMID
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Authors

Mayor MeshTerms
Keywords

Dog bite

children

injuries

postexposure prophylaxis

rabies

Journal Title the pan african medical journal
Publication Year Start




PMID- 28819502
OWN - NLM
STAT- MEDLINE
DA  - 20170818
DCOM- 20170904
LR  - 20170904
IS  - 1937-8688 (Electronic)
VI  - 27
DP  - 2017
TI  - Pattern and outcome of dog bite injuries among children in Ado-Ekiti, Southwest
      Nigeria.
PG  - 81
LID - 10.11604/pamj.2017.27.81.7360 [doi]
AB  - INTRODUCTION: Dog bites in humans are a major public health problem. Globally,
      millions of people are bitten by dogs but most of the fatal cases occur in
      children. There is paucity of data on dog bite related diseases among Nigerian
      children. Objectives: to determine the pattern of dog bite injuries and
      associated health problems among children seen at Ekiti State University Teaching
      Hospital. METHODS: This is a retrospective study on the clinical data of patients
      managed for dog bite related injuries between January 2010 and June 2014.
      RESULTS: In all, 84 cases of dog bite injuries were managed constituting 0.89% of
      the total consultations; six (7.1%) had rabies. Most of the victims were aged
      6-12 years (60.7%) and majority (71.4%) was boys. Eighty two percent of the
      victims presented within 24hrs of the injury. Thirty-six (43%) had WHO grade 3
      dog bite injury at presentation and the lower limb was the commonest (57.1%) bite
      site. Use of herbal preparation was the most common pre-hospital treatment 60%.
      Although 92.9% received anti-rabies vaccine, only 64.3% of them completed the
      vaccination schedule. The case fatality rate for dog bite was 7.14%. The six that
      died all presented late, had no post exposure prophylaxis and died within 24
      hours of admission. CONCLUSION: There is need for public enlightenment on dangers
      associated with dog bites and also for the government to defray the high cost of 
      post exposure prophylaxis treatment for children.
FAU - Ogundare, Ezra Olatunde
AU  - Ogundare EO
AD  - Department of Paediatrics and Child Health, Ekiti State University, Ado-Ekiti,
      Nigeria.
AD  - Department of Paediatrics and Child Health, Ekiti State University Teaching
      Hospital, Ado-Ekiti, Nigeria.
FAU - Olatunya, Oladele Simeon
AU  - Olatunya OS
AD  - Department of Paediatrics and Child Health, Ekiti State University, Ado-Ekiti,
      Nigeria.
AD  - Department of Paediatrics and Child Health, Ekiti State University Teaching
      Hospital, Ado-Ekiti, Nigeria.
FAU - Oluwayemi, Isaac Oluwadare
AU  - Oluwayemi IO
AD  - Department of Paediatrics and Child Health, Ekiti State University, Ado-Ekiti,
      Nigeria.
AD  - Department of Paediatrics and Child Health, Ekiti State University Teaching
      Hospital, Ado-Ekiti, Nigeria.
FAU - Inubile, Adekoya Joshua
AU  - Inubile AJ
AD  - Department of Biostatistics, Ekiti State University Teaching Hospital, Ado-Ekiti,
      Nigeria.
FAU - Taiwo, Adekunle Bamidele
AU  - Taiwo AB
AD  - Department of Paediatrics and Child Health, Ekiti State University Teaching
      Hospital, Ado-Ekiti, Nigeria.
FAU - Agaja, Oyinkansola Tolulope
AU  - Agaja OT
AD  - Department of Paediatrics and Child Health, Ekiti State University Teaching
      Hospital, Ado-Ekiti, Nigeria.
FAU - Airemionkhale, Alfred
AU  - Airemionkhale A
AD  - Department of Paediatrics and Child Health, Ekiti State University Teaching
      Hospital, Ado-Ekiti, Nigeria.
FAU - Fabunmi, Adewale
AU  - Fabunmi A
AD  - Department of Paediatrics and Child Health, Ekiti State University Teaching
      Hospital, Ado-Ekiti, Nigeria.
LA  - eng
PT  - Journal Article
DEP - 20170602
PL  - Uganda
TA  - Pan Afr Med J
JT  - The Pan African medical journal
JID - 101517926
RN  - 0 (Plant Preparations)
RN  - 0 (Rabies Vaccines)
SB  - IM
MH  - Adolescent
MH  - Animals
MH  - Bites and Stings/*epidemiology
MH  - Child
MH  - Child, Preschool
MH  - Dogs
MH  - Female
MH  - Humans
MH  - Infant
MH  - Infant, Newborn
MH  - Male
MH  - Nigeria/epidemiology
MH  - Plant Preparations/administration & dosage
MH  - Post-Exposure Prophylaxis/*methods
MH  - Rabies/*epidemiology/prevention & control/transmission
MH  - Rabies Vaccines/*administration & dosage
MH  - Retrospective Studies
MH  - Time Factors
PMC - PMC5554624
OTO - NOTNLM
OT  - Dog bite
OT  - children
OT  - injuries
OT  - postexposure prophylaxis
OT  - rabies
EDAT- 2017/08/19 06:00
MHDA- 2017/09/05 06:00
CRDT- 2017/08/19 06:00
PHST- 2015/06/26 [received]
PHST- 2017/05/12 [accepted]
AID - 10.11604/pamj.2017.27.81.7360 [doi]
AID - PAMJ-27-81 [pii]
PST - epublish
SO  - Pan Afr Med J. 2017 Jun 2;27:81. doi: 10.11604/pamj.2017.27.81.7360. eCollection 
      2017.