| ORIGINAL ARTICLE
|Year : 2020 | Volume
| Issue : 4 | Page : 225-230
Diversity of spectrum and management of animal-inflicted injuries in the pediatric age group: A prospective study from a pediatric surgery department catering primarily to the rural population
Rafey Abdul Rahman1, Umesh Kumar Gupta1, Shashank Agrawal2, Prabudh Goel3, Muniba Alim4
1 Department of Pediatric Surgery, Uttar Pradesh University of Medical Sciences, Etawah, Uttar Pradesh, India
2 Department of General Surgery, Uttar Pradesh University of Medical Sciences, Etawah, Uttar Pradesh, India
3 Department of Pediatric Surgery, All India Institute of Medical Sciences, New Delhi, India
4 Department of Clinical Hematology, Sanjay Gandhi Postgraduate Institute of Medical Sciences, Lucknow, Uttar Pradesh, India
Introduction: Animal-inflicted injuries continue to be a major health problem worldwide. In developing countries, the outcome of such injuries, especially in children may be poor.
Aim: The study aimed to evaluate the diversity of spectrum and management of animal-inflicted injuries in the pediatric age group.
Materials and Methods: This was a prospective study on animal-inflicted injuries in children between 1 to 15 years of age over a period of 12 months. Data on various parameters such as age and sex, animal species involved, provoked/unprovoked, mechanism of injury, time of injury, prehospital care, injury-arrival interval, pattern and type of injury, trauma score, body region injured, treatment given and complications were collected and analyzed.
Results: Fifty-two children with animal-inflicted injuries were included, constituting <1% of all trauma cases seen during the study period (male:female = 2:1). The mean age of the cohort was 9.65 years. Domestic animals were responsible in 41 children (78.84%) and wild animals in 11 children (21.16%). Dog bite was the most common (57.69%). Penetrating injury was observed in 40 (76.9%) and blunt injury was observed in 12 (23.1%). The musculoskeletal system was the most common organ-system injured affecting 36 children (69.23%). Thirty-five children (67.3%) after minor treatment were discharged. Seventeen children (32.7%) required admission. Thirty-four children (65.38%) underwent surgical procedures. Wound debridement was the most common procedure performed. Wound infection was observed in 20 children (38.46%) and was significantly higher (P < 0.01) in delayed presenters. The length of hospital stay for the admitted children ranged from 3 to 28 days.
Conclusion: Animal-inflicted injuries are rare in children and have a wide spectrum of presentation. Severe injuries require extensive resuscitation and expert surgical care. Mild injuries can be managed conservatively with the use of proper dressings, antibiotics, and analgesics.
Dr. Umesh Kumar Gupta
Department of Pediatric Surgery, Uttar Pradesh University of Medical Sciences, Saifai, Etawah - 206 130, Uttar Pradesh
Source of Support: None, Conflict of Interest: None
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